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Dementia and depressive symptoms as predictors of home help utilization among the oldest old: A population based study in an urban area of Sweden
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Stockholm University, Faculty of Social Sciences, Department of Social Work.
2004 (English)In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 16, no 5, 641-668 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: The objective of this article is to investigate predictors of public home help utilization, particularly mental health problems such as dementia and depressive symptoms. Methods: A population-based sample of community-dwelling people aged 81-100 was interviewed and assessed with medical examinations (N = 502). Results: Dementia increased the odds of receiving public home help among people residing alone. Among coresiding people, it increased the odds of receiving home help, but only among those who had extra residential care. Depressive symptoms decreased the odds of receiving home help among people with lower levels of education who lived alone. Depressive symptoms among highly educated people who lived alone and among coresiding people of any educational level were not related to receipt of home help. Discussion: Improvement of screening activities for public home help needs of community-dwelling elders might allow better targeting of limited social resources to the most needy.

Place, publisher, year, edition, pages
2004. Vol. 16, no 5, 641-668 p.
Keyword [en]
depression, dementia, elderly, home- and community-based services, mental health problems
Identifiers
URN: urn:nbn:se:su:diva-22761DOI: 10.1177/0898264304268586OAI: oai:DiVA.org:su-22761DiVA: diva2:189394
Note
Part of urn:nbn:se:su:diva-109Available from: 2004-04-22 Created: 2004-04-22 Last updated: 2017-12-13Bibliographically approved
In thesis
1. According to need?: Predicting use of formal and informal care in a Swedish urban elderly population
Open this publication in new window or tab >>According to need?: Predicting use of formal and informal care in a Swedish urban elderly population
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This dissertation studies factors that predict use of public eldercare, informal care, and purchase of private services in relation to an individual’s needs, social network characteristics, and sociodemographic factors. A further purpose is to examine whether use of public eldercare is correlated to receipt of informal care and purchase of private services in the Swedish welfare state.

The dissertation is based on the Kungsholmen Study, a population-based longitudinal study. Studies I–III used cross-sectional data from community-dwelling people aged 81-100 and examined (I) gender, (II) marital and parental status, and (III) dementia and depressive symptoms as predictors of use of home help. Study IV analyzed factors related to moving into institutional care and receipt of home help from 1994/96 to 2000.

The majority of support provided to elders living in the community comes from informal sources, even among people living alone. There was considerable overlap between home help and informal care. When all sources of care were considered, childless individuals had comparatively lower odds of receiving care. Factors predicting use of public eldercare and informal care differed depending on whether or not elders coresided. No gender differences in use of formal and informal care were found when controlling for household composition. Living alone, dementia, need of help with household chores, and walking limitations increased the likelihood of using public eldercare. Coresidence, informal care from outside the household, and use of private services decreased the likelihood. Depressive symptoms increased the likelihood of receiving home help and institutionalization when using longitudinal data, but not in the cross-sectional studies. Educational level was of importance and interacted with several factors; persons with higher levels of education were advantaged. Very few people moved into institutional care without previously having received home help services. Essentially the same factors that predicted receipt of home help services also predicted institutionalization.

Place, publisher, year, edition, pages
Stockholm: Institutionen för socialt arbete - Socialhögskolan, 2004. 88 p.
Series
Stockholm studies in social work, ISSN 0281-2851 ; 20
Keyword
home-based care, community-based services, predicting use of eldercare, home-help services, informal care, institutionalization, dementia, depression
National Category
Social Work
Identifiers
urn:nbn:se:su:diva-109 (URN)91-7265-862-2 (ISBN)
Public defence
2004-05-14, Aula Svea, Socialhögskolan, Sveaplan, Stockholm, 13:00 (English)
Opponent
Supervisors
Available from: 2004-04-22 Created: 2004-04-22 Last updated: 2010-03-03Bibliographically approved

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