Hansen Eigil Boll, Christensen Vibeke Tornhøj, Heinesen Eskil
AKF, Danish Institute of Governmental Research, Nyropsgade 37, 1602 Copenhagen V, Denmark.
Eur J Ageing. 2008 Nov 29;6(1):17-26. doi: 10.1007/s10433-008-0101-9. eCollection 2009 Mar.
With the considerable changes in population age-profiles, the preventive care of older people is becoming more and more important. We analyse the long-term effect of the provision of home care on the recipient's ability to perform the activities of daily living (ADLs) and upon aspects of their well-being. Using regression analysis on a set of Danish longitudinal data featuring people aged 67-77 we estimate the effect of home care while controlling for initial health, including initial ADL ability and well-being, along with demographic and socioeconomic conditions. We find no effect of home care on ADL ability in women; results for men, however, indicate a negative association. The provision of home care has an insignificant effect on women's well-being, but a positive effect for men incapacitated beyond a certain degree. Results indicate a need for supplementary efforts to protect against the disablement process.
随着人口年龄结构的显著变化，老年人的预防保健变得越来越重要。我们分析了提供居家护理对接受者日常生活活动（ADL）能力及其幸福感的长期影响。通过对一组以67至77岁人群为特征的丹麦纵向数据进行回归分析，我们在控制初始健康状况（包括初始ADL能力和幸福感）以及人口和社会经济状况的同时，估计了居家护理的效果。我们发现居家护理对女性的ADL能力没有影响；然而，男性的结果表明存在负相关。提供居家护理对女性的幸福感影响不显著，但对一定程度以上丧失能力的男性有积极影响。结果表明需要做出补充努力来防止失能过程。
