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2.
Rev Lat Am Enfermagem ; 28: e3268, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32491125

RESUMO

OBJECTIVE: determine the psychometric properties of the safety practices and behaviors dimension of the Scale of Practices and Behaviors of Institutionalized Elderly People to Prevent Falls in a sample of elderly people with cognitive decline. METHOD: methodological study, with a quantitative approach, to assess the psychometric properties of the mentioned scale in a sample with 102 elderly people with cognitive decline who lived in two long-term care institutions for the public in this age group. Internal consistency evaluation was carried out by calculating the Cronbach's alpha coefficient; interobserver reliability was expressed by Cohen's kappa coefficient; and temporal stability, by obtaining Spearman correlation. Compliance with all ethical procedures was observed. RESULTS: the dimension of safety practices and behaviors showed α = 0.895 for its 11 items. Seven out of the 11 items reached good to excellent agreement among the experts for interobserver reliability. Kappa index values indicated that the instrument is valid and reliable. Safety practices and behaviors were influenced by institutionalization time, being at least 85 years old, and gait skills. CONCLUSION: the results pointed out that the instrument has good reproducibility and is valid and reliable, which allows its use in clinical practice in elderly people with cognitive decline as well as in research.


Assuntos
Acidentes por Quedas/prevenção & controle , Avaliação Geriátrica , Escalas de Graduação Psiquiátrica/normas , Idoso , Idoso de 80 Anos ou mais , Comportamento , Feminino , Psiquiatria Geriátrica , Humanos , Institucionalização , Masculino , Variações Dependentes do Observador , Psicometria/métodos , Reprodutibilidade dos Testes
3.
PLoS One ; 15(5): e0232834, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32413064

RESUMO

BACKGROUND: Sleep problems have become the most common complaints among the elderly. There are a few studies that explored the prevalence of poor sleep quality and its associated factors among the elderly in nursing homes. Therefore, this study aimed to examine the prevalence of poor sleep quality and its associated factors among the Chinese elderly in nursing homes. METHODS: A total of 817 elderly residents, from 24 nursing homes, were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate the strength of the association between risk factors and poor sleep quality in terms of adjusted odds ratios (AORs) and their 95% confidence intervals (CIs), and interactions of risk factors for poor sleep quality were also examined. RESULTS: The prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among the Chinese elderly in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders: being 70-79 years old (AOR: 1.78, 95% CI: 1.08, 2.92) or 80 years old and above (AOR: 2.67, 95% CI: 1.68, 4.24); having one to two kinds of chronic diseases (AOR: 2.05, 95% CI: 1.39, 3.01) or three or more kinds of chronic diseases (AOR: 2.35, 95% CI: 1.39, 4.00); depression symptoms (AOR: 1.08, 95% CI: 1.04, 1.11), anxiety symptoms (AOR: 1.11, 95% CI: 1.05, 1.18), and social support(AOR: 0.97, 95% CI: 0.95, 0.99). Additive interactions were detected between age and anxiety symptoms (AOR: 8.34, 95% CI: 4.43, 15.69); between chronic disease and anxiety symptoms (AOR: 8.61, 95% CI; 4.28, 17.31); and between social support and anxiety symptoms (AOR: 6.43, 95% CI: 3.22, 12.86). CONCLUSIONS: The prevalence of poor sleep quality among the elderly in nursing homes is relatively high. Besides, anxiety symptoms has additive interactions with age, chronic disease and social support for poor sleep quality. These findings have significant implications for interventions that aim to improve sleep quality among elderly residents in nursing homes.


