Health and care-receiving profiles and unmet home care needs among community-dwelling Canadians aged 85 years and older.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Reports Pub Date : 2025-05-21 DOI:10.25318/82-003-x202500500002-eng

Md Kamrul Islam, Heather Gilmour

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引用次数: 0

Abstract

Background: The population aged 85 and older is one of the fastest-growing age groups. Identifying distinct health status and care-receiving profiles can improve the understanding of the heterogeneity in this age group. Unmet home care needs are associated with negative health consequences and can challenge the ability of those 85 and older to age in the community.

Data and methods: A representative sample of 4,083 community-dwelling Canadians aged 85 years and older from the 2019/2020 Canadian Health Survey on Seniors (CHSS) was used to identify health and care-receiving profiles applying latent class analysis. Multinomial logistic regression was used to examine factors associated with the profiles. Multivariable logistic regression was applied to evaluate the association between the profiles and unmet home care needs.

Results: An estimated 201,000 Canadians aged 85 years and older (28.2%) were classified as "healthiest-low care receiving", 180,000 (25.3%) as "moderately healthy-moderate care receiving," 194,000 (27.2%) as "moderately unhealthy-low care receiving," and 137,000 (19.2%) as "poor health-high care receiving." Increasing age and being an immigrant were associated with poorer health status and a higher likelihood of receiving care. An estimated 46,000 Canadians aged 85 years and older (6.5%) reported having unmet home care needs. Individuals with the profiles characterized by poorer health and a higher likelihood of receiving care were more likely to have unmet home care needs.

Interpretation: The findings of this study highlight the importance of considering multiple health and care-receiving factors to better illuminate unmet home care needs among community-dwelling Canadians aged 85 years and older.

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85岁及以上居住在社区的加拿大人的健康和接受护理概况及未满足的家庭护理需求。

背景：85岁及以上的人口是增长最快的年龄组之一。确定不同的健康状况和接受护理的概况可以提高对这一年龄组异质性的理解。未满足的家庭护理需求与负面的健康后果有关，并可能挑战85岁及以上老年人在社区生活的能力。数据和方法：使用2019/2020年加拿大老年人健康调查（CHSS）中4083名85岁及以上的加拿大社区居民的代表性样本，应用潜在类分析确定健康和护理接受概况。使用多项逻辑回归来检查与档案相关的因素。采用多变量logistic回归来评估档案与未满足的家庭护理需求之间的关系。结果：估计有20.1万名85岁及以上的加拿大人（28.2%）被归类为“最健康-低护理接受”，18万人（25.3%）被归类为“中等健康-中等护理接受”，19.4万人（27.2%）被归类为“中度不健康-低护理接受”，13.7万人（19.2%）被归类为“低健康-高护理接受”。年龄增长和移民身份与较差的健康状况和较高的接受护理的可能性有关。据估计，46,000名85岁及以上的加拿大人（6.5%）报告家庭护理需求未得到满足。健康状况较差和接受护理可能性较高的个人更有可能有未满足的家庭护理需求。解释：本研究的结果强调了考虑多种健康和护理接受因素的重要性，以更好地阐明居住在社区的85岁及以上的加拿大人未满足的家庭护理需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.