Sociodemographic characteristics, disability trajectory, and health care and long-term care utilization among middle-old and older adults in Taiwan

Archives of Gerontology and Geriatrics
Hsiao-Wei YuYa-Mei Chen

Abstract

To understand whether disability trajectories mediated the association between sociodemographic characteristics and later health care and long-term care services use. Data were from the Taiwan Longitudinal Study on Aging Survey, 1996-2007 (N =3429). Latent class growth curves modeling and structural equation modeling were applied to examine the effect of disability trajectory as mediator on sociodemographic characteristics and on later services use