Please use this identifier to cite or link to this item: http://dx.doi.org/10.25595/2302
Author(s)
Schneider, Alice
Blüher, Stefan
Grittner, Ulrike
Anton, Verena
Schaeffner, Elke
Jakob, Olga
Ebert, Natalie
Martus, Peter
Kuhlmey, Adelheid
Wenning, Volker
Schnitzer, Susanne
Journal Title
Research in Nursing and Health
Year of publication
2020
Volume
43
Page reference
230-240
Language
englisch
Abstract
Despite a growing body of knowledge about the morbidities and functional impairment that frequently lead to care dependency, the role of social determinants is not yet well understood. The purpose of this study was to examine the effect of social determinants on care dependency onset and progression. We used data from the Berlin Initiative Study, a prospective, population‐based cohort study including 2,069 older participants living in Berlin. Care dependency was defined as requiring substantial assistance in at least two activities of daily living for 90 min daily (level 1) or 3+ hours daily (level 2). Multi‐state time to event regression modeling was used to estimate the effects of social determinants (partnership status, education, income, and sex), morbidities, and health behaviors, characteristics, and conditions. During the study period, 556 participants (27.5%) changed their status of care dependency. Participants without a partner at baseline were at a higher risk to become care‐dependent than participants with a partner (hazard ratio [HR], 95% confidence interval [CI]: 1.24 (1.02–1.51)). After adjustment for other social determinants, morbidities and health behaviors, characteristics, and conditions the risk decreased to a HR of 1.19 (95% CI: 0.79–1.79). Results indicate that older people without a partner may tend to be at higher risk of care dependency onset but not at higher risk of care dependency progression. Clinicians should inquire about and consider patients’ partnership status as they evaluate care needs.
Subject
Care
Gesundheit
Familie
Abhängigkeit
Gesundheit
Familie
Abhängigkeit
Publication type
Zeitschriftenartikel
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