Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 438
Filtrar
1.
PLoS One ; 15(12): e0242803, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33326451

RESUMO

Not everybody is benefiting equally from rising mean incomes. We discuss the mean-income population share (MPS), the population percentage of earners below mean income, whose evolution can capture how representative rising mean values are for middle income households. Tracking MPS and its associated income share MIS over time indicates to what extent economic growth is inclusive of both the middle and the bottom of the income distribution. We characterize MPS and MIS analytically under different growth scenarios and compare their parametric estimation using micro-level and grouped income data. Our empirical application with panel data of 16 high- and middle-income countries shows that in the last decades rising mean incomes have mostly not favored middle income households in relative perspective, while the overall welfare effects of the changes in MPS and the correlation structure with the Gini coefficient are mixed.


Assuntos
Renda/estatística & dados numéricos , Países em Desenvolvimento/estatística & dados numéricos , Humanos , Pobreza/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Fatores de Tempo
2.
Buenos Aires; GCBA. Dirección General de Estadística y Censos; nov. 2020. a) f: 20 l:17 p. tab, graf.(Población de Buenos Aires, 17, 29).
Monografia em Espanhol | LILACS, InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1146286

RESUMO

En este artículo analizamos los rasgos que asumió la estructura de clases de la Ciudad Autónoma de Buenos Aires (CABA) en el período 2004-2015. Utilizando como fuente de datos, principalmente, la Encuesta Anual de Hogares (EAH) relevada anualmente por la Dirección General de Estadística y Censos del Gobierno de la CABA, nos preguntamos acerca de cómo han evolucionado las clases sociales en términos de tamaño y composición, y cuánto se han distanciado o acercado respecto al bienestar material de los hogares que las conforman. Del análisis de los datos se desprende que la estructura de clases mantiene la configuración signada durante los años noventa, aunque con una relativa composición de la clase obrera calificada y la clase directivo-profesional. Por otro lado, el estudio de los ingresos y el acceso a la vivienda, en tanto dos activos del bienestar material de los hogares, muestra cierta reducción de la desigualdad respecto al primero, pero un fortalecimiento en las brechas respecto a la propiedad de la vivienda. (AU)


Assuntos
Classe Social , Mobilidade Social/tendências , Mobilidade Social/estatística & dados numéricos , Seguridade Social/tendências , Seguridade Social/estatística & dados numéricos , Fatores Socioeconômicos , Iniquidade Social/história , Iniquidade Social/estatística & dados numéricos , Habitação/tendências , Renda/estatística & dados numéricos
5.
Am J Public Health ; 110(S2): S232-S234, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32663092

RESUMO

Objectives. To examine the extent to which social service organizations participate in the organizational networks that implement public health activities in US communities, consistent with recent national recommendations.Methods. Using data from a national sample of US communities, we measured the breadth and depth of engagement in public health activities among specific types of social and community service organizations.Results. Engagement was most prevalent (breadth) among organizations providing housing and food assistance, with engagement present in more than 70% of communities. Engagement was least prevalent among economic development, environmental protection, and law and justice organizations (less than 33% of communities). Depth of engagement was shallow and focused on a narrow range of public health activities.Conclusions. Cross-sector relationships between public health and the housing and food sectors are now widespread across the United States, giving most communities viable avenues for addressing selected social determinants of health. Relationships with many other social and community service organizations are more limited.Public Health Implications. Public health leaders should prioritize opportunities for engagement with low-connectivity social sectors in their communities such as law, justice, and economic development.


Assuntos
Colaboração Intersetorial , Administração em Saúde Pública/estatística & dados numéricos , Serviço Social/estatística & dados numéricos , Comportamento Cooperativo , Humanos , Saúde Pública , Seguridade Social/estatística & dados numéricos , Estados Unidos
6.
Emerg Med Australas ; 32(5): 870-871, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32705775

RESUMO

OBJECTIVE: To determine if changes to community-based services have effected paediatric ED attendances for mental health issues and neonates during the COVID-19 pandemic. METHODS: Analysis of total presentations, presentations with a mental health diagnoses and presentation of neonates during the early stages of the pandemic compared with the previous year for four Victorian hospitals. RESULTS: There was a 47.2% decrease in total presentations compared with 2019, with a 35% increase in mental health diagnoses and a 2% increase in neonatal presentations. CONCLUSION: Vulnerable paediatric patients are seeking care elsewhere during the pandemic because of the closure of community services.


