From: Formal home care use by older adults: trajectories and determinants in the Lc65+ cohort
Non-users | New users | p | N | |
---|---|---|---|---|
(N = 1785) | (N = 241) | |||
Predisposing factors | ||||
Demographic | ||||
Age in 2012, mean (SD) | 73.1 (2.9) | 73.7 (2.9) | 0.002 | 2026 |
Female sex, n (%) | 1069 (59.9) | 144 (59.8) | 0.968 | 2026 |
Social | ||||
Born abroad (vs born in Switzerland), n (%) | 448 (25.1) | 71 (29.6) | 0.138 | 2023 |
Highest level of educational attainment, n (%) | 0.227 | 2024 | ||
Compulsory education | 329 (18.4) | 52 (21.7) | ||
Apprenticeship | 711 (39.9) | 101 (42.1) | ||
High school, university or equivalent | 744 (41.7) | 87 (36.3) | ||
Beliefs, knowledge and attitudes | ||||
Knows very well or rather well what a home care organization is and what it can offer (vs rather no or not at all), n (%) | 1273 (79.7) | 153 (74.6) | 0.092 | 1802 |
Would not hesitate at all to seek help from a home care organization in case of need (vs a little, a lot or would not seek help), n (%) | 903 (57.4) | 111 (54.7) | 0.460 | 1776 |
Enabling factors | ||||
Social support | ||||
Without children, n (%) | 368 (20.7) | 54 (22.4) | 0.552 | 2015 |
Lubben Social Network Scale (LSNS-6) score of less than 12 (vs 12 or more), n (%) | 363 (22.0) | 69 (32.9) | < 0.001 | 1859 |
Lives alone, n (%) | 697 (39.3) | 113 (46.9) | 0.024 | 2016 |
Available income and wealth | ||||
Difficult financial situation, n (%) | 329 (21.1) | 83 (39.5) | < 0.001 | 1766 |
Organization and accessibility | ||||
Number of years with the current attending physician, n (%) | 0.936 | 1757 | ||
2 years or less | 189 (12.2) | 24 (11.4) | ||
3 to 10 years | 409 (26.4) | 55 (26.2) | ||
More than 10 years | 949 (61.3) | 131 (62.4) | ||
Knows very well or rather well how to find a home care organization in case of need (vs rather no or not at all), n (%) | 964 (60.7) | 125 (60.1) | 0.857 | 1795 |
Need factors | ||||
Perceived | ||||
Self-rated health reported as fair, poor or very poor (vs very good or good), n (%) | 449 (25.2) | 121 (50.2) | < 0.001 | 2026 |
Suffers since at least 6 months from, n (%) | 2002 | |||
- Pain in articulations of legs, shoulders, arms or hands, or back pain | 1025 (58.1) | 166 (69.8) | 0.001 | |
- Shortness of breath, difficult breathing | 207 (11.7) | 51 (21.4) | < 0.001 | |
- Memory lapses affecting everyday life, difficulty concentrating, or difficulty taking decisions in everyday life | 220 (12.5) | 53 (22.3) | < 0.001 | |
- Involuntary leakage of urine | 204 (11.6) | 42 (17.7) | 0.007 | |
Depressed mood, anhedonia or both during the past 4 weeks, n (%) | 364 (20.5) | 90 (38.0) | < 0.001 | 2010 |
Mobility difficulties, n (%) | 692 (39.2) | 154 (64.4) | < 0.001 | 2005 |
Falls not associated with sport activity during the past 12 months, n (%) | < 0.001 | 2014 | ||
No | 1464 (82.5) | 172 (71.7) | ||
Yes, once | 246 (13.9) | 48 (20.0) | ||
Yes, several times | 64 (3.6) | 20 (8.3) | ||
Fear of falling, n (%) | < 0.001 | 1986 | ||
Not at all | 975 (55.8) | 88 (37.1) | ||
Yes, without activity restriction | 643 (36.8) | 89 (37.6) | ||
Yes, with restriction from certain activities because of it | 131 (7.5) | 60 (25.3) | ||
Difficulty or need for help in one or more ADL/IADL, n (%) | < 0.001 | 1940 | ||
No difficulty or need for help in 2018a | 1179 (69.2) | 53 (22.5) | ||
Difficulty or need for help in 2018a, but not in 2012 | 302 (17.7) | 98 (41.5) | ||
Difficulty or need for help in 2012 and 2018a | 223 (13.1) | 85 (36.0) | ||
Evaluated | ||||
Number of diagnosed chronic health conditionsb reported during the past 12 months, n (%) | < 0.001 | 2008 | ||
0 | 568 (32.1) | 46 (19.2) | ||
1 | 569 (32.2) | 68 (28.3) | ||
More than 1 | 631 (35.7) | 126 (52.5) | ||
Treated for or suffering from the following diagnosed chronic health conditions during the past 12 months, n (%) | 2008 | |||
- Coronary artery disease, heart failure, heart valve/muscle disease, or cerebrovascular disease | 141 (8.0) | 40 (16.7) | < 0.001 | |
- Diabetes | 152 (8.6) | 39 (16.3) | < 0.001 | |
- Chronic obstructive pulmonary disease or asthma | 130 (7.4) | 35 (14.6) | < 0.001 | |
- Osteoarthritis or other types of arthritis | 440 (24.9) | 81 (33.8) | 0.003 | |
- Cancer, malignancy, lymphoma | 81 (4.6) | 9 (3.8) | 0.559 | |
Unintentional weight loss during the past 12 months, n (%) | 167 (9.4) | 37 (15.7) | 0.003 | 2012 |
Frailty phenotype, n (%) | < 0.001 | 1971 | ||
Robust | 977 (56.1) | 72 (31.3) | ||
Pre-frail | 687 (39.5) | 121 (52.6) | ||
Frail | 77 (4.4) | 37 (16.1) |