Grundy Emily, Jitlal Mark
Centre for Population Studies, London School of Hygiene & Tropical Medicine, 49-51 Bedford Square, London WC1B 3DP, UK.
Age Ageing. 2007 Jul;36(4):424-30. doi: 10.1093/ageing/afm067. Epub 2007 Jun 4.
Only a minority of older people in England and Wales live in institutional care, but among the older of the old, this minority is large. Disability is the major driver of admissions, but socio-demographic factors are also relevant. Understanding more about the influence of these is important for planning by long-term care.
To investigate effects of socio-demographic factors, including housing tenure, household type, marital status, and number of children, on the proportions of elderly people who made a transition from living in the community in 1991 to living in institutional care in 2001.
Nationally representative record linkage study including 36,650 people aged 65 years and over, living in the community in England and Wales in 1991, who were still alive in 2001. Nineteen thousand women aged 75-89 years in 2001 were included in additional analyses of effects of parity (number of children borne).
Bi-variate and multivariate analyses of variations in sample proportions, who by 2001 were resident in institutional care.
4.3% of men and 9.3% of women in the surviving sample then aged 75 years and over, were in institutional care in 2001. Older age, living in rented accommodation, living alone in 1991 and being unmarried in 2001, as well as long-term illness, were associated with higher proportions making this transition. Women had higher risks than men. Childless women aged 64-79 years in 1991 had a 25% higher risk than women with children of being in institutional care in 2001.
Socio-demographic factors continue to influence risks of entry to institutional care in England and Wales.
在英格兰和威尔士，只有少数老年人住在机构护理机构中，但在高龄老人中，这一少数群体的规模较大。残疾是入住机构护理的主要驱动因素，但社会人口因素也与之相关。更多地了解这些因素的影响对于长期护理规划很重要。
调查社会人口因素，包括住房产权、家庭类型、婚姻状况和子女数量，对1991年居住在社区的老年人到2001年入住机构护理机构的比例的影响。
一项具有全国代表性的记录链接研究，包括1991年居住在英格兰和威尔士社区且2001年仍在世的36,650名65岁及以上的人。对2001年年龄在75 - 89岁的19,000名女性进行了关于生育胎次（生育子女数量）影响的额外分析。
对样本比例的变化进行双变量和多变量分析，这些样本到2001年时居住在机构护理机构中。
在存活样本中，2001年时75岁及以上的男性中有4.3%、女性中有9.3%住在机构护理机构中。年龄较大、居住在出租房、1991年独自居住、2001年未婚以及患有长期疾病，与这一转变的较高比例相关。女性的风险高于男性。1991年时年龄在64 - 79岁且无子女的女性，2001年入住机构护理机构的风险比有子女的女性高25%。
社会人口因素继续影响英格兰和威尔士入住机构护理的风险。
