Shamir Research Institute, University of Haifa, Israel, 1290000, Kazrin, Israel.
Zefat Academic College, 11 Jerusalem St., P.O.B. 160, 13206, Zefat, Israel.
BMC Geriatr. 2022 Jan 3;22(1):18. doi: 10.1186/s12877-021-02674-0.
Adult day care centers (ADCCs) are a common service provided for frail older adults in the community. We examined the influence of older adults' utilization of ADCC's on their quality of life (QoL), and whether ethno-regional disparities are factors in the gaps found concerning QoL in different regions and between different ethnic groups.
Cross sectional data were collected through structured interviews with 360 older adults attending ADCCs. Participants represented three ethnic groups and three regions in Israel. QoL was assessed by SF-36 questionnaire.
The results revealed a positive correlation between weekly hours at the ADCC, satisfaction with attending ADCC, and QoL. Older adults living in the central region had higher QoL than those living in the southern and northern regions. Veteran Israeli Jews reported higher QoL than FSU immigrants Israeli Arabs in all regions. Connection to one's residential area was also correlated with QoL. A significant moderating effect of the interaction (ethnicity*area of residence) on QoL was also revealed.
Attending ADCC is a vital community services to promote QoL in later life. Gaps in ADCC utilization between ethnic groups and residential region may cause disparities in QoL, specifically, in minority groups and those living in peripheral regions. Service providers should minimize the disparities by improving accessibility and availability for each person regardless of ethnicity and region of residence.
成人日间护理中心（ADCC）是为社区中体弱的老年人提供的一项常见服务。我们研究了老年人使用 ADCC 对其生活质量（QoL）的影响，以及不同地区和不同民族之间 QoL 差距是否存在种族-区域差异的因素。
通过对 360 名参加 ADCC 的老年人进行结构访谈收集了横断面数据。参与者代表了以色列的三个种族群体和三个地区。使用 SF-36 问卷评估 QoL。
结果显示，ADCC 每周的服务时间、对参加 ADCC 的满意度与 QoL 呈正相关。居住在中心区域的老年人比居住在南部和北部地区的老年人的 QoL 更高。与来自独联体的移民以色列阿拉伯人相比，以色列退伍军人犹太人在所有地区的 QoL 都更高。与居住地区的联系也与 QoL 相关。还发现了种族*居住地区的相互作用对 QoL 的显著调节作用。
参加 ADCC 是促进晚年生活质量的重要社区服务。不同种族群体和居住地区之间 ADCC 利用率的差距可能导致 QoL 存在差异，特别是在少数民族和居住在边缘地区的人群中。服务提供者应通过改善每个人的可及性和可用性来尽量减少差异，而不论其种族和居住地区。
