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Objectives: To map out the total use of long-term care (LTC; ie, home care or institutional care) during the last 2 years of life and to investigate to what extent gender differences in LTC use were explained by cohabitation status and age at death.
Design: The National Cause of Death Register was used to identify decedents. Use of LTC was based on the Social Services Register (SSR) and sociodemographic factors were provided by Statistics Sweden. Setting and Participants: All persons living in Sweden who died in November 2015 aged 67 years (n ¼ 5948).
Methods: Zero inflated negative binomial regression was used to estimate the relative impact of age, gender, and cohabitation status on the use of LTC.
Results: Women used LTC to a larger extent [odds ratio (OR) 2.17, 95% confidence interval (CI) 1.92-2.50] and for a longer period [risk ratio (RR) 1.14, 95% CI 1.11-1.18] than men. When controlling for age at death and cohabitation status, gender differences in LTC attenuated (OR 1.47, 95% CI 1.28-1.72) and vanished in regard to the duration. In the controlled model, women used LTC for 15.6 months (95% CI 15.2-16.0) and men for 14.1 months (95% CI 13.7-14.5) out of 24 months. The length of stay in institutional care was 7.2 (95% CI 6.8-7.5) and 6.2 months (95% CI 5.8-6.6), respectively.
Conclusions and Implications: A substantial part of women’s greater use of LTC was due to their higher age at death and because they more often lived alone. Given that survival continues to increase, the association between older age at death and LTC use suggests that policy makers will have to deal with an increased pressure on the LTC sector. Yet, increased survival among men could imply that more women will have access to spousal caregivers, although very old couples may have limited capacity for extensive caregiving at the end of life.
Publicerad: 26 oktober, 2020
Rapport 2024:3. Stiftelsen Äldrecentrum har följt upp Stockholms stads satsning på specialiserade hemtjänstgrupper, som genomfördes för att utveckla den personcentrerade vården och omsorgen för personer med demens. Kartläggningen rörde framför allt vilken kompetens som fanns i grupperna och hur de organiserade sitt arbete.
Rapport 2024:2. Stiftelsen Äldrecentrum har sammanställt registeruppgifter om äldre personer i Stockholms kommun med insatser från både hemtjänst och hemsjukvård för att beskriva vad som kännetecknar denna grupp. De visar sig över lag vara ett par år äldre, en högre andel kvinnor, ha sämre kognitiv förmåga och ett större behov av stöd i det dagliga livet, än de med enbart hemtjänst.
Everyday life in rural places can be hampered by many different infrastructural challenges for which technology is often considered a panacea. However, little is known about technological interactions among people living rurally with dementia, who more often live alone and make up a larger proportion of the rural population in England compared to urban.