Assuntos
Infecções por Coronavirus/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Populações Vulneráveis/estatística & dados numéricos , Pré-Escolar , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Saúde Mental , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Medição de Risco , Seguridade Social/estatística & dados numéricos , Vitória/epidemiologia
8.
Creat Nurs ; 26(1): e35-e39, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32024746

RESUMO

This article is a description of a 2-year program (May 2017-April 2019) intended to introduce new approaches to addressing ethical issues resulting from the introduction of new health-care technologies and welfare policies. In contrast to the traditional retrospective approach in addressing ethical issues after they occur, this program intended to address ethical issues proactively, before they occurred. This future-focused approach is one way to better keep up with the acceleration of change that society confronts. This project introduced innovative approaches in dealing with unintended consequences and ethical issues resulting from the implementation of new health-care technologies and welfare policies in the Halland region of Sweden.


Assuntos
Assistência à Saúde/ética , Assistência à Saúde/tendências , Política de Saúde/tendências , Invenções/ética , Invenções/tendências , Seguridade Social/ética , Seguridade Social/tendências , Assistência à Saúde/estatística & dados numéricos , Previsões , Humanos , Invenções/estatística & dados numéricos , Estudos Retrospectivos , Seguridade Social/estatística & dados numéricos , Suécia
9.
Nat Hum Behav ; 4(3): 255-264, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31959926

RESUMO

Health and social scientists have documented the hospital revolving-door problem, the concentration of crime, and long-term welfare dependence. Have these distinct fields identified the same citizens? Using administrative databases linked to 1.7 million New Zealanders, we quantified and monetized inequality in distributions of health and social problems and tested whether they aggregate within individuals. Marked inequality was observed: Gini coefficients equalled 0.96 for criminal convictions, 0.91 for public-hospital nights, 0.86 for welfare benefits, 0.74 for prescription-drug fills and 0.54 for injury-insurance claims. Marked aggregation was uncovered: a small population segment accounted for a disproportionate share of use-events and costs across multiple sectors. These findings were replicated in 2.3 million Danes. We then integrated the New Zealand databases with the four-decade-long Dunedin Study. The high-need/high-cost population segment experienced early-life factors that reduce workforce readiness, including low education and poor mental health. In midlife they reported low life satisfaction. Investing in young people's education and training potential could reduce health and social inequalities and enhance population wellbeing.


Assuntos
Crime/estatística & dados numéricos , Prescrições de Medicamentos/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Fatores Socioeconômicos , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Análise por Conglomerados , Crime/economia , Bases de Dados Factuais , Dinamarca/epidemiologia , Prescrições de Medicamentos/economia , Escolaridade , Feminino , Hospitalização/economia , Hospitais Públicos/economia , Humanos , Lactente , Seguro Saúde/economia , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Satisfação Pessoal , Seguridade Social/economia , Ferimentos e Lesões/economia , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-31795388

RESUMO

The growth of poor jobs related to economic crisis adds to its increase since the mid-1970s as a result of new forms of flexible employment. In Europe, there is no clear evidence on whether working in a poor-quality job is better for mental wellbeing than being unemployed. The objectives of this study were to compare mental wellbeing between the unemployed and those working in jobs with different quality levels and to examine gender and welfare state differences in Europe. We selected 8324 men and 7496 women from the European Social Survey, 2010. Hierarchical multiple logistic regression models were fitted, separated by sex and country group. No significant differences in mental wellbeing were shown between unemployed-non-active, unemployed-active, and those working in low-quality jobs in either sex. Only men from Conservative countries in low-quality jobs had better mental wellbeing than unemployed (non-active) men. Only having a good-quality job reduced the likelihood of poor mental wellbeing compared with being unemployed (non-active) among men in all countries (except Social-Democratic) and among women in Eastern and Southern European countries. No differences were observed among men or women in Social-Democratic countries, while strong gender differences were found in Conservative and Liberal countries. Our study indicates the need to take job quality into account, in addition to creating jobs during economic crises. The main mechanisms to explain the strong gender and welfare state differences identified could be social protection for unemployed, labor market regulations, and family models.


