Socioeconomic Inequality in the Use of Long-Term Care among European Older Adults: An Empirical Approach Using the SHARE Survey

Lera, Javier; Pascual-Sáez, Marta; Cantarero, David

doi:10.3390/ijerph18010020

Cited by 25 publications

(24 citation statements)

References 39 publications

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“…In particular, the traditional asymmetry in care workload has consequences in many different aspects of life (including mental health, labour market participation, financial stress, time availability) that, in turn, are likely to impact on ageing experiences. This situation is likely to be exacerbated in the future by the increasing demand for care, including long-term care, resulting from longer lives and the increasing proportions of older people in the population [44]. However, gender is not yet sufficiently incorporated into active ageing strategies, so the adoption of a life course approach to gender and ageing, which involves the structural integration of age and gender at all levels of governance, is necessary to improve current and future opportunities for labor market participation, social inclusion and active citizenship [45].…”

Section: Discussionmentioning

confidence: 99%

Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy

Zannella

Principi

Lucantoni

et al. 2021

IJERPH

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While active ageing has emerged as a main strategy to address the challenges of population ageing in Europe, recent research has stressed the need to increase knowledge on within-country differences to promote active ageing through appropriate policy responses. This article draws on the Active Ageing Index (AAI) to capture recent trends in active ageing in Italy with a focus on sub-national diversity. To this end, we compute AAI breakdowns by region separately for men and women for four different years: 2007, 2009, 2012 and 2018. Then, we use linear regression to describe the geographical and sex-specific patterns of change in the AAI over the considered period. The results demonstrate the diversity of regional outcomes and trends in the active ageing of Italian men and women, indicating that the widening geographic gap deserves further consideration by national and regional authorities in designing and implementing active ageing policies. By showing the persistence of disparities in the value of the indicator to the disadvantage of women, results also suggest the need to further integrate both the gender dimension and the life-cycle perspective into active ageing strategies. This article provides an example of how the AAI can be used as a practical tool by policy makers to monitor active ageing trends and outcomes at the sub-national level, and to identify target areas that require further action.

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Section: Discussionmentioning

confidence: 99%

Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy

Zannella

Principi

Lucantoni

et al. 2021

IJERPH

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“…Several studies have tried to assess the degree of equity in the use of long-term care and health care among European older adults in a pre-pandemic context [20][21][22][23][24]. Rodrigues et al [20] observed pro-poor inequity in informal care for many European countries, but also showed inequity favouring the rich in the delivery of home care for Italy and Spain.…”

Section: Introductionmentioning

confidence: 99%

“…García-Gómez et al [22] also found pro-rich inequity in home care for disabled Spaniards, but pro-poor inequity in informal care and unmet needs for long-term care services. More recently, Lera et al [23] reported pro-rich inequity in both formal and informal long-term care for a wide sample of European countries. Furthermore, Tavares and Zantomio [24] estimated significant pro-rich inequity in the use of specialists' visits for southern European countries, and in primary care for Portugal.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?

González-Touya

Stoyanova

Urbanos-Garrido

2021

IJERPH

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Background: The disruption in healthcare provision due to the COVID-19 pandemic forced many non-urgent medical treatments and appointments to be postponed or denied, which is expected to have huge impact on non-acute health conditions, especially in vulnerable populations such as older people. Attention should be paid to equity issues related to unmet needs during the pandemic. Methods: We calculated concentration indices to identify income-related inequalities and horizontal inequity in unmet needs due to postponed and denied healthcare in people over 50 during COVID-19, using data from the Survey on Health, Ageing and Retirement in Europe (SHARE). Results: Very few countries show significant income-related inequalities in postponed, rescheduled or denied treatments and medical appointments, usually favouring the rich. Only Estonia, Italy and Romania show a significant horizontal inequity (HI) in postponed healthcare, which apparently favours the poor. Significant pro-rich inequity in denied healthcare is found in Italy, Poland and Greece. Conclusions: Although important income-related horizontal inequity in unmet needs of European older adults during the early waves of the COVID-19 pandemic is not evident for most countries, some of them have to carefully monitor barriers to healthcare access. Delays in diagnosis and treatments may ultimately translate into adverse health outcomes, reduced quality of life and, even, widen socio-economic health inequalities among older people.

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“…Gender has also been noted to influence a variance in quality of life of the elderly [63]. Socioeconomic inequalities have been noted to exist in the provision, distribution, and utilization of long-term care among the elderly across different regions [64,65]. The frameworks of elderly care, approachability, and affordability based on social class and income have been noted as barriers to access health care among the elderly [66].…”

Section: Global Elderly Care Systemsmentioning

confidence: 99%

The Sustainable Care Model for an Ageing Population in Vietnam: Evidence from a Systematic Review

2022

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Social demographic studies in Vietnam have shown a growing trend of an ageing population. Demographic trends project that one third of the Vietnamese population will be aged 65 years and older by 2050. Vietnam is a country where the majority of the elderly live with their children, with little savings and pension. The purpose of this review was to explore existing literature on models of care for an ageing population and provide evidence to develop a care model that is suitable for the ageing community in Vietnam. A systematic review utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework was carried out. An extensive literature search was performed, with a focus on articles and other materials with relevance to elderly care in Vietnam in terms of socio-economic, demographic, and associated factors based on comprehensive data sources. The review found that there is a lack of evidence of professional practice for caring for the aged in Vietnam. There also is a lack of evidence of government support for the limited community initiatives to support the ageing. There exist no community models of care for the ageing population in Vietnam. From a global perspective, there exist alternative models of care options to support the elderly through various care models, such as living in assisted-care facilities, home care, and other assistance. Inter-professional practice care models and health services were found to be essential for an ageing population. There is limited literature specifically for the care of an ageing population in Vietnam. Most of the available literature on care models for the aged is drawn from developed countries. The review offers insights into the development of care models for the elderly in Vietnam, with the need for inter-professional efforts in practice settings to support the ageing Vietnamese population. The reviewed literature agrees on the developing global challenges due to ageing. Despite the existing literature on care models for the ageing, there is a lack evidence-based care models concerning the current and future needs of elderly care in middle- and lower-income economies like Vietnam. More evidence is required to establish evidence for best care models for the elderly in developing economies.

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Socioeconomic Inequality in the Use of Long-Term Care among European Older Adults: An Empirical Approach Using the SHARE Survey

Cited by 25 publications

References 39 publications

Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy

Active Ageing: The Need to Address Sub-National Diversity. An Evidence-Based Approach for Italy

COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?

The Sustainable Care Model for an Ageing Population in Vietnam: Evidence from a Systematic Review

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