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Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study

Author

Listed:
  • Linda Enroth

    (University of Tampere)

  • Mari Aaltonen

    (University of Tampere)

  • Jani Raitanen

    (University of Tampere
    UKK Institute for Health Promotion Research)

  • Lily Nosraty

    (University of Tampere)

  • Marja Jylhä

    (University of Tampere)

Abstract

Long-term care (LTC) use increases with ageing due to an age-related increase in disability. Both the levels of disability and social resources vary among socioeconomic groups. The association of socioeconomic status with LTC use is largely unexplored for the oldest old. This study examined how occupational class is associated with LTC use among nonagenarians in the context of universal care coverage. A population-based prospective cohort study with 2862 participants who answered the Vitality 90 + Study surveys in 2001, 2003, 2007, or 2010 in Tampere, Finland, was combined with national register data on LTC use. LTC use in total and separately for publicly and privately provided LTC facilities was assessed in a cross-sectional setting and during the 34-month follow-up by using logistic regression and competing-risks regression methods. Functional status, multimorbidity, family relations, and help at home were controlled. In total or public LTC use, only a few differences between occupational classes were found at baseline. However, upper non-manuals used more private LTC than lower non-manuals (OR 0.54, 95% CI 0.35–0.85), skilled manuals (OR 0.40, 95% CI 0.26–0.62), or housewives (OR 0.40, 95% CI 0.22–0.74). There were no statistically significant differences in entering any kind of LTC after adjustments for all independent variables. During the study period, the share of privately provided care out of all LTC increased and the upper non-manuals no more used private care more than other groups. This study underlines the importance of following the structural changes in LTC provision to guarantee that the need for LTC is met equally for all socioeconomic groups.

Suggested Citation

  • Linda Enroth & Mari Aaltonen & Jani Raitanen & Lily Nosraty & Marja Jylhä, 2018. "Does use of long-term care differ between occupational classes among the oldest old? Vitality 90 + Study," European Journal of Ageing, Springer, vol. 15(2), pages 143-153, June.
    • Handle: RePEc:spr:eujoag:v:15:y:2018:i:2:d:10.1007_s10433-017-0445-0
    DOI: 10.1007/s10433-017-0445-0
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    References listed on IDEAS

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    1. Huisman, Martijn & Kunst, Anton E. & Mackenbach, Johan P., 2003. "Socioeconomic inequalities in morbidity among the elderly; a European overview," Social Science & Medicine, Elsevier, vol. 57(5), pages 861-873, September.
    2. Stolt, Ragnar & Blomqvist, Paula & Winblad, Ulrika, 2011. "Privatization of social services: Quality differences in Swedish elderly care," Social Science & Medicine, Elsevier, vol. 72(4), pages 560-567, February.
    3. Linda Enroth & Jani Raitanen & Antti Hervonen & Marja Jylhä, 2013. "Do Socioeconomic Health Differences Persist in Nonagenarians?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 68(5), pages 837-847.
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    1. Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jianghua Zhang & Bin Ai, 2019. "Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly," IJERPH, MDPI, vol. 16(12), pages 1-19, June.

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