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

Mijanur Rahman (), Jimmy T. Efird, Hal Kendig and Julie E. Byles
Additional contact information
Mijanur Rahman: Hunter Medical Research Institute, University of Newcastle
Jimmy T. Efird: Hunter Medical Research Institute, University of Newcastle
Hal Kendig: Australian National University
Julie E. Byles: Hunter Medical Research Institute, University of Newcastle

European Journal of Ageing, 2019, vol. 16, issue 3, No 4, 293-303

Abstract: 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.

Keywords: Home and community care; Demographic factors; Health-related needs; Older women; Data linkage; Australia (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://link.springer.com/10.1007/s10433-018-0495-y Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:eujoag:v:16:y:2019:i:3:d:10.1007_s10433-018-0495-y

Ordering information: This journal article can be ordered from
https://www.springer ... iences/journal/10433

DOI: 10.1007/s10433-018-0495-y

Access Statistics for this article

European Journal of Ageing is currently edited by Marja Aartsen, Susanne Iwarsson and Prof. Dr. Matthias Kliegel

More articles in European Journal of Ageing from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().