Assuntos
Envelhecimento/fisiologia , Dissonias/epidemiologia , Institucionalização , Casas de Saúde , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , China/epidemiologia , Doença Crônica/epidemiologia , Comorbidade , Intervalos de Confiança , Estudos Transversais , Depressão/epidemiologia , Dissonias/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Apoio Social , Fatores Socioeconômicos
4.
Geriatr Gerontol Int ; 20(3): 195-200, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31923924

RESUMO

Exergames have already been used as therapeutic tools to enhance both physical and cognitive functions in older adults. AIM: To evaluate the effects of a Kinect-based physical activity program on the quality of life, depression, functional fitness and body composition in institutionalized older adults. METHODS: A total of 50 older adults aged >60 years were selected and randomized to a control and video game group. Body composition was determined by means of anthropometric measurements. Quality of life was assessed using the WHOQOL-BREF questionnaire, and depression was classified using the Beck Depression inventory. Functional fitness was assessed using the Arm Curl, Chair Stand, 8-foot up-and-go, sit and reach, and the aerobic endurance test. RESULTS: After 12 weeks of protocol, we observed a significant improvement in all functional fitness parameters. CONCLUSIONS: Our findings suggest that a Kinect-based physical activity program seems to positively impact the three domains related to quality of life and directly associated with age (physical, social and psychological domains), and to promote a more active lifestyle in institutions housing older individuals. Geriatr Gerontol Int 2020; ••: ••-••.


Assuntos
Depressão/terapia , Terapia por Exercício/métodos , Desempenho Físico Funcional , Jogos de Vídeo , Idoso , Composição Corporal , Índice de Massa Corporal , Feminino , Humanos , Institucionalização , Estilo de Vida , Aptidão Física , Escalas de Graduação Psiquiátrica , Qualidade de Vida , Distribuição Aleatória , Inquéritos e Questionários
5.
Rev Bras Enferm ; 72(suppl 3): 348-359, 2019 Dec.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31851273

RESUMO

OBJECTIVE: to develop the concept ambience for labor and normal institutionalized delivery, identifying in the literature its antecedent, defining attributes and the consequent. METHOD: the method used was the analysis of literature, corresponding to the first stage of the qualitative method of concept analysis. The theoretical operation was performed in the databases CINAHL COCHRANE, LILACS, PsycINFO, and PubMed. RESULTS: aspects of the parturient woman and the qualification of the physical and social space are presented as the antecedent. The defining attributes outline the assistance interaction process with Non-Invasive Technologies. As the consequent, we highlight the outcome for normal delivery, pain relief and comfort, woman satisfaction and well-being. FINAL CONSIDERATIONS: the analysis of the antecedent, defining attributes and the consequent allowed the elaboration of an unprecedent theoretical proposition of this concept.


Assuntos
Formação de Conceito , Trabalho de Parto/psicologia , Adulto , Meio Ambiente , Feminino , Humanos , Institucionalização/normas , Institucionalização/estatística & dados numéricos , Gravidez , Pesquisa Qualitativa
6.
Geriatr Psychol Neuropsychiatr Vieil ; 17(4): 377-385, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31848124

RESUMO

OBJECTIVE: Recommendations for the management of major fractures in institutionalized patients over 75 years old were updated by the GRIO (French group for research and information on osteoporosis) in 2012 and in 2018. This study is an evaluation of practices in osteoporosis management in institutionalized old patients. METHODS: Evaluation of diagnostic and therapeutic management in medical observations of all residents over 75 years old with a history of major fracture in 4 nursing homes. RESULTS: 105 residents were included with the prevalence of osteoporosis fracture of 32.1%. The most common fractures were hip fractures (60.9%) and vertebral fracture (45.8%). Treatments were: calcium supplementation (14.3% of residents), vitamin D (52.4%), rehabilitation (70.5%) and specific treatment (biphosphonates 11.4%). Complete management (calcium supplementation, vitamin D, physical activity and osteoporosis treatment) was found in 5 residents (4.7%). Few factors were related to complete treatment initiation. Residents initially managed in medicine departments were more treated than those in surgical wards (25.0 vs 6.5%; p = 0.0144) rather than those managed by specialists (rheumatologist or geriatrician: 8 vs 4; p < 0.001). Creatinine clearance was significantly higher in residents with calcium supplementation (52.7 ± 27.9 vs 39.1 ± 9.6; p = 0.0505). Regimen number tend to be higher in residents receiving vitamin D (8.9 ± 2.7 vs 6.7 ± 3.4; p = 0.0753). CONCLUSION: This evaluation of professional practices showed that only a minority of residents received complete anti-osteoporotic treatment despite their risk factor for fracture recurrence. Such an evaluation should be systematic at the entry in nursing home, given the number of falling residents.


