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Unmet home care needs among community-dwelling elderly people in Spain
Abstract
Background and aims Sociodemographic changes affecting the elderly population and the family role in providing home care call for reorganization of formal community care services. The aim of this study was to determine the prevalence of home care needs and the factors associated with unmet home care needs among community-dwelling elderly people in Spain. Methods The data were derived from a representative sample of community-dwelling elderly people living in a town of the metropolitan area of Madrid (N = 1135). Dependency for daily, weekly and monthly activities was based on disability in activities of daily living (ADL) and instrumental activities of daily living (IADL). Insufficient help was estimated as an indicator of unmet needs. Logistic regressions were fitted to identify correlates of unmet needs for each type of activity. Results Overall, 14, 39, and 50% of subjects reported dependency for daily, weekly and monthly activities, respectively. Of these, 40, 27, and 12% reported receiving inadequate assistance. Unmet needs were strongly associated with low monthly income, low educational level, living alone, and symptoms of depression. Families were the exclusive source of almost all assistance provided, few persons reporting the use of additional formal community care sources. Conclusions There are considerable social and material inequalities in access to home care. In view of the poor coverage of the public system for home and personal care, these inequalities may widen in the near future. New public policy initiatives are needed to provide affordable formal family-support services.
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These inequalities may widen in the future due to poor coverage of the public system for home and personal care.
“These inequalities may widen in the future due to poor coverage of the public system for home and personal care [16].”
From Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study (2019) · cites this paper as [16]
There were considerable social and material inequalities in access to home care in Spain.
“A study in Spain stated that there were considerable social and material inequalities in access to home care [16].”
From Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study (2019) · cites this paper as [16]
The lack of public policy initiatives may lead to increasing unmet needs.
“Thus, the lack of public policy initiatives may lead to increasing unmet needs.”
From Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study (2019) · cites this paper as [16]
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Metadata
- Authors
- Otero, Á., de Yébenes, M. J. G., Rodríguez-Laso, Á., & Zunzunegui, M. V.
- Affiliations
- Universidad Autónoma de Madrid (ES)
- Corresponding author
- Otero, Ángel
- Venue
- Aging Clinical and Experimental Research
- Published
- 2003-06
- Volume
- 15
- Issue
- 3
- Pages
- 234-242
- ISSN
- 1594-0667 (ISSN-L)
- 1720-8319
- OpenAlex
- W1977591633
- Cited by
- 60
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 9 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 3 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 2
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Aging Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- community-dwelling older adults, activities of daily living, instrumental activities of daily living, dependency, family caregiving, low income, educational attainment, living alone, depression, home care policy, Spain
- MeSH terms
- Activities of Daily Living, Aged, Aging, Depression, Family, Persons with Disabilities, Disabled Persons, Home Care Services, Humans, Income, Spain, Needs Assessment
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