Assuntos
Recessão Econômica , Emprego/psicologia , Saúde Mental/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Europa (Continente) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Desemprego/psicologia , Adulto Jovem
12.
Child Abuse Negl ; 98: 104144, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31678608

RESUMO

BACKGROUND: Temporal dynamics during the early adulthood transition among children in out-of-home care is a neglected research area, leaving the possibility of coping with childhood adversity over time a poorly understood topic. OBJECTIVE: To explore early adulthood education and employment trajectories among young adults who experienced out-of-home care during childhood and to examine how various care history factors predict these trajectories. PARTICIPANTS: We use longitudinal birth cohort data comprising individual-level information from national registers of all children born in Finland in 1987 (N = 59,476, of whom 1893 were in care). SETTING AND METHODS: We use trajectory clustering from a previous study on the 1987 birth cohort to compare trajectories between children in care and a propensity score-matched group of peers never in care. We investigated the association between care history factors and trajectories with multinomial logistic regression modeling. RESULTS: Compared with the matched peer group, children in care were less likely to enter trajectories characterized by education and employment (38%) and more likely to enter trajectories involving early parenthood (14%) or long periods of fragmented social assistance benefit receipt and unemployment (21%). Those on early parenthood trajectories were almost exclusively women, whereas those receiving social assistance benefits and experiencing unemployment for lengthy periods were mostly men. Entering disadvantaged trajectories was associated with, inter alia, placement as an adolescent, residential care, and aging out of care. CONCLUSION: The study demonstrates the relevance of examining longitudinal trajectories in children in care's early adulthood. Many young adults with care experience need support in education and employment beyond young adult age.


Assuntos
Criança Acolhida , Emprego , Adolescente , Criança , Estudos de Coortes , Emprego/estatística & dados numéricos , Emprego/tendências , Feminino , Finlândia , Cuidados no Lar de Adoção , Humanos , Masculino , Grupo Associado , Seguridade Social/estatística & dados numéricos , Desemprego/estatística & dados numéricos , Populações Vulneráveis , Adulto Jovem
13.
Age Ageing ; 49(1): 82-87, 2019 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-31732735

RESUMO

BACKGROUND: care in the final year of life accounts for 10% of inpatient hospital costs in UK. However, there has been little analysis of costs in other care settings. We investigated the publicly funded costs associated with the end of life across different health and social care settings. METHOD: we performed cross-sectional analysis of linked electronic health records of residents aged over 50 in a locality in East London, UK, between 2011 and 2017. Those who died during the study period were matched to survivors on age group, sex, deprivation, number of long-term conditions and time period. Mean costs were calculated by care setting, age and months to death. RESULTS: across 8,720 matched patients, the final year of life was associated with £7,450 (95% confidence interval £7,086-£7,842, P < 0.001) of additional health and care costs, 57% of which related to unplanned hospital care. Whilst costs increased sharply over the final few months of life in emergency and inpatient hospital care, in non-acute settings costs were less concentrated in this period. Patients who died at older ages had higher social care costs and lower healthcare costs than younger patients in their final year of life. CONCLUSIONS: the large proportion of costs relating to unplanned hospital care suggests that end-of-life planning could direct care towards more appropriate settings and lead to system efficiencies. Death at older ages results in an increasing proportion of care costs relating to social care than to healthcare, which has implications for an ageing society.