Assuntos
Osteoporose/diagnóstico , Osteoporose/terapia , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Fraturas do Quadril/complicações , Instituição de Longa Permanência para Idosos , Humanos , Institucionalização , Masculino , Casas de Saúde , Osteoporose/complicações , Estudos Retrospectivos , Fraturas da Coluna Vertebral/complicações
7.
Infant Behav Dev ; 57: 101387, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31711029

RESUMO

This study extends research on the effects of institutionalization-by examining the trajectories of cognitive, language and motor development of 64 Portuguese infants and toddlers across the first six months of institutionalization, while determining whether pre-institutional adversities and the stability and consistency of institutional care predict children's development. At time of enrollment, 23.4%, 32.8% and 31.3% of the children were moderately to severely delayed, respectively, in their cognitive, linguistic and motor functioning. Developmental problems persisted after six months of institutionalization. The accumulation of early pre-institutional adversities predicted cognitive and motor limitations at admission to the institutions, but not variation in subsequent development. The stability and consistency of institutional care also failed to predict developmental growth and change. Children who had never lived with their families of origin showed a better language development at enrollment than their counterparts who had lived with their families of origin before institutionalization. Such advantage was followed by a deceleration in language growth after six months of institutional placement. Results are discussed in terms of short- vs. longer-term effects of institutionalization.


Assuntos
Experiências Adversas da Infância/tendências , Desenvolvimento Infantil/fisiologia , Cognição/fisiologia , Institucionalização/tendências , Desenvolvimento da Linguagem , Destreza Motora/fisiologia , Experiências Adversas da Infância/normas , Pré-Escolar , Feminino , Humanos , Lactente , Institucionalização/normas , Masculino , Portugal/epidemiologia
8.
Torture ; 29(2): 103-107, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31670709

RESUMO

In her discussion of the court's dismissal of the IP, she says there "is a legal system that discredits the IP's potential while digging deeper into its own conception of torture.'' Shir has helped show that this is true more broadly of torture, beyond the IP. Indeed, I suspect the court may not view the IP as a "strange creature" causing "suspicion of the unfamiliar." Instead, it may be by now a very familiar creature that threatens torture's impunity in Israel, and what Shir shows is that the court has developed a systematic strategy to counter it. Torture is possible in Israel because the government and courts are complicit in deliberately creating a legal and institutional black hole where boundaries are ill-defined and obscure, and no light can shine.


Assuntos
Tomada de Decisões , Violações dos Direitos Humanos/legislação & jurisprudência , Institucionalização/organização & administração , Tortura/legislação & jurisprudência , Humanos , Israel
10.
Acta Bioeng Biomech ; 21(2): 45-53, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31741484

RESUMO

PURPOSE: The aim of the research was to assess the postural stability indicators of older women and men receiving i nstitutional care. METHODS: The study involved 123 people aged 65-85, living in residential care homes in Rzeszów district. The main research tool was the CQ-Stab 2P 2-platform posturograph. RESULTS: There were statistically significant differences between women and men in the total statokinesiogram path length, the statokinesiogram path length in the anteroposterior direction, the mean COP displacement in the anteroposterior direction as well as the mean velocity of the COP point in the anteroposterior direction under eye control (p = 0.04). In the case of absence of visual control, men were characterized by significantly worse parameters in the area of mean COP displacement in the anteroposterior and lateral directions as well as the maximal COP displacement in the anteroposterior and lateral directions. It indicated that without visual control, body balance parameters in men significantly worsened along with increasing age. A statistically significant difference was found between both genders in terms of the statokinesiogram path length, the mean COP displacement and the mean COP velocity (p < 0.05). CONCLUSIONS: Gender differences in postural stability of older people under institutional care were noticed. Men were characterized by a lower level of postural stability compared to women. Elimination of visual control significantly worsened the balance of the body. The results obtained indicate the necessity of introducing therapeutic programs in nursing homes, taking proprioceptive exercises and exercises without visual input into account.


