The effects of socio-economic status and physical health on the long-term care needs of Japanese urban elderly: a chronological study

Yang, Suwen; Hoshi, Tanji; Nakayama, Naoko; Wang, Shuo; Kong, Fanlei

doi:10.1007/s12199-012-0287-5

Cited by 13 publications

(13 citation statements)

References 13 publications

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“…Physical health was found to be negatively related to NLTC in this study. This is similar to the research carried out among Japanese elderly [6] and Korean elderly [14], which also found a negative association between physical health and NLTC. Meanwhile, previous researches conducted in the United States of America [8,57] and the United Kingdom [9] also found that having comorbid physical health problems (number of chronic diseases, pain/discomfort) was associated with a higher probability of NLTC.…”

Section: Discussionsupporting

confidence: 91%

“…Specifically, lower SES is generally associated with worse physical health outcomes, such as higher rates of long-term mortality among stroke survivors [28], low WHOQOL scores [22], and a lower likelihood of improving functional ability among those with severe disabilities [59]. Our study was identical to one study among the Japanese elderly which also found a positive association between SES and physical health [6]. As for the gender difference, the result of our study is same as a previous study which found that the effect of SES on physical health was similar among the elderly men and women [25], but slightly higher among the elderly women.…”

Section: Discussionsupporting

confidence: 75%

“…Many previous studies have explored the relationship between physical health and the need for long-term care (NLTC), and have consistently shown physical health to be associated with NLTC [6]. Individuals suffering from stroke, dementia, lower limb fracture, or advanced tumors [7] are more likely to receive formal care.…”

Section: Introductionmentioning

confidence: 99%

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Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly

Kong

et al. 2019

IJERPH

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The aim of this study was to explore the relationship between socioeconomic status (SES), physical health and the need for long-term care (NLTC) of the Chinese elderly, and further, to provide evidence-based advice for establishing an LTC system in China. A cross-sectional survey was conducted in Shandong Province, China in 2017 by using multi-stage random sampling method. Data were collected from elderly individuals aged 60 years and older by self-designed questionnaires through face-to face interviews. A total of 7070 participants were finally included in the database (40.3% male, 59.7% female). Chi-square test analysis and structural equation modeling (SEM) were conducted to clarify the association between SES, physical health and NLTC among the Chinese elderly men and women in Shandong Province. The results of the SEM analysis showed that physical health exerted a strong and negative effect on the NLTC for both genders, with a slightly stronger effect found among the elderly men. SES was found to be significantly and negatively related to the NLTC among the elderly women, while no statistical significance was found for the association between SES and NLTC for elderly men. A significant and positive association between SES and physical health was observed among the elderly men and women, with a slightly stronger effect among the elderly women. Implications for lowering the NLTC and developing an LTC system were addressed based on the findings above.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 75%

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Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly

Kong

et al. 2019

IJERPH

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“…The ageing population presents a challenge to health and social care systems, and there will be an enormous increase in health and social service use and expenditure in the near future that requires improvements in how care is organized. Functional limitations, chronic conditions and dementia become more frequent with increasing age, and make people more dependent on other people and services [ 1 , 4 , 5 ]. The ability to cope with the basic activities of daily living (ADL) and the instrumental activities of daily living (IADL) declines with increasing age, and is a common problem in people over the age of 85 [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impacts of a Care Robotics Project on Finnish Home Care Workers’ Attitudes towards Robots

Rantanen

Leppälahti

Porokuokka

et al. 2020

IJERPH

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Technological advances in elderly care have been rapid, and the introduction of robots in care will be a topical issue in the near future. There has been little research into the possibility of influencing care workers’ attitudes towards robots by project activities, and how to make the change easier for work communities. This study focuses on a robotics project that took place in elderly and home care services in one municipality in Finland (total of 45 care workers). During the project, four robotics workshops and one extended pilot session were implemented. The study follows quasi-experimental settings, and it included two measurements (before and after project activities) and a control group, but no randomization. The data were collected by questionnaires and were analyzed statistically. The project under study brought about minor positive changes in home care workers’ attitudes towards the usefulness of care robots. In the final measurement, the difference between the test group and the control group was significant in the two dimensions of positive attitudes. The research supports the hypothesis that project activities can be used to influence home care workers’ attitudes towards robots. This can also facilitate the introduction of care robots in home care services. However, the construction of a technology-positive care culture is a long-term process, which requires training and development, technological development and strong strategic management at various levels.

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“…Several studies have shown that the use of institutional longterm care (LTC) increases with ageing (Tomiak et al 2000;Luppa et al 2010). Important LTC use predictors often associated with old age are decline in physical and cognitive functioning, (Gaugler et al 2007;Nihtilä and Martikainen 2008;Luppa et al 2010;Yang et al 2013) as well as living alone (Breeze et al 1999;Nihtilä and Martikainen 2008). Having close relatives or having informal care is also associated with the use of LTC; however, the direction of the associations varies (Grundy and Jitlal 2007;Pot et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study

et al. 2017

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Long-term care (LTC) use increases with ageing due to an age-related increase in disability. Both the levels of disability and social resources vary among socioeconomic groups. The association of socioeconomic status with LTC use is largely unexplored for the oldest old. This study examined how occupational class is associated with LTC use among nonagenarians in the context of universal care coverage. A population-based prospective cohort study with 2862 participants who answered the Vitality 90 + Study surveys in 2001, 2003, 2007, or 2010 in Tampere, Finland, was combined with national register data on LTC use. LTC use in total and separately for publicly and privately provided LTC facilities was assessed in a cross-sectional setting and during the 34-month follow-up by using logistic regression and competing-risks regression methods. Functional status, multimorbidity, family relations, and help at home were controlled. In total or public LTC use, only a few differences between occupational classes were found at baseline. However, upper non-manuals used more private LTC than lower non-manuals (OR 0.54, 95% CI 0.35-0.85), skilled manuals (OR 0.40, 95% CI 0.26-0.62), or housewives (OR 0.40, 95% CI 0.22-0.74). There were no statistically significant differences in entering any kind of LTC after adjustments for all independent variables. During the study period, the share of privately provided care out of all LTC increased and the upper non-manuals no more used private care more than other groups. This study underlines the importance of following the structural changes in LTC provision to guarantee that the need for LTC is met equally for all socioeconomic groups.

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The effects of socio-economic status and physical health on the long-term care needs of Japanese urban elderly: a chronological study

Cited by 13 publications

References 13 publications

Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly

Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly

Impacts of a Care Robotics Project on Finnish Home Care Workers’ Attitudes towards Robots

Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study

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