IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v282y2021ics027795362100215x.html
   My bibliography  Save this article

Trends in survival of older care home residents in England: A 10-year multi-cohort study

Author

Listed:
  • Espuny Pujol, Ferran
  • Hancock, Ruth
  • Morciano, Marcello

Abstract

Increases in longevity combined with a policy emphasis on caring for older people in their own homes could have widened or narrowed the survival gap between care home and community-dwelling resident older people. Knowledge of pre-COVID-19 trends in this gap is needed to assess the longer-term impacts of the pandemic. We provide evidence for England on recent trends in 1, 2 and 3-year mortality amongst care home residents aged 65+ compared with similar community-dwelling residents. We use the Clinical Practice Research Datalink, a nationally representative primary care database. For each of the ten years from 2006 to 2015, care home and community-dwelling residents aged 65+ were identified and matched in the ratio 1:3, according to age, gender, area deprivation and region. Cox survival analyses were used to estimate mortality risks for care home residents in comparison with similar community-dwelling people, adjusting for age, gender, area deprivation and region. The study sample consisted of ten overlapping cohorts averaging 5495 care home residents per cohort. Adjusted mortality risks increased over the study period for care home residents while decreasing slightly for matched community-dwelling residents. The relative risks (RRs) of mortality associated with care home residence were higher for younger ages and shorter follow-up periods, in all years. Over the decade, the RRs increased, most at younger ages and for shorter follow-up periods (e.g. for the age group 65–74 years, 1-year average RR increased by 61% from 5.4 to 8.8, while for those aged 85–94 years and over, 3-year RR increased by 22% from 1.3 to 1.6). Thus the survival gap between older care home and community-dwelling residents has been widening, especially at younger ages. In due course, it will be possible to establish to what extent the COVID-19 pandemic has resulted in further growth in this gap.

Suggested Citation

  • Espuny Pujol, Ferran & Hancock, Ruth & Morciano, Marcello, 2021. "Trends in survival of older care home residents in England: A 10-year multi-cohort study," Social Science & Medicine, Elsevier, vol. 282(C).
    • Handle: RePEc:eee:socmed:v:282:y:2021:i:c:s027795362100215x
    DOI: 10.1016/j.socscimed.2021.113883
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795362100215X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.113883?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Fiona E Matthews & Holly Bennett & Raphael Wittenberg & Carol Jagger & Tom Dening & Carol Brayne & Cognitive Function, Ageing Studies (CFAS) collaboration, 2016. "Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-15, September.
    2. Michel Poulain & Luc Dal & Anne Herm, 2020. "Trends in living arrangements and their impact on the mortality of older adults: Belgium 1991‒2012," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(15), pages 401-430.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Moisés H. Sandoval & Marcela E. Alvear Portaccio, 2022. "Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004–2016," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    2. Walsh, Sharon & O'Shea, Eamon & Pierse, Tom & Kennelly, Brendan & Keogh, Fiona & Doherty, Edel, 2020. "Public preferences for home care services for people with dementia: A discrete choice experiment on personhood," Social Science & Medicine, Elsevier, vol. 245(C).
    3. Ying Li & Yiyang Pan & Yuan Chen & Pingyu Cui, 2021. "Important Dependency-Associated Community Resources among Elderly Individuals with a Low Level of Social Support in China," IJERPH, MDPI, vol. 18(5), pages 1-11, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:282:y:2021:i:c:s027795362100215x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.