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

Author

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  • Mijanur Rahman

    (Hunter Medical Research Institute, University of Newcastle
    Centre for Clinical Epidemiology and Biostatistics, University of Newcastle
    Comilla University)

  • Jimmy T. Efird

    (Hunter Medical Research Institute, University of Newcastle
    Centre for Clinical Epidemiology and Biostatistics, University of Newcastle)

  • Hal Kendig

    (Australian National University)

  • Julie E. Byles

    (Hunter Medical Research Institute, University of Newcastle
    Centre for Clinical Epidemiology and Biostatistics, University of Newcastle)

Abstract

The 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.

Suggested Citation

  • Mijanur Rahman & Jimmy T. Efird & Hal Kendig & Julie E. Byles, 2019. "Patterns of home and community care use among older participants in the Australian Longitudinal Study of Women’s Health," European Journal of Ageing, Springer, vol. 16(3), pages 293-303, September.
    • Handle: RePEc:spr:eujoag:v:16:y:2019:i:3:d:10.1007_s10433-018-0495-y
    DOI: 10.1007/s10433-018-0495-y
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    References listed on IDEAS

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    1. Commission, Productivity, 2011. "Caring for older Australians," Inquiry Reports, Productivity Commission, Government of Australia, number 53.
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    1. Wang, Ying-Chieh & Yu, Hsiao-Wei & Wu, Shih-Cyuan & Chan, Su-Yuan & Yang, Ming-Chin & Lee, Yue-Chune & Chen, Ya-Mei, 2021. "The impact of different patterns of home- and community-based services on nursing home admission: National data from Taiwan," Social Science & Medicine, Elsevier, vol. 270(C).

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