Assuntos
Institucionalização , Equilíbrio Postural/fisiologia , Caracteres Sexuais , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Fatores Sexuais
11.
BMC Health Serv Res ; 19(1): 752, 2019 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-31653231

RESUMO

BACKGROUND: People living with and beyond cancer (PLC) receive various forms of specialty care at different locations and many interventions concurrently or over time. They are affected by the operation of professional and organizational silos. This results in undue delays in access, unmet needs, sub-optimal care experiences and clinical outcomes, and human and financial costs for PLCs and healthcare systems. National cancer control programs advocate organizing in a network to coordinate actions, solve fragmentation problems, and thus improve clinical outcomes and care experiences for every dollar invested. The variable outcomes of such networks and factors explaining them have been documented. Governance is the "missing link" for understanding outcomes. Governance refers to the coordination of collective action by a body in a position of authority in pursuit of a common goal. The Quebec Cancer Network (QCN) offers the opportunity to study in a natural environment how, why, by whom, for whom, and under what conditions collaborative governance contributes to practices that produce value-added outcomes for PLCs, healthcare providers, and the healthcare system. METHODS/DESIGN: The study design consists of a longitudinal case study, with multiple nested cases (4 local networks nested in the QCN), mobilizing qualitative and quantitative data and mixed data from various sources and collected using different methods, using the realist evaluation approach. Qualitative data will be used for a thematic analysis of collaborative governance. Quantitative data from validated questionnaires will be analyzed to measure relational coordination and teamwork, care experience, clinical outcomes, and health-related health-related quality of life, as well as a cost analysis of service utilization. Associations between context, governance mechanisms, and outcomes will be sought. Robust data will be produced to support decision-makers to guide network governance towards optimized clinical outcomes and the reduction of the economic toxicity of cancer for PLCs and health systems.


Assuntos
Redes Comunitárias/organização & administração , Tomada de Decisão Compartilhada , Neoplasias/terapia , Redes Comunitárias/economia , Custos de Cuidados de Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Institucionalização , Estudos Longitudinais , Estudos de Casos Organizacionais , Quebeque , Projetos de Pesquisa
12.
Rev Bras Enferm ; 72(6): 1632-1638, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31644754

RESUMO

OBJECTIVE: Analyze the meaning of being an elderly person living in a long-term institution. METHOD: Qualitative study based on Martin Heidegger's thought. Twelve phenomenological interviews were conducted with people aged over 60 years living in a long-term institution for the elderly in the city of Itabuna, Bahia, Brazil. RESULTS: The units of meaning identified were: experience of progressive loss of autonomy and independence, perception of living in an institution as an inevitable circumstance; and being-with becoming being-alone/being-lonely. After the identification of ontic aspects and hermeneutical understanding, the unit of meaning was constructed: meaning of being an elderly person living in a long-term institution. FINAL CONSIDERATIONS: The ontological needs referring to being an elderly person remain forgotten. As we are ontic and ontological, limited care to the ontic instance indicates deficiencies in institutionalization. Improvements are required to ensure the right to age with quality of life to this population.


Assuntos
Pacientes Internados/psicologia , Institucionalização , Idoso , Idoso de 80 Anos ou mais , Brasil , Feminino , Geriatria/métodos , Geriatria/normas , Humanos , Pacientes Internados/estatística & dados numéricos , Entrevistas como Assunto/métodos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Qualidade da Assistência à Saúde/normas
13.
Cien Saude Colet ; 24(9): 3275-3282, 2019 Sep 09.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31508748

RESUMO

OBJECTIVE: To determine the prevalence and factors associated with depressive symptoms in institutionalized elderly. METHODS: This is an epidemiological cross-sectional study with 42 elderly in a Long-Term Care Institution for the Elderly (LTCIE). Data was collected from April to December 2014 through a questionnaire with information on demographic and socioeconomic aspects, the Geriatric Depression Scale short version (GDS-15) and the Mini Mental State Examination (MMSE). RESULTS: Of the elderly studied, 54.8% had depressive symptoms and were predominantly females (64.7%). There was a significant association between depressive symptoms and variables retired (p = 0.043); urinary incontinence (p = 0.028); self-perceived health (p-value = 0.042) and sleep quality (p-value = 0.000). CONCLUSION: The study found a high prevalence of depressive symptoms in institutionalized elderly, associated with the presence of urinary incontinence, (negative) self-perceived health, (poor) quality of sleep and retirement (yes). Following the study and in the face of the needs of this population, it is necessary to seek measures that act directly on the modifiable variables, preventing and treating them.


