Patterns of home and community care use among older participants in the Australian Longitudinal Study of Women's Health

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dc.contributor.authorRahman, Mijanur
dc.contributor.authorEfird, Jimmy T.
dc.contributor.authorKendig, Hal
dc.contributor.authorByles, Julie
dc.date.accessioned2020-06-03T03:52:06Z
dc.date.issued2019
dc.date.updated2019-12-19T07:14:10Z
dc.description.abstractThe aims of this study were to investigate patterns of home and community care (HACC) use and to identify factors influencing first HACC use among older Australian women. Our analysis included 11,133 participants from the Australian Longitudinal Study of Women’s Health (1921–1926 birth cohort) linked with HACC use and mortality data from 2001 to 2011. Patterns of HACC use were analysed using a k-median cluster approach. A multivariable competing risk analysis was used to estimate the risk of first HACC use. Approximately 54% of clients used a minimum volume and number of HACC services; 25% belonged to three complex care use clusters (referring to higher volume and number of services), while the remainder were intermediate users. The initiation of HACC use was significantly associated with (1) living in remote/inner/regional areas, (2) being widowed or divorced, (3) having difficulty in managing income, (4) not receiving Veterans’ Affairs benefits, (5) having chronic conditions, (6) reporting lower scores on the SF-36 health-related quality of life, and (7) poor/fair self-rated health. Our findings highlight the importance of providing a range of services to meet the diverse care needs of older women, especially in the community setting.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn1613-9380en_AU
dc.identifier.urihttp://hdl.handle.net/1885/204779
dc.language.isoen_AUen_AU
dc.publisherSpringeren_AU
dc.rights© Springer Nature B.V. 2019en_AU
dc.sourceEuropean Journal of Ageingen_AU
dc.titlePatterns of home and community care use among older participants in the Australian Longitudinal Study of Women's Healthen_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.issue3en_AU
local.bibliographicCitation.lastpage303en_AU
local.bibliographicCitation.startpage293en_AU
local.contributor.affiliationRahman, Mijanur, University of Newcastleen_AU
local.contributor.affiliationEfird, Jimmy T., University of Newcastleen_AU
local.contributor.affiliationKendig, Hal, College of Health and Medicine, ANUen_AU
local.contributor.affiliationByles, Julie, University of Newcastleen_AU
local.contributor.authoremailu4983476@anu.edu.auen_AU
local.contributor.authoruidKendig, Hal, u4983476en_AU
local.description.embargo2037-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor111706 - Epidemiologyen_AU
local.identifier.absseo920507 - Women's Healthen_AU
local.identifier.ariespublicationu3102795xPUB4316en_AU
local.identifier.citationvolume16en_AU
local.identifier.doi10.1007/s10433-018-0495-yen_AU
local.identifier.scopusID2-s2.0-85060493670
local.identifier.uidSubmittedByu3102795en_AU
local.publisher.urlhttps://link.springer.comen_AU
local.type.statusPublished Versionen_AU

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