142nd APHA Annual Meeting and Exposition

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How does social care need amongst older adults change over time in the UK?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Andrew Amos Channon, PhD , Social Statistics and Demography, University of Southampton, Southampton, United Kingdom
Joe Viana , Care Life Cycle, University of Southampton, Southampton, United Kingdom
Stuart Rossiter , Care Life Cycle, University of Southampton, Southampton, United Kingdom
Sally Brailsford , Care Life Cycle, University of Southampton, Southampton, United Kingdom
The provision of state funded social care for older adults in the UK is driven by the concept of need. Individuals who have care requirements that surpass a threshold are eligible to receive care. A wide range of methods are used to ascertain need, but the ability to conduct simple activities of daily living (ADL), such as bathing and dressing, is often used. However little is known how the abilities to conduct these activities change over time, alongside the factors that are associated with changes in care need. This is of clear interest to those providing care services to older adults.

Using all five available waves of the English Longitudinal Survey (between 2002 and 2012) the care need for individuals over the age of 50 was calculated for each time period. ADLs were used to calculate need, which was divided into none, low, intermediate and high. Multistate life tables were used to estimate the probabilities of transitions between care need states between survey waves. These life tables were calculated for the whole survey, before calculating them separately by gender, age groups and smoking status and combinations of these factors.

Results indicate that there is a substantial variation of care need between waves, with many individuals recovering between waves. Recovery is less likely amongst males, the old and those who smoke. This indicates that assessments of need should be conducted on a regular basis in order to ensure the appropriate level of care is provided when needed.

Learning Areas:

Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Evaluate the transitions between social care need states over time in the UK Analyze the factors related to social care need over time in the UK

Keyword(s): Social Services, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in a large project studying the relationship between the demand and supply of health and social care in the UK and understand the context. A demographer by training I am trained in the methods used and have applied these to a public health context.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.