Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.
<h4>Aims</h4>The aims of this study were to compare the patterns of long-term care (LTC) use (no care, homecare, residential care) among people with and without dementia aged 70+ in Sweden during their last five years of life and its association with sociodemographic factors (age, gender...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0286930&type=printable |
| _version_ | 1797647754252517376 |
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| author | Atiqur Sm-Rahman Bettina Meinow Lars-Christer Hydén Susanne Kelfve |
| author_facet | Atiqur Sm-Rahman Bettina Meinow Lars-Christer Hydén Susanne Kelfve |
| author_sort | Atiqur Sm-Rahman |
| collection | DOAJ |
| description | <h4>Aims</h4>The aims of this study were to compare the patterns of long-term care (LTC) use (no care, homecare, residential care) among people with and without dementia aged 70+ in Sweden during their last five years of life and its association with sociodemographic factors (age, gender, education, cohabitation status) and time with a dementia diagnosis.<h4>Methods</h4>This retrospective cohort study included all people who died in November 2019 aged 70 years and older (n = 6294) derived from several national registers. A multinomial logistic regression was conducted to identify which sociodemographic factors predicted the patterns of LTC use.<h4>Results</h4>Results showed that the time with a dementia diagnosis and cohabitation status were important predictors that influence the patterns of LTC use during the last five years of life. Nearly three-quarters of people living with dementia (PlwD) used residential care during the last five years of life. PlwD were more likely to reside in residential care close to death. Women who lived alone, with or without dementia, used residential care to a higher degree compared to married or cohabiting women.<h4>Conclusions</h4>Among people without a dementia diagnosis, as well as those who were newly diagnosed, it was common to have no LTC at all, or use LTC only for a brief period close to death. During the last five years of life, PlwD and those living alone more often entered LTC early and used residential care for a longer time compared to people without dementia and people living alone, respectively. |
| first_indexed | 2024-03-11T15:21:05Z |
| format | Article |
| id | doaj.art-688a5d61884c4918a2c80b0750d8765a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T15:21:05Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-688a5d61884c4918a2c80b0750d8765a2023-10-28T05:31:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e028693010.1371/journal.pone.0286930Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.Atiqur Sm-RahmanBettina MeinowLars-Christer HydénSusanne Kelfve<h4>Aims</h4>The aims of this study were to compare the patterns of long-term care (LTC) use (no care, homecare, residential care) among people with and without dementia aged 70+ in Sweden during their last five years of life and its association with sociodemographic factors (age, gender, education, cohabitation status) and time with a dementia diagnosis.<h4>Methods</h4>This retrospective cohort study included all people who died in November 2019 aged 70 years and older (n = 6294) derived from several national registers. A multinomial logistic regression was conducted to identify which sociodemographic factors predicted the patterns of LTC use.<h4>Results</h4>Results showed that the time with a dementia diagnosis and cohabitation status were important predictors that influence the patterns of LTC use during the last five years of life. Nearly three-quarters of people living with dementia (PlwD) used residential care during the last five years of life. PlwD were more likely to reside in residential care close to death. Women who lived alone, with or without dementia, used residential care to a higher degree compared to married or cohabiting women.<h4>Conclusions</h4>Among people without a dementia diagnosis, as well as those who were newly diagnosed, it was common to have no LTC at all, or use LTC only for a brief period close to death. During the last five years of life, PlwD and those living alone more often entered LTC early and used residential care for a longer time compared to people without dementia and people living alone, respectively.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0286930&type=printable |
| spellingShingle | Atiqur Sm-Rahman Bettina Meinow Lars-Christer Hydén Susanne Kelfve Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. PLoS ONE |
| title | Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. |
| title_full | Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. |
| title_fullStr | Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. |
| title_full_unstemmed | Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. |
| title_short | Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia. |
| title_sort | patterns of long term care utilization during the last five years of life among swedish older adults with and without dementia |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0286930&type=printable |
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