Assuntos
Custos de Cuidados de Saúde/estatística & dados numéricos , Assistência Terminal/economia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Hospitalização/economia , Humanos , Londres , Masculino , Registro Médico Coordenado , Pessoa de Meia-Idade , Seguridade Social/economia , Seguridade Social/estatística & dados numéricos , Assistência Terminal/estatística & dados numéricos , Fatores de Tempo
14.
J Adv Nurs ; 75(11): 2797-2810, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31396994

RESUMO

AIM: The aim of this study was to examine the relationship between welfare states and nursing professionalization indicators. DESIGN: We used a time-series, cross-sectional design. The analysis covered 16 years and 22 countries: Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Japan, Netherlands, New Zealand, Norway, Portugal, South Korea, Spain, Sweden, Switzerland, United Kingdom, and the United States, allocated to five welfare state regimes: Social Democratic, Christian Democratic, Liberal, Authoritarian Conservative, and Confucian. METHODS: We used fixed-effects linear regression models and conducted Prais-Winsten regressions with panel-corrected standard errors, including a first-order autocorrelation correction. We applied the Amelia II multiple imputation strategy to replace missing observations. Data were collected from March-December 2017 and subsequently updated from August-September 2018. RESULTS: Our findings highlight positive connections between the regulated nurse and nurse graduate ratios and welfare state measures of education, health, and family policy. In addition, both outcome variables had averages that differed among welfare state regimes, the lowest being in Authoritarian Conservative regimes. CONCLUSION: Additional country-level and international comparative research is needed to further study the impact of a wide range of structural political and economic determinants of nursing professionalization. IMPACT: We examined the effects of welfare state characteristics on nursing professionalization indicators and found support for the claim that such features affect both the regulated nurse and nurse graduate ratios. These findings could be used to strengthen nursing and the nursing workforce through healthy public policies and increase the accuracy of health human resources forecasting tools.


Assuntos
Internacionalidade , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/provisão & distribução , Profissionalismo/tendências , Seguridade Social/estatística & dados numéricos , Seguridade Social/tendências , Adulto , Austrália , Canadá , Estudos Transversais , Europa (Continente) , Feminino , Previsões , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Recursos Humanos de Enfermagem/estatística & dados numéricos , República da Coreia , Fatores de Tempo , Reino Unido , Estados Unidos
15.
Can Rev Sociol ; 56(3): 421-438, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31387159

RESUMO

The theory of family welfare effort is a leading macro-sociological explanation of variation in human fertility. It holds that states which provide universally available, inexpensive, high-quality day care, generous parental leave, and flexible work schedules lower the opportunity cost of motherhood. They thus enable women, especially those in lower socioeconomic strata, to have the number of babies they want. A considerable body of research supports this theory. However, it is based almost exclusively on analyses of Western European and North American countries. This paper examines the Israeli case because Israel's total fertility rate is anomalously high given its family welfare effort. Based on a review of the relevant literature and a reanalysis of data from various published sources, it explains the country's unusually high total fertility rate as the product of (1) religious and nationalistic sentiment that is heightened by the Jewish population's perception of a demographic threat in the form of a burgeoning Palestinian population and (2) the state's resulting support for pro-natal policies, including the world's most extensive in vitro fertilization (IVF) system. The paper also suggests that Israel's IVF policy may not be in harmony with the interests of many women insofar as even women with an extremely low likelihood of becoming pregnant are encouraged to undergo the often lengthy, emotionally and physically painful, and risky process of IVF.


Assuntos
Coeficiente de Natalidade , Fertilidade , Fertilização In Vitro/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Família , Israel , Dinâmica Populacional
16.
J Youth Adolesc ; 48(12): 2432-2450, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31385232

