Frailty prevalence and its associations with socioeconomic factors, health status, and healthcare utilization among elderly home care clients
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Heidelberg
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
AimThis study aims to determine the prevalence of frailty and its associations with socioeconomic factors, health status, and healthcare service utilization among the elderly who receive home care services.Subject and methodsThe elderly were included in this cross-sectional study with a sample size of 298 and using a systematic sampling method. The FRAIL scale was used to determine frailty. Chi-square, Student's t-test, and backward stepwise logistic regression were performed in the analyses.ResultsFrailty was associated with illiteracy (OR = 2.70, 95% CI: 1.02-7.20), insufficient income perception (OR = 7.36, 95% CI: 1.84-29.38), increase in the number of drugs used (OR = 1.22, 95% CI: 1.06-1.42), days hospitalized (OR = 1.27, 95% CI: 1.06-1.51), health service admission (OR = 1.06 95% CI: 1.00-1.12), and decrease in instrumental activities of daily living (IADL) score (OR = 0.37, 95% CI: 0.27-0.50).ConclusionThe elderly who are socioeconomically disadvantaged and more dependent, use a higher number of drugs, and use more health services are at high risk for frailty. It is recommended that these risk groups be prioritized in home care-based interventions to prevent frailty.
Açıklama
Anahtar Kelimeler
Frailty, Home care, Social determinants, Healthcare service utilization, Older-Adults, Population, Outcomes, Index, Level
Kaynak
Journal of Public Health-Heidelberg
WoS Q Değeri
Q3
Scopus Q Değeri
N/A