دورية أكاديمية
أعرض في EDS

Trends in Life Expectancy in Residential Long-Term Care by Sociodemographic Position in 1999-2018: A Multistate Life Table Study of Finnish Older Adults.

التفاصيل البيبلوغرافية
العنوان: Trends in Life Expectancy in Residential Long-Term Care by Sociodemographic Position in 1999-2018: A Multistate Life Table Study of Finnish Older Adults.
المؤلفون: Korhonen K; Helsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.; Max Planck-University of Helsinki Center for Social Inequalities in Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland., Moustgaard H; Helsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.; Helsinki Institute for Social Sciences and Humanities (HSSH), University of Helsinki, Helsinki, Finland., Murphy M; Department of Social Policy, London School of Economics and Political Science, London, UK., Martikainen P; Helsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.; Max Planck-University of Helsinki Center for Social Inequalities in Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
المصدر: The journals of gerontology. Series B, Psychological sciences and social sciences [J Gerontol B Psychol Sci Soc Sci] 2024 Jul 01; Vol. 79 (7).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: published on behalf of the Gerontological Society of America by Oxford University Press Country of Publication: United States NLM ID: 9508483 Publication Model: Print Cited Medium: Internet ISSN: 1758-5368 (Electronic) Linking ISSN: 10795014 NLM ISO Abbreviation: J Gerontol B Psychol Sci Soc Sci Subsets: MEDLINE
أسماء مطبوعة: Publication: Washington, DC : published on behalf of the Gerontological Society of America by Oxford University Press
Original Publication: Washington, DC : Gerontological Society of America, c1995-
مواضيع طبية MeSH: Life Expectancy*/trends , Long-Term Care*/trends , Long-Term Care*/statistics & numerical data, Humans ; Finland ; Male ; Female ; Aged ; Aged, 80 and over ; Life Tables ; Sociodemographic Factors ; Socioeconomic Factors
مستخلص: Objectives: Residential long-term care (LTC) use has declined in many countries over the past years. This study quantifies how changing rates of entry, exit, and mortality have contributed to trends in life expectancy in LTC (i.e., average time spent in LTC after age 65) across sociodemographic groups.
Methods: We analyzed population-register data of all Finns aged ≥65 during 1999-2018 (n = 2,016,987) with dates of LTC and death and sociodemographic characteristics. We estimated transition rates between home, LTC, and death using Poisson generalized additive models, and calculated multistate life tables across 1999-2003, 2004-2008, 2009-2013, and 2014-2018.
Results: Between 1999-2003 and 2004-2008, life expectancy in LTC increased from 0.75 (95% CI: 0.74-0.76) to 0.89 (95% CI: 0.88-0.90) years among men and from 1.61 (95% CI: 1.59-1.62) to 1.83 (95% CI: 1.81-1.85) years among women, mainly due to declining exit rates from LTC. Thereafter, life expectancy in LTC decreased, reaching 0.80 (95% CI: 0.79-0.81) and 1.51 (95% CI: 1.50-1.53) years among men and women, respectively, in 2014-2018. Especially among women and nonmarried men, the decline was largely due to increasing death rates in LTC. Admission rates declined throughout the study period, which offset the increase in life expectancy in LTC attributable to declining mortality in the community. Marital status differences in life expectancy in LTC narrowed over time.
Discussion: Recent declines in LTC use were driven by postponed LTC admission closer to death. The results suggest that across sociodemographic strata older adults enter LTC in even worse health and spend a shorter time in care than before.
(© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.)
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معلومات مُعتمدة: Eino Jutikkala Fund; 101019329 International ERC_ European Research Council; 352543-352572 Strategic Research Council; 210046 Jane and Aatos Erkko Foundation; 5714240218 Max Planck Society; 77204227 University of Helsinki; Cities of Helsinki, Vantaa, and Espoo
فهرسة مساهمة: Keywords: Education; Marital status; Mortality; Nursing home
تواريخ الأحداث: Date Created: 20240417 Date Completed: 20240607 Latest Revision: 20240609
رمز التحديث: 20240609
مُعرف محوري في PubMed: PMC11157624
DOI: 10.1093/geronb/gbae067
PMID: 38629853
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-5368
DOI:10.1093/geronb/gbae067