RESUMO

Insight into the characteristics and system experiences for youth who touch both the child welfare and juvenile justice systems has increased over the last decade. These youth are typically studied as one population and referred to as "crossover youth." While this literature contributes valuable insight into who crossover youth are, studies are virtually silent on distinguishing characteristics and experiences across different pathways leading to dual system contact. This study reviews what is currently known about dual system youth generally (i.e., youth who have contact with both the juvenile justice and child welfare systems) and introduces a framework for consistently defining dual system youth and their pathways. The utility of the framework is then explored using linked administrative data for cohorts of youth aged 10 to 18 years old with a first petition to delinquency court in three sites: Cook County, Illinois between 2010 and 2014 (N = 14,170); Cuyahoga County, Ohio between 2010 and 2014 (N = 11,441); and New York City between 2013 and 2014 (N = 1272). The findings show a high prevalence of dual system contact overall, ranging from 44.8 to 70.3%, as well as wide variation in the ways in which youth touched both systems. Specifically, non-concurrent system contact is more prevalent than concurrent system contact in all sites, and individual characteristics and system experiences vary within and across these different pathway groups. Based on study findings, implications for future research on dual system youth and for developing collaborative practices and policies across the systems are discussed.


Assuntos
Bem-Estar da Criança/estatística & dados numéricos , Delinquência Juvenil/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/psicologia , Criança , Direito Penal , Feminino , Humanos , Illinois , Incidência , Masculino
17.
PLoS One ; 14(7): e0220154, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31335903

RESUMO

BACKGROUND: Emergency medical service (EMS) can be a burdensome occupational field, and employees can be confronted with traumatizing events. Posttraumatic stress disorder (PTSD) and depression rates among paramedics are considered higher than those in the general population. In the German setting of a physician-based EMS system, the literature provides little data on PTSD or non-PTSD-related mental health or on the correlation between PTSD and well-being. METHODS: The study collected data through a nationwide cross-sectional questionnaire survey of the German EMS. Next to gathering sociodemographic data, it used the 5-item World Health Organization Well-Being Index (WHO-5) and the Short Screening Scale for the DSM-IV-PTSD to assess well-being and identify indicators of depression and PTSD. RESULTS: A total of 2,731 paramedics and emergency physicians participated in the survey; 2,684 questionnaires were submitted to analysis. The average WHO-5 score was 53.15%. A total of 43.4% of participants screened positive for possible depression, as indicated by a WHO-5 score below 50%. Female gender, older age, higher total years spent working in EMS and increased body mass index were significantly correlated with lower well-being. A total of 5.4% of respondents had a positive PTSD screening result. In particular, older employees were significantly more likely to test positive for PTSD (12.2% of those over 50 years, compared to 2.8% of those under 30 years). Positive PTSD screening results were associated with significantly lower well-being. Over an average period of 1 year, the paramedics reported perceiving a median of 2 emergency missions as mentally distressing. CONCLUSION: Low well-being and PTSD seem to be relevant experiences among German EMS despite their perception of low numbers of emergency responses as mentally distressing. Paramedics who have been diagnosed with PTSD should be investigated for depression and vice versa, as correlations in both directions exist. Special attention should be paid to older employees, who have significantly lower well-being and higher PTSD rates compared to younger employees.


Assuntos
Auxiliares de Emergência/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adolescente , Adulto , Idoso , Serviços Médicos de Emergência/estatística & dados numéricos , Auxiliares de Emergência/estatística & dados numéricos , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Seguridade Social/estatística & dados numéricos , Inquéritos e Questionários
18.
Demography ; 56(4): 1219-1246, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31290087

RESUMO

Many studies have found that married people have higher subjective well-being than those who are not married. Yet the increase in cohabitation raises questions as to whether only marriage has beneficial effects. In this study, we examine differences in subjective well-being between cohabiting and married men and women in midlife, comparing the United Kingdom, Australia, Germany, and Norway. We apply propensity score-weighted regression analyses to examine selection processes into marriage and differential treatment bias. We find no differences between cohabitation and marriage for men in the United Kingdom and Norway, and women in Germany. However, we do find significant differences for men in Australia and women in Norway. The differences disappear after we control for selection in Australia, but they unexpectedly persist for Norwegian women, disappearing only when we account for relationship satisfaction. For German men and British and Australian women, those with a lower propensity to marry would benefit from marriage. Controls eliminate differences for German men, although not for U.K. women, but relationship satisfaction reduces differences. Overall, our study indicates that especially after selection and relationship satisfaction are taken into account, differences between marriage and cohabitation disappear in all countries. Marriage does not lead to higher subjective well-being; instead, cohabitation is a symptom of economic and emotional strain.


