Socioeconomic Inequalities in the Transition to Nursing Home Care: Longitudinal Evidence from a Population Based Study in Switzerland.

IF 1.8 3区社会学 Q2 GERONTOLOGY

Journal of Aging & Social Policy Pub Date : 2026-01-01 Epub Date: 2025-12-14 DOI:10.1080/08959420.2025.2599124

Camille Poroes, Mauricio Avendano, Yves Henchoz, Laurence Seematter-Bagnoud

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Abstract

Lower socioeconomic status (SES) is linked to earlier nursing home admission, but it is unclear if this remains true after accounting for health needs. This study examines SES-related inequalities in nursing home admission, controlling for health needs in an area of Switzerland with universal home-based care for older adults. Data were from the Lausanne Cohort 65+ study, including 3650 participants. SES was measured by education level, occupational class, and receiving means-tested benefits (a proxy for low income). Health needs were assessed with a set of physical and mental health variables. Cox proportional hazard models are controlled for demographics and health needs. Over 6 years, 115 (3.2%) participants were admitted to a nursing home. Lower education and receiving means-tested benefits were linked to earlier nursing home admission. However, after adjusting for all SES variables and health needs, associations between socioeconomic inequalities and nursing home admission did not remain significant. Lower SES is initially associated with earlier nursing home admission, but this is substantially explained by functional and cognitive impairment. The study suggests that access to long-term care in Switzerland is horizontally equitable but emphasizes the importance of preventing functional and cognitive decline in lower SES groups.

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社会经济不平等过渡到养老院护理：纵向证据从人口为基础的研究在瑞士。

较低的社会经济地位（SES）与较早入住养老院有关，但在考虑到健康需求后，尚不清楚这是否仍然成立。本研究考察了瑞士一个地区老年人普遍在家护理的健康需求控制下，养老院入住中与ses相关的不平等现象。数据来自洛桑65岁以上队列研究，包括3650名参与者。社会经济地位是通过教育水平、职业阶层和接受经济状况调查的福利（低收入的代表）来衡量的。健康需求通过一系列身心健康变量进行评估。Cox比例风险模型根据人口统计和健康需求进行控制。在6年的时间里，115名（3.2%）参与者住进了养老院。较低的教育水平和接受经济状况调查的福利与较早入住养老院有关。然而，在调整了所有社会经济地位变量和健康需求后，社会经济不平等与养老院入住之间的关联并不显着。较低的社会经济地位最初与较早入住养老院有关，但这在很大程度上可以用功能和认知障碍来解释。该研究表明，在瑞士，获得长期护理的机会是横向公平的，但强调了预防社会经济地位较低群体功能和认知能力下降的重要性。

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 Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.