IDEAS home Printed from https://ideas.repec.org/a/spr/eujoag/v15y2018i2d10.1007_s10433-017-0445-0.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10433-017-0445-0
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10433-017-0445-0?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. 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. 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.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    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. Virginia Zarulli, 2016. "Unobserved Heterogeneity of Frailty in the Analysis of Socioeconomic Differences in Health and Mortality," European Journal of Population, Springer;European Association for Population Studies, vol. 32(1), pages 55-72, February.
    2. Linda Enroth & Marijke Veenstra & Marja Aartsen & Agnete Aslaug Kjær & Charlotte Juul Nilsson & Stefan Fors, 2019. "Are there educational disparities in health and functioning among the oldest old? Evidence from the Nordic countries," European Journal of Ageing, Springer, vol. 16(4), pages 415-424, December.
    3. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    4. Thomas Akintayo & Niina Häkälä & Katja Ropponen & Elsa Paronen & Sari Rissanen, 2016. "Predictive Factors for Voluntary and/or Paid Work among Adults in their Sixties," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 128(3), pages 1387-1404, September.
    5. Reibling, Nadine & Ariaans, Mareike & Wendt, Claus, 2019. "Worlds of Healthcare: A Healthcare System Typology of OECD Countries," Health Policy, Elsevier, vol. 123(7), pages 611-620.
    6. Luo, Ye & Zhang, Zhenmei & Gu, Danan, 2015. "Education and mortality among older adults in China," Social Science & Medicine, Elsevier, vol. 127(C), pages 134-142.
    7. Adena, Maja & Myck, Michal, 2013. "Poverty and Transitions in Health," IZA Discussion Papers 7532, Institute of Labor Economics (IZA).
    8. Claudia Börnhorst & Dörte Heger & Anne Mensen, 2019. "Associations of childhood health and financial situation with quality of life after retirement – regional variation across Europe," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-17, April.
    9. Sören Edvinsson & Göran Broström, 2012. "Old age, health and social inequality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 26(23), pages 633-660.
    10. Yunyun Jiang & Haitao Zheng & Tianhao Zhao, 2019. "Socioeconomic Status and Morbidity Rate Inequality in China: Based on NHSS and CHARLS Data," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    11. Smith, Kimberly V. & Goldman, Noreen, 2007. "Socioeconomic differences in health among older adults in Mexico," Social Science & Medicine, Elsevier, vol. 65(7), pages 1372-1385, October.
    12. Dalstra, J.A.A. & Kunst, A.E. & Mackenbach, J.P., 2006. "A comparative appraisal of the relationship of education, income and housing tenure with less than good health among the elderly in Europe," Social Science & Medicine, Elsevier, vol. 62(8), pages 2046-2060, April.
    13. Elena Pirani & Silvana Salvini, 2012. "Place of living and health inequality: a study for elderly Italians," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 21(2), pages 211-226, June.
    14. Eliana Jimenez & Ignacio Correa-Valez & Richard P.C. Brown, 2008. "Wealthy and Healthy in the South Pacific," Discussion Papers Series 378, School of Economics, University of Queensland, Australia.
    15. von dem Knesebeck, Olaf & Verde, Pablo E. & Dragano, Nico, 2006. "Education and health in 22 European countries," Social Science & Medicine, Elsevier, vol. 63(5), pages 1344-1351, September.
    16. Hjelmar, Ulf & Bhatti, Yosef & Petersen, Ole Helby & Rostgaard, Tine & Vrangbæk, Karsten, 2018. "Public/private ownership and quality of care: Evidence from Danish nursing homes," Social Science & Medicine, Elsevier, vol. 216(C), pages 41-49.
    17. Patricia Gómez-Costilla & Carmen García-Prieto & Noelia Somarriba-Arechavala, 2022. "Aging and Gender Health Gap: A Multilevel Analysis for 17 European Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 1051-1069, April.
    18. Barclay, Kieron & Keenan, Katherine & Grundy, Emily & Kolk, Martin & Myrskylä, Mikko, 2016. "Reproductive history and post-reproductive mortality: A sibling comparison analysis using Swedish register data," Social Science & Medicine, Elsevier, vol. 155(C), pages 82-92.
    19. Arrighi, Y. & Rapp, T. & Sirven, N., 2017. "The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data," Health Policy, Elsevier, vol. 121(7), pages 778-785.
    20. repec:mea:meawpa:13273 is not listed on IDEAS
    21. Roy, Kakoli & Chaudhuri, Anoshua, 2008. "Influence of socioeconomic status, wealth and financial empowerment on gender differences in health and healthcare utilization in later life: evidence from India," Social Science & Medicine, Elsevier, vol. 66(9), pages 1951-1962, May.

    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:spr:eujoag:v:15:y:2018:i:2:d:10.1007_s10433-017-0445-0. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.