Assuntos
Características da Família , Felicidade , Casamento/psicologia , Adulto , Austrália , Comparação Transcultural , Europa (Continente) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Normas Sociais , Seguridade Social/estatística & dados numéricos , Fatores Socioeconômicos
19.
J Am Geriatr Soc ; 67(9): 1946-1952, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31188480

RESUMO

BACKGROUND: Home-delivered meal programs serve a predominantly homebound older adult population, characterized by multiple chronic conditions, functional limitations, and a variety of complex care needs, both medical and social. DESIGN: A pilot study was designed to test the feasibility of leveraging routine meal-delivery service in two home-delivered meal programs to proactively identify changes in older adult meal recipients' (clients') health, safety, and well-being and address unmet needs. INTERVENTION: Meal delivery personnel (drivers) were trained to use a mobile application to submit electronic alerts when they had a concern or observed a change in a client's condition. Alerts were received by care coordinators, who followed up with clients to offer support and help connect them to health and community services. RESULTS: Over a 12-month period, drivers submitted a total of 429 alerts for 189 clients across two pilot sites. The most frequent alerts were submitted for changes in health (56%), followed by self-care or personal safety (12%) and mobility (11%). On follow-up, a total of 132 referrals were issued, with most referrals for self-care (33%), health (17%), and care management services (17%). Focus groups conducted with drivers indicated that most found the mobile application easy to use and valued change of condition monitoring as an important contribution. CONCLUSION: Findings suggest that this is a feasible approach to address unmet needs for vulnerable older adults and may serve as an early-warning system to prevent further decline and improve quality of life. Efforts are underway to test the protocol across additional home-delivered meal programs. J Am Geriatr Soc 67:1946-1952, 2019.


Assuntos
Serviços de Alimentação/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Serviços de Assistência Domiciliar/estatística & dados numéricos , Pacientes Domiciliares/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Projetos Piloto , Dados Preliminares , Avaliação de Programas e Projetos de Saúde
20.
BMJ Open ; 9(5): e024645, 2019 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-31154294

RESUMO

OBJECTIVES: The present study aimed to examine the impact of loneliness on health and social care service use in the oldest old over a 7-year follow-up. DESIGN: Prospective study. SETTING: UK population-based cohort. PARTICIPANTS: 713 people aged 80 years or older were interviewed at wave 3 of the Cambridge City over-75s Cohort Study. Of these, 665 provided data on loneliness. During 7 years' follow-up, 480 participants left the study, of which 389 due to death. 162 still in the study answered the loneliness question. MAIN OUTCOME MEASURE: Use of health and social care services, assessed at each wave from wave 3 to wave 5. RESULTS: At wave 3, of 665 participants who had data on loneliness, about 60% did not feel lonely, 16% felt slightly lonely and 25% felt lonely. Being slightly lonely at wave 3 was associated with a shorter time since last seeing a general practitioner (ß=-0.5, 95% CI: -0.8 to -0.2); when examining the association between time-varying loneliness and health and social care usage, being lonely was associated with three times greater likelihood of having contact with community nurses and using meals on wheels services (community nurse contact: incidence rate ratio (IRR)=3.4, 95% CI: 1.4 to 8.7; meals on wheels service use: IRR=2.5, 95% CI: 1.1 to 5.6). No associations between loneliness and other health and social care services use were found. CONCLUSION: Loneliness was a significant risk factor for certain types of health and social care utilisations, independently of participants' health conditions, in the oldest old. Study findings have several implications, including the need for awareness-raising and prevention of loneliness to be priorities for public health policy and practice.


Assuntos
Solidão , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Seguridade Social/estatística & dados numéricos , Fatores Etários , Idoso de 80 Anos ou mais , Feminino , Humanos , Entrevistas como Assunto , Solidão/psicologia , Estudos Longitudinais , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Fatores de Risco , Fatores Sexuais , Seguridade Social/psicologia , Reino Unido
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA