The National Health Survey -- A Resource for Research in Long-Term Care

1964 ◽  
Vol 4 (2 Part 2) ◽  
pp. 30-33
Author(s):  
T. D. Woolsey
2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Maria Fernanda Lima-Costa ◽  
Sérgio Viana Peixoto ◽  
Deborah Carvalho Malta ◽  
Célia Landmann Szwarcwald ◽  
Juliana Vaz de Melo Mambrini

ABSTRACT OBJECTIVE To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians.


Author(s):  
Natasa Mihailovic ◽  
Gergő József Szőllősi ◽  
Nemanja Rancic ◽  
Sándor János ◽  
Klára Boruzs ◽  
...  

Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.


2021 ◽  
Vol 111 (12) ◽  
pp. 2141-2148
Author(s):  
Brian W. Ward ◽  
Manisha Sengupta ◽  
Carol J. DeFrances ◽  
Denys T. Lau

While underscoring the need for timely, nationally representative data in ambulatory, hospital, and long-term-care settings, the COVID-19 pandemic posed many challenges to traditional methods and mechanisms of data collection. To continue generating data from health care and long-term-care providers and establishments in the midst of the COVID-19 pandemic, the National Center for Health Statistics had to modify survey operations for several of its provider-based National Health Care Surveys, including quickly adding survey questions that captured the experiences of providing care during the pandemic. With the aim of providing information that may be useful to other health care data collection systems, this article presents some key challenges that affected data collection activities for these national provider surveys, as well as the measures taken to minimize the disruption in data collection and to optimize the likelihood of disseminating quality data in a timely manner. (Am J Public Health. 2021;111(12):2141–2148. https://doi.org/10.2105/AJPH.2021.306514 )


Author(s):  
Claudia Sanmartin ◽  
Rochelle Garner

ABSTRACT ObjectivesWhile existing data sources, such as the 2011 Census, provide an accurate count of who is currently institutionalized, there is a significant gap in terms of our understanding of who is at risk for institutionalization and what the future demand for care will be. The objective of this study is to use linked national health survey, the 2005 Canadian Community health Survey (CCHS), to the 2011 Census to identify factors associated with transitions from private households to alternative living arrangements, specifically long-term care (nursing homes), and retirement homes among Canadians 55 years of age and older. ApproachHierarchical deterministic methods were used to link the 2005 CCHS (n=114,000) to the 2011 Census (n=35 million) using identifying variables common to both data sets (i.e. name, birthdate, sex, postal code, social insurance number). Sex specific multivariate regression models with multiple outcomes were used to assess the impact of a comprehensive set of factors (i.e. demographic, socio-economic, health status, chronic conditions and marital status) available in the CCHS on the likelihood of residing in three possible home environments, relative to living in a private dwelling (PD): long-term care (LTC), retirement homes (RH) or private dwelling with support (PDS) as identified in the 2011 Census. Analyses were adjusted for mortality. ResultsOver 85% of CCHS records were linked to the 2011 Census (n=92,849). Among those 55 years of age and older (n=29,934), approximately 2.0% and 1.6% were living in LTC and RH respectively: an additional 7.2% were living in PDS. Results of the regression analyses, revealed that those with Alzheimer’s disease were at highest risk of transition to LTC (OR=11.7 females; 6.8 males). Losing a spouse was significantly associated with transitions to LTC, RH and PDS for both men and women. Being an immigrant was protective, with immigrant seniors less likely to transition to LTC and RH. Other factors significantly associated with transitions to LTC included low income, poor mental health (women only), and assistance with activities of daily living (meal preparation for women, finances for men). Regional variations were also noted. ConclusionNewly linked health survey and census data provide a unique opportunity to take a comprehensive look at those most at risk for institutionalization.


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