Research Centre for Generational Health & Ageing, HMRI Building, University of Newcastle, New South Wales.
Bureau of Health Information, Ministry of Health, New South Wales.
Aust N Z J Public Health. 2018 Apr;42(2):166-171. doi: 10.1111/1753-6405.12713. Epub 2017 Sep 12.
To provide a direct estimate of the risk of admission to permanent residential aged care among older women while accounting for death, according to housing type and other variables.
A competing risk analysis from 8,867 Australian women born 1921-26, using linked data from the Australian Longitudinal Study on Women's Health (ALSWH), Residential Aged Care (RAC), and the Australian National Death Index.
After accounting for deaths, around 35% of women will be admitted to RAC between ages 73 and 90. The conditional cumulative incidence of admission to RAC was 26.9% if living in a house, compared to 36.0% from an apartment, 43.6% within a retirement village, and 37.1% if living in a mobile home. Each one-year increase in age was associated with a relative 17% increased risk of RAC.
Around one-third of women will enter RAC between age 73 and 90. Living in a house had the lowest risk of entering residential aged care over time. Implications for public health: These findings have important implications for planning for aged care services, including the role of housing in delaying admission to residential aged care, and the need for residential care by a high proportion of women towards the end of life.
根据住房类型和其他变量，为年龄较大的女性入住永久性养老院的风险提供直接估计，同时考虑死亡因素。
使用澳大利亚妇女健康纵向研究（ALSWH）、养老院入住（RAC）和澳大利亚国家死亡指数的链接数据，对 1921-26 年出生的 8867 名澳大利亚女性进行竞争风险分析。
在考虑死亡因素后，大约 35%的女性将在 73 至 90 岁之间入住养老院。居住在房屋中的女性入住养老院的条件累积发生率为 26.9%，而居住在公寓中的女性为 36.0%，居住在退休村中的女性为 43.6%，居住在移动房屋中的女性为 37.1%。年龄每增加一岁，入住养老院的风险相对增加 17%。
大约三分之一的女性将在 73 至 90 岁之间入住养老院。随着时间的推移，居住在房屋中的女性入住养老院的风险最低。对公共卫生的影响：这些发现对养老院服务规划具有重要意义，包括住房在延迟入住养老院方面的作用，以及在生命结束时，女性对养老院的需求比例很高。
