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Use of long-term care services in a universal welfare state - On the importance of age at migration

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  • Innes, Hanna Mac

Abstract

There is broad agreement in the international literature that there are significant barriers to the use of long-term care services (LTCS) by older migrants in various contexts. However, there is a lack of comprehensive study in this area, and particularly concerning the diversity of migrants from different sending countries and the heterogeneity of their migration trajectories concerning the age at migration. Barriers to the use of care might be intensified for persons migrating at an older age, resulting in lower use of care. However, it is still unknown whether late-in-life migrants are underrepresented as users of LTCS in comparison to Swedish born and migrants arriving at younger ages. We study the likelihood of using any (1) LTCS, (2) residential care, and (3) personal and domestic care among older foreign-born, compared to Swedish-born older persons. Secondly, we study the likelihood of care across different birth countries compared to older persons born in Sweden. Thirdly, we investigate the likelihood of LTCS among migrants arriving at different ages. The total population of all persons 65 years and over in Sweden, is studied using register data with almost two million observations.

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  • Innes, Hanna Mac, 2020. "Use of long-term care services in a universal welfare state - On the importance of age at migration," Social Science & Medicine, Elsevier, vol. 252(C).
    • Handle: RePEc:eee:socmed:v:252:y:2020:i:c:s0277953620301428
    DOI: 10.1016/j.socscimed.2020.112923
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    1. Kempen, G.I.J.M. & Suurmeijer, Th.P.B.M., 1991. "Professional home care for the elderly: An application of the Andersen-Newman model in The Netherlands," Social Science & Medicine, Elsevier, vol. 33(9), pages 1081-1089, January.
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    3. Sadhna Diwan, 2008. "Limited English Proficiency, Social Network Characteristics, and Depressive Symptoms Among Older Immigrants," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(3), pages 184-191.
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    6. Bjorn Anders Gustafsson & Hanna Mac Innes & Torun Österberg, 2017. "Age at immigration matters for labor market integration—the Swedish example," IZA Journal of Migration and Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 7(1), pages 1-23, December.
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    Cited by:

    1. Diederich, Freya & König, Hans-Helmut & Brettschneider, Christian, 2021. "A longitudinal perspective on inter vivos transfers between children and their parents in need of long-term care," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    2. Innes, Hanna Mac & Walsh, Kieran & Österberg, Torun, 2021. "The inverse care law and the significance of income for utilization of longterm care services in a Nordic welfare state," Social Science & Medicine, Elsevier, vol. 282(C).
    3. Freya Diederich & Hans-Helmut König & Christian Brettschneider, 2022. "Cultural traits and second-generation immigrants’ value of informal care," European Journal of Ageing, Springer, vol. 19(4), pages 1467-1477, December.

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