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Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey
Open accessAbstract
BACKGROUND: Unmet health care needs are associated with negative health outcomes, yet there is a paucity of data on this problem among older people. OBJECTIVE: To identify unmet health care needs and associated factors among older people in France. METHODS: This is a cross-sectional population study of people aged 70 years or older in which 2350 respondents were interviewed in 2008-10. During a standardized interview, a nurse examined health problems, functional abilities and use of health care resources. Unmet health care needs were defined as situations in which a participant needed health care and did not receive it. RESULTS: The mean age was 83.2 ± 7.4 years. Almost all participants reporting a chronic disease (98.6%) had consulted a physician in the previous 6 months. Unmet health care needs were found in 23.0% of the sample and mainly consisted of lack of dental care (prevalence of 17.7%), followed by lack of management of visual or hearing impairments (prevalence of 4.4% and 3.1%, respectively). Age was the main factor associated with unmet health care needs [compared with people aged 70-79: odds ratio80-89 years = 2.26 (1.70-3.03), odds ratio90 years and over = 3.85 (2.71-5.45)]. Other associated factors were regular smoking, homebound status, poor socioeconomic conditions, depression, limitations in instrumental activities of daily living and low medical density. CONCLUSION: Unmet health care needs affect almost one-quarter of older people in France. Efforts should be made to improve oral health and develop home care, especially for the oldest-olds.
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Senior citizens have more complex needs compared with younger adults due to additional disability, physical illness, and social needs.
“Generally, senior citizens have more complex needs compared with younger adults due to an additional disability, physical illness, and social needs [12].”
From Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study (2019) · cites this paper as [12]
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Unmet home care needs among community-dwelling elderly people in Spain
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Carandang, R. R., Asis, E., Shibanuma, A., Kiriya, J., Murayama, H., & Jimba, M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193745 · Cited by 32
“Generally, senior citizens have more complex needs compared with younger adults due to an additional disability, physical illness, and social needs [12].”
Background
Metadata
- Authors
- Herr, M., Arvieu, J.-J., Aegerter, P., Robine, J.-M., & Ankri, J.
- Affiliations
- Université de Versailles Saint-Quentin-en-Yvelines (FR)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Herr, M.
- Venue
- The European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-11-27
- Volume
- 24
- Issue
- 5
- Pages
- 808-813
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- PMC
- PMC4168041
- OpenAlex
- W2068613850
- Cited by
- 133
- References
- 1
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 19 · 2023: 17 · 2022: 13 · 2021: 16 · 2020: 18 · 2019: 11 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 3
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- European Journal of Public Health (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by-nc-nd)
- 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 › Epidemiology › Chronic Disease Management Strategies
- Keywords
- unmet health needs, older adults, dental care, visual impairment, hearing loss, chronic disease, oldest old, homebound status, socioeconomic conditions, depression, instrumental activities of daily living, oral health, home care
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Chronic Disease, Cross-Sectional Studies, Female, France, Health Services Accessibility, Health Services for the Aged, Health Services Needs and Demand, Home Care Services, Humans, Interviews as Topic, Male, Socioeconomic Factors, Dental Care for Aged
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