Assuntos
Depressão/epidemiologia , Institucionalização/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Instituição de Longa Permanência para Idosos , Humanos , Masculino , Testes de Estado Mental e Demência , Pessoa de Meia-Idade , Casas de Saúde/estatística & dados numéricos , Prevalência , Aposentadoria/estatística & dados numéricos , Fatores de Risco , Sono/fisiologia , Inquéritos e Questionários , Incontinência Urinária/epidemiologia
15.
Rev Infirm ; 68(253): 49-50, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31472788
16.
Intellect Dev Disabil ; 57(4): 263-273, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31373544

RESUMO

There are decades of research indicating ableism is extremely prominent. The aim of this study was to examine the relationships between disability prejudice and institutionalization of people with intellectual and developmental disabilities (IDD). This study had two research questions: (1) How does disability prejudice impact the number of people with IDD who are institutionalized in a state? and (2) How does disability prejudice impact spending on institutions? To do so, we utilized secondary data about state utilization of institutions (fiscal year 2015), and disability prejudice data from 325,000 people. Findings revealed, states with higher disability prejudice institutionalize more people, even when controlling for size. Moreover, states with higher disability prejudice also spend more on institutional funding, regardless of size or wealth.


Assuntos
Deficiências do Desenvolvimento , Institucionalização/estatística & dados numéricos , Deficiência Intelectual , Preconceito , Serviços de Saúde Comunitária/economia , Gastos em Saúde , Serviços de Assistência Domiciliar/economia , Humanos , Modelos Lineares , Assistência de Longa Duração/economia , Medicaid , Estados Unidos
17.
Disabil Health J ; 12(4): 712-717, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31262701

RESUMO

BACKGROUND: Legislation and court decisions in the United States mandate the right to least restrictive community living and participation for people with disabilities, yet little research has examined differences in participation across institutional and community settings, or over time in the community post-transition. OBJECTIVE: As part of a multi-site participatory action research project examining participation, we examined the differences in quality of life in institutional and community living environments among people with disabilities. METHODS: We conducted surveys with adults with disabilities between 18 and 65 years-old that transitioned from institutions to the community in the United States within the last five years. This paper reports on findings for a diverse sample of 150 participants. RESULTS: We found significant differences between ratings of institutional and community experiences, with increased reports of satisfaction, personal safety, service access, and participation in community settings. We also found significant improvements in community integration and inclusion after transition to community living, although barriers to transportation and activity access often remained. CONCLUSIONS: This study of insider experiences of previously institutionalized people with disabilities illuminates important understandings of community participation, integration, and quality of life for the disability community in the United States.


Assuntos
Participação da Comunidade , Pessoas com Deficiência , Habitação , Vida Independente , Institucionalização , Satisfação Pessoal , Qualidade de Vida , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Desinstitucionalização , Feminino , Instalações de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Instituições Residenciais , Segurança , Inquéritos e Questionários , Transportes , Estados Unidos , Adulto Jovem
18.
Nutrients ; 11(7)2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31277405

