Better State Support for Family Caregivers Linked to Lower Hospitalization Rates Among Older Adults Living With Dementia.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-08-11 DOI:10.1177/07334648251365673

Espérance Mutoniwase, Zijing Cheng, Xueya Cai, Yue Li

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Abstract

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.

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国家对家庭照顾者的更好支持与老年痴呆症患者住院率降低有关。

本研究考察了独立于LTSS支出的LTSS在照顾者支持（LTSS- cg）方面更好的状态LTSS表现是否与社区居住的老年痴呆症患者住院率较低有关。使用与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、总住院时间、总住院时间）。多变量回归模型显示，较差的LTSS-CG排名与住院率增加显著相关。与LTSS-CG排名“优秀”的州相比，“好”、“一般”和“差”类别的住院率分别高出35.13%、36.09%和46.69%。同样，在排名较低的类别中，住院时间和夜间时间也有所增加。研究结果表明，较好的LTSS- cg与较低的住院风险相关，突出了可获得的高质量LTSS对护理人员支持在改善健康结果和降低痴呆症相关医疗成本方面的重要性。这强调需要制定政策，促进照顾者的支持，以促进健康老龄化。

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

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.