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The Impact of Educational Attainment and Income on Long-Term Care for Persons with Alzheimer's Disease and Other Dementias: A Swedish Nationwide Study
Division of Clinical Geriatrics, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID-id: 0000-0002-8617-0355
Department of Social Work, Stockholm University, Stockholm, Sweden.
Division of Family Medicine and Primary Care, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Visa övriga samt affilieringar
2023 (Engelska)Ingår i: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 96, nr 2, s. 789-800Artikel i tidskrift (Refereegranskat) Published
Hållbar utveckling
00. Hållbar utveckling, 1. Ingen fattigdom, 3. God hälsa och välbefinnande, 10. Minskad ojämlikhet
Abstract [en]

Background: Long-term care improves independence and quality of life of persons with dementia (PWD). The influence of socioeconomic status on access to long-term care was understudied.

Objective: To explore the socioeconomic disparity in long-term care for PWD.

Methods: This registry-based study included 14,786 PWD, registered in the Swedish registry for cognitive and dementia disorders (2014-2016). Education and income, two traditional socioeconomic indicators, were the main exposure. Outcomes were any kind of long-term care, specific types of long-term care (home care, institutional care), and the monthly average hours of home care. The association between outcomes and socioeconomic status was examined with zero-inflated negative binomial regression and binary logistic regression.

Results: PWD with compulsory education had lower likelihood of receiving any kind of long-term care (OR 0.80, 95% CI 0.68-0.93), or home care (OR 0.83, 95% CI 0.70-0.97), compared to individuals with university degrees. Their monthly average hours of home care were 0.70 times (95% CI 0.59-0.82) lower than those of persons with university degrees. There was no significant association between education and the receipt of institutional care. Stratifying on persons with Alzheimer's disease showed significant association between lower education and any kind of long-term care, and between income and the hours of home care.

Conclusions: Socioeconomic inequalities in long-term care existed in this study population. Lower-educated PWD were less likely to acquire general long-term care, home care and had lower hours of home care, compared to their higher-educated counterparts. Income was not significantly associated with the receipt of long-term care.

Ort, förlag, år, upplaga, sidor
IOS Press, 2023. Vol. 96, nr 2, s. 789-800
Nyckelord [en]
aged care, Alzheimer's disease, dementia, disparity, education, home care, income, inequality, institutional care, long-term care, Alzheimer Disease, Educational Status, Humans, Quality of Life, Sweden, human, long term care
Nationell ämneskategori
Geriatrik
Identifikatorer
URN: urn:nbn:se:hj:diva-62952DOI: 10.3233/JAD-230388ISI: 001099536400029PubMedID: 37840486Scopus ID: 2-s2.0-85176971293Lokalt ID: HOA;intsam;918083OAI: oai:DiVA.org:hj-62952DiVA, id: diva2:1815534
Forskningsfinansiär
Vetenskapsrådet, 2022-01425Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2017-01646Tillgänglig från: 2023-11-29 Skapad: 2023-11-29 Senast uppdaterad: 2024-01-09Bibliografiskt granskad

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Kåreholt, Ingemar

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