RESUMO

Vitamin D may play a significant role in regulating the rate of aging. The objective of the study was to assess vitamin D status and its associated factors in institutionalized elderly individuals. A total of 153 elderly individuals living in Nursing Homes (NH) were recruited into the study. Serum 25-hydroxyvitamin D [25(OH)D] concentration was used as the biomarker of vitamin D status, and it was considered as the dependent variable in the model. The independent variables were the type of NH, age-adjusted time of institutionalization, age, sex, skin color, body mass index, waist and calf circumference, physical activity practice, mobility, dietary intake of vitamin D and calcium, vitamin D supplementation, use of antiepileptics, and season of the year. Serum 25(OH)D concentrations less than or equal to 29 ng/mL were classified as insufficient vitamin D status. The prevalences of inadequate dietary intake of vitamin D and calcium were 95.4% and 79.7%, respectively. The prevalence of hypovitaminosis D was 71.2%, and the mean serum concentration of 25(OH)D was 23.9 ng/mL (95% confidence interval [CI]: 22.8-26.1). Serum 25(OH)D concentration was associated with the season of summer (p = 0.046). There were no associations with other independent variables (all p > 0.05). The present results showed that a high prevalence of hypovitaminosis D was significantly associated with summer in institutionalized elderly individuals.


Assuntos
Institucionalização , Estações do Ano , Luz Solar , Raios Ultravioleta , Deficiência de Vitamina D/epidemiologia , Vitamina D/análogos & derivados , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Biomarcadores/sangue , Brasil , Estudos Transversais , Feminino , Instituição de Longa Permanência para Idosos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Exposição à Radiação , Fatores de Risco , Vitamina D/sangue , Deficiência de Vitamina D/sangue , Deficiência de Vitamina D/diagnóstico
19.
PLoS One ; 14(7): e0219525, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31339930

RESUMO

The participation of diverse demographics in higher education has risen over the last half-century; meanwhile, different political and social tiers have been assigning a more active role to institutions in terms of equality and social justice. This change in circumstances has led to the roll out of processes to institutionalise diversity outreach. This study was conducted for the clear purpose of assessing the current institutionalisation status of diversity outreach in 127 key universities from the Academic Ranking of World Universities based on the opinions of diversity outreach managers and the information published on institutional websites, in turn measuring compliance with various indicators. A qualitative analysis of the institutional statements, the goals sought through strategic plans and the definitions of diversity itself was also conducted. The evidence reveals the early stage of the institutionalisation process in universities on account of the low percentage obtained for the proposed indicators. Furthermore, the study failed to exhibit significant differences in this process in terms of the institutional ownership or position held in the ranking; however, more prominent progress was noted in the North-American region when geographical differences were taken into account, likely as a result of the historical background in the advocacy for equal opportunities. Lastly, a change of approach to the conceptualisation of diversity is suggested in favour of equality and social justice.


Assuntos
Diversidade Cultural , Institucionalização , Universidades , Educação de Pós-Graduação , Propriedade
20.
BMC Health Serv Res ; 19(1): 410, 2019 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-31234849

RESUMO

BACKGROUND: Due to rapidly growing number of old adults and diminishing supportive functions of family in China, the issue of willingness to use institutional care is of high priority, especially for disabled seniors. The objective of this study is to compare the willingness of institutional care and its determinants between disabled and non-disabled seniors in China. METHODS: 2493 seniors (60+) were randomly selected from a cross-sectional study conducted in three urban districts and three rural counties in Jiangsu Province. Binary logistic regression model was employed to examine differences towards the preference for institutional care between two subgroups, and to identify factors associated with willingness of institutional care between disabled and non-disabled seniors. RESULTS: Of 2493 respondents, 402 (16.1%) were disabled seniors. Overall, 14.2% of the participants had willingness for institutional care in Jiangsu, China. The willingness for institutional care among non-disabled seniors (OR = 0.513; 95%CI 0.387-9.680) was significantly lower than that among disabled ones. The preference for institutional care of both disabled and non-disabled seniors was associated with household income. The willingness of institutional care was also related to age, education and living arrangement among disabled seniors. Meanwhile, non-disabled seniors who had non-communicable diseases were found to be more likely to choose elder care in institution. CONCLUSIONS: Our findings indicated that the willingness for institutional care among disabled seniors was significantly higher than that among non-disabled ones. Household income was determinant of utilization willingness for institutionalization both in disabled and non-disable seniors. Different policies should be made or modified for disabled and non-disabled seniors separately.


Assuntos
Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Institucionalização/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Idoso , Idoso de 80 Anos ou mais , China , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
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