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Recent trends in complex health problems in the oldest old in Sweden 1992-2010/11
Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
2012 (English)In: The 21st Nordic Congress of Gerontology, Dilemmas in Ageing Societies, Abstracts and Program, Copenhagen, Denmark, June 10th - 13th, 2012, 2012, 206- p.Conference paper, (Refereed)
Abstract [en]

Studies addressing multiple morbid conditions in elderlypopulations usually focus on disease and physiological indicatorsrelevant for the medical care system. Few studies include bothmedical and functional indicators, which together can indicatethe need for integrated care from several different serviceproviders of medical and long-term care (home-help, institutionalcare) as well as informal caregivers. When assessingeldercare needs and the wellbeing of the oldest old, trends ofcomplex health problems seem more useful than single healthitems that may follow diverse trends over time.This study identified severe problems in three health domains(health items/symptoms, mobility, cognition/communication) inthree nationally representative samples of the Swedishpopulation aged 77+ (1992: n=537; 2002: n=561; 2010: n=841),including institutionalized people and proxy interviews for thosewho were too frail to be interviewed themselves.People with severe problems in two/three domains wereconsidered having complex health problems. Changes in theprevalence of people with complex health problems between1992, 2002 and 2010 were analysed with logistic regressions aswell as differences according to age, gender, and education.Results showed a significant increase of elderly people withcomplex health problems from 19% in 1992 to 26% in 2002.Between 2002 and 2010/11 there has been no significant change.Gender, age and education had significant independent effectson the odds of having complex health problems. Patterns weresimilar for men and women.A preliminary conclusion is that the deterioration in healthamong the oldest old between 1992 and 2002 has levelled out.Results will be discussed with a special emphasis on methodologicalissues. From a social policy perspective, rather stableprevalence rates of complex health problems among the oldestold since 2002 emphasize the need for extensive collaborationbetween medical and social services.

Place, publisher, year, edition, pages
2012. 206- p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hj:diva-19921OAI: oai:DiVA.org:hj-19921DiVA: diva2:572605
Conference
The 21st Nordic Congress of Gerontology, Copenhagen, Denmark
Available from: 2012-11-28 Created: 2012-11-28 Last updated: 2013-01-17

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf