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Determinants of home care utilization among the Swedish old: nationwide register-based study
Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies.ORCID iD: 0000-0003-2699-806X
Umeå University, Faculty of Arts, Department of historical, philosophical and religious studies. Stockholm University Demography Unit (SUDA), Stockholm University.ORCID iD: 0000-0001-7559-2571
2022 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 19, p. 651-662Article in journal (Refereed) Published
Abstract [en]

Since the 1990s, Sweden has implemented aging-in-place policies increasing the share of older adults dependent on home care instead of residing in care homes. At the same time previous research has highlighted that individuals receive home care at a higher age than before. Consequently, services are provided for a shorter time before death, increasing reliance on family and kin as caregivers. Previous studies addressing how homecare is distributed rely primarily on small surveys and are often limited to specific regions. This study aims to ascertain how home care services are distributed regarding individual-level factors such as health status, living arrangements, availability of family, education, and socioeconomic position. To provide estimates that can be generalized to Sweden as a whole, we use register data for the entire Swedish population aged 65 + in 2016. The study's main findings are that home care recipients and the amount of care received are among the oldest old with severe co morbidities. Receiving home care is slightly more common among women, but only in the highest age groups. Childlessness and socioeconomic factors play a small role in who receives home care or not. Instead, the primary home care recipients are those older adults living alone who lack direct support from family members residing in the same household.

Place, publisher, year, edition, pages
Springer, 2022. Vol. 19, p. 651-662
Keywords [en]
Home care, Living arrangements, Health, Municipal care, Sweden
National Category
Nursing Geriatrics Gerontology, specialising in Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Population studies
Identifiers
URN: urn:nbn:se:umu:diva-190557DOI: 10.1007/s10433-021-00669-9ISI: 000731200700001Scopus ID: 2-s2.0-85121362495OAI: oai:DiVA.org:umu-190557DiVA, id: diva2:1621396
Projects
FORTE-program (DNR: 2016–07115): Ageing well—individuals, families and households under changing demographic regimes in SwedenMarcus and Amalia Wallenberg Grant (DNR: MAW 2019.0029) The power of one? -The long-term increase in one-person households in Sweden, 1900–2017.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07115Marcus and Amalia Wallenberg Foundation, MAW 2019.0029Available from: 2021-12-18 Created: 2021-12-18 Last updated: 2023-03-24Bibliographically approved

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Brändström, AndersSandström, Glenn

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NursingGeriatricsGerontology, specialising in Medical and Health SciencesPublic Health, Global Health, Social Medicine and Epidemiology

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CiteExportLink to record
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