Frailty prevalence and its associations with socioeconomic factors, health status, and healthcare utilization among elderly home care clients

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Tarih

2023

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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

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