Hansen Eigil Boll
KORA, Danish Institute for Local and Regional Government Research, Købmagergade 22, 1150 Copenhagen K, Denmark.
Eur J Ageing. 2013 Sep 3;11(1):41-53. doi: 10.1007/s10433-013-0289-1. eCollection 2014 Mar.
The purpose of this paper is to analyse the extent to which length of residence in the country and country of origin are of importance to older immigrants' use of long-term care services compared to native older people. The analyses were conducted on a population of over 65s living in the Municipality of Copenhagen on 1st Jan 2007. Information was drawn from the administrative registers of the Municipality of Copenhagen on the population's use in 2007 of home care and of residential care in a nursing home. These data were combined by Statistics Denmark with demographic data, socio-economic data and data on the use of health services. It was found that older immigrants are less likely than ethnic Danes to use municipal long-term care services when other predisposing, enabling and need factors are controlled for. The difference is greatest between ethnic Danes and immigrants from non-western countries who have only lived in Denmark for a few years. The difference decreases the longer the immigrant has lived in the country. The findings may be explained, at least in part, by poorer language skills and poorer knowledge of the Danish welfare system among older immigrants and the fact that they are more likely to be cared for by relatives than ethnic Danes are. However, in the course of time language skills improve and knowledge of the system increases and life style with respect to care may approach that of older Danes.
本文旨在分析与本国老年人相比，在丹麦居住的时长以及移民来源国对老年移民使用长期护理服务的重要程度。分析对象为2007年1月1日居住在哥本哈根市的65岁及以上人群。信息来源于哥本哈根市行政登记处，内容为2007年该人群使用家庭护理和养老院住宿护理的情况。丹麦统计局将这些数据与人口统计数据、社会经济数据以及健康服务使用数据相结合。研究发现，在控制了其他前置因素、促成因素和需求因素后，老年移民使用市政长期护理服务的可能性低于丹麦族裔。丹麦族裔与仅在丹麦居住几年的非西方国家移民之间的差异最大。移民在丹麦居住的时间越长，这种差异就越小。这些研究结果至少部分可以解释为老年移民语言能力较差、对丹麦福利系统了解较少，以及他们比丹麦族裔更有可能由亲属照顾。然而，随着时间的推移，语言能力会提高，对系统的了解会增加，在护理方面的生活方式可能会接近丹麦老年人。
