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A panel multinomial logit analysis of elderly living arrangements: evidence from aging in Manitoba longitudinal data, Canada
- Authors:
- SARMA Sisira, SIMPSON Wally
- Journal article citation:
- Social Science and Medicine, 65(12), December 2007, pp.2539-2552.
- Publisher:
- Elsevier
Utilizing a unique longitudinal survey linked with home care use data, this paper analyzes the determinants of elderly living arrangements in Manitoba, Canada using a random effects multinomial logit model that accounts for unobserved individual heterogeneity. Because current home ownership is potentially endogenous in a living arrangements choice model, prior home ownership as an instrument is used as an instrument. Prior home care use is also used as an instrument for home care and use a random coefficient framework to account for unobserved health status. After controlling for relevant socio-demographic factors and accounting for unobserved individual heterogeneity, it was found that home care and home ownership reduce the probability of living in a nursing home. Consistent with previous studies, age was also found to be a strong predictor of nursing home entry. Married people, those who have lived longer in the same community, and those who are healthy are more likely to live independently and less likely to be institutionalized or to cohabit with individuals other than their spouse.
Predicting the time children spend in state custody
- Authors:
- GLISSON Charles, BAILEY James W, POST James A.
- Journal article citation:
- Social Service Review, 74(2), June 2000, pp.253-280.
- Publisher:
- University of Chicago Press
This exploratory study identifies factors that predict the time children spend in state custody. The article follows a sample of 700 children from the first day the children enter custody in Tennessee. Uses event-history analysis to examine the effects of child, family, and service characteristics on the probability of exiting state custody. Children with mental health problems, minority children, children with disabilities, sexually abused children, children in custody for dependency and neglect, and children from rural communities all have lower probabilities of exiting custody.
Elder abuse in long-term care environments: a pilot study using information from long-term care ombudsman reports in one California county
- Authors:
- WATSON Mary M., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 5(4), 1993, pp.95-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This is a descriptive study of institutional elder abuse in populous California county. Data have been recorded from Long-Term Care Ombudsman Office records over a seven month period of convenience. On hundred sixty-two cases of alleged elder abuse were reported. Descriptive statistics such as average age, race and gender are reported as well as type of abuse and descriptions of the abuser. Resolutions of abusive situations both by the Ombudsman's Office and institutions are reported. The data show the need for large scale prospective studies to explain why institutional abuse happens and what can be done to prevent it.
Paid employment amongst adults with learning disabilities receiving social care in England: trends over time and geographical variation
- Author:
- HATTON Chris
- Journal article citation:
- Tizard Learning Disability Review, 23(2), 2018, pp.117-122.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine trends over time and geographical variation in rates of paid employment amongst working age adults with learning disabilities receiving long-term social care in England. Design/methodology/approach: Data were drawn from NHS Digital adult social care statistics examining paid/self-employment for working age (18-64 years) adults with learning disabilities known to social care (2008/2009 to 2013/2014) or receiving long-term social care (2014/2015 to 2016/2017). Findings: In 2016/2017, councils reported that 5.7 per cent of working age adults (7,422 people) with learning disabilities receiving long-term social care were in paid/self-employment, with higher employment rates for men than women and most people working less than 16 hours per week. Paid employment rates seem to be slightly declining over time, and there is wide variation across councils in reported paid/self-employment rates. Social implications: Despite good evidence for the cost effectiveness of supported employment support, employment rates for adults with learning disabilities receiving long-term social care remain extremely low. Originality/value: This paper presents in one place statistics concerning the paid employment of working age adults with learning disabilities in England. (Edited publisher abstract)
Factors associated with long-stay nursing home admissions among the U.S. elderly population: comparison of logistic regression and the Cox proportional hazards model with policy implications for social work
- Authors:
- CAI Qian, SALMON J. Warren, RODGERS Mark E.
