Risk Profiles for Care Dependency: Cross-Sectional Findings of a Population-Based Cohort Study in Germany.
Susanne SchnitzerStefan BlüherAndrea TetiElke SchaeffnerNatalie EbertPeter MartusRalf SuhrAdelheid KuhlmeyPublished in: Journal of aging and health (2019)
Background: Rising life expectancy in Western societies is accompanied by a rising incidence of care dependency (CD) among older people. Objective: The aim of the study was to examine which health-related and social determinants were associated with CD. Method: We used cross-sectional data from the first follow-up (N = 1,699) of a prospective, population-based cohort study of older participants (≥70 years). CD was assessed if participants required substantial assistance in at least two activities of daily living for 90+ minutes daily. Multivariate logistic regressions were applied. Results: Participants' mean age was 82 years; 18.9% were care-dependent. CD was significantly associated with older age, urinary incontinence, stroke, falls, cancer, diabetes, education level, having no partner, limited mobility, and limited physical activity. Discussion: Our research highlights the importance of promoting mobility, even in care-dependent people. Further research should investigate the role of partnership in terms of the prevention and delay of CD.
Keyphrases
- healthcare
- physical activity
- cross sectional
- quality improvement
- palliative care
- nk cells
- urinary incontinence
- pain management
- cardiovascular disease
- community dwelling
- type diabetes
- affordable care act
- risk factors
- squamous cell carcinoma
- mental health
- body mass index
- south africa
- middle aged
- electronic health record
- deep learning
- big data
- weight loss