Mutoniwase Espérance, Cheng Zijing, Cai Xueya, Li Yue
Department of Public Health Sciences, University of Rochester, Rochester, NY, USA.
Department of Biostatistics and Computational Biology, University of Rochester, Rochester, NY, USA.
J Appl Gerontol. 2025 Aug 11:7334648251365673. doi: 10.1177/07334648251365673.
This study examined whether better state LTSS performance in caregiver support (LTSS-CG), independent of LTSS spending, is associated with lower hospitalizations among community-dwelling older adults with dementia. Using Health and Retirement Study data (2012-2020) linked to the LTSS-CG state rankings, we analyzed hospitalization outcomes (any hospitalization, total hospital nights, total stays) for 6,755 participants. Multivariable regression models showed that worse LTSS-CG rankings were significantly associated with increased hospitalizations. Compared to states with "Excellent" LTSS-CG rankings, the odds of hospitalization were 35.13%, 36.09%, and 46.69% higher for "Good," "Fair," and "Poor" categories, respectively. Similarly, hospital stays and nights increased across lower-ranking categories. Findings suggest that better LTSS-CG is associated with lower hospitalization risks, highlighting the importance of accessible, high-quality LTSS for caregiver support in improving health outcomes and lowering dementia-related healthcare costs. This underscores the need for policies promoting caregiver support to foster healthy aging.
本研究调查了在不考虑长期服务与支持支出的情况下，更好的长期服务与支持在照顾者支持方面的表现（LTSS-CG）是否与社区居住的老年痴呆症患者住院率较低相关。利用与LTSS-CG州排名相关的健康与退休研究数据（2012 - 2020年），我们分析了6755名参与者的住院结果（任何住院情况、总住院天数、总住院次数）。多变量回归模型显示，LTSS-CG排名越差与住院率增加显著相关。与LTSS-CG排名为“优秀”的州相比，“良好”“中等”和“差”类别的住院几率分别高出35.13%、36.09%和46.69%。同样，住院时间和住院天数在排名较低的类别中也有所增加。研究结果表明，更好的LTSS-CG与较低的住院风险相关，凸显了可获得的高质量LTSS在照顾者支持方面对于改善健康结果和降低痴呆症相关医疗成本的重要性。这强调了促进照顾者支持以促进健康老龄化的政策的必要性。