- Journal article citation:
- Social Work in Health Care, 48(2), February 2009, pp.154-168.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Demographic shifts and rising health care costs mean that care for the elderly will become a great societal challenge. This study investigated key factors associated with long-stay nursing home (LSNH) admission among the U.S. elderly population. Two statistical methods, multivariable logistic regression and Cox proportional hazards model, were performed and compared. Secondary data analyses using four waves (1995, 1998, 2000, and 2002) of the Health Retirement Study (HRS) coupled with the Assets and Health Dynamics among the Oldest Old (AHEAD) surveys were conducted. A total of 5980 respondents with a mean age of 78 were included, and during the study period 9.9% of these became a LSNH resident. Older age, lower self-perceived health, worse instrumental activities of daily living, psychiatric problems, and living alone were found significantly associated with increased risk of LSNH admission. In contrast, being female, African American, or Hispanic, owning a home, and having lower level of cognitive impairment reduced the admission risk. The Cox model generally provided more precise parameter estimates than logistic regression. Logistic regression can provide a good approximation to the Cox model in identifying factors of LSNH admission, however, the Cox model gives more information on how soon the LSNH admission may happen. These analyses, based on two models, dually identified the factors associated with LSNH admission, and therefore the results discussed confidently provide implications for both public and private long-term care policies.
Care of elderly people: UK market survey 2009
- Author:
- LAING AND BUISSON
- Publisher:
- Laing and Buisson
- Publication year:
- 2009
- Pagination:
- 214p.
- Place of publication:
- London
- Edition:
- 22nd ed.
The market report presents a fully revised and updated analysis of trends in the long term care sector in the UK. The contents of the report is organised in the following sections: the impact of demographic change; market size and trends; government policy and regulation; the structure of the care home industry; demand and supply; customer profiles, services and amenities; sources of finance and fees, costs and profits. Statistical tables and charts are included throughout.
Care of elderly people: UK market survey 2008
- Author:
- LAING AND BUISSON
- Publisher:
- Laing and Buisson
- Publication year:
- 2008
- Pagination:
- 200p.
- Place of publication:
- London
- Edition:
- 21st ed.
This new and fully updated edition of Laing and Buisson’s unrivalled market report presents a fully revised and updated analysis of trends in this £20 billion sector of the UK service economy, much of it derived from Laing and Buisson’s own (2008) surveys, unavailable elsewhere. Key issues, facts and figures are highlighted in the report.
A profile of home care workers from the 2000 Census: how it changes what we know
- Authors:
- MONTGOMERY Rhonda J. V., et al
- Journal article citation:
- Gerontologist, 45(5), October 2005, pp.593-600.
- Publisher:
- Oxford University Press
This study aimed to identify a representative sample of direct care aides to generate an accurate profile of the long-term-care workforce, with a special focus on home care workers. Data were taken from the 5% Public Use Microdata Sample (PUMS) of the 2000 Census. On the basis of this new sample, the estimated size of the home care workforce is much larger than that in previous estimates, and it is more heterogeneous. The analyses revealed more self-employed workers, higher salaries than previously reported, and greater ethnic diversity, with Hispanics or Latinos comprising a significant proportion of the home care workforce. A more comprehensive understanding of the characteristics of the long-term-care workforce will facilitate more effective development of programs designed to enhance recruitment and retention of these workers to meet the increasing demands of future years.
Statistics Release: free personal/nursing care Scotland 2004
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2004
- Pagination:
- 17p.
- Place of publication:
- Edinburgh
The purpose of this Statistics Release is to present the latest figures for free personal/nursing care. The number of people receiving free personal/nursing care who live in a care home or receive home care is included, along with the related expenditure. Local authorities' gross expenditure on care homes and home care is also given, as is the income received from charges to users.
Demand for long term care for older people in England to 2031
- Authors:
- WITTENBERG Raphael, et al
- Journal article citation:
- Health Statistics Quarterly, 12, Winter 2001, pp.5-17.
- Publisher:
- Office for National Statistics
How best to finance long-term care has been the subject of considerable recent debate. One reason is that the numbers of people in England aged 65 and over are projected to increase by 60 percent over the next 35 years. The Personal Social Services Research Unit (PSSRU) has developed a model to make projections of demand for long-term care for older people, to 2031. This article outlines the methodology and results of the model. PSSRU projections suggest that, under central assumptions, long term care expenditure will need to rise by around 150 percent in real terms over the next 30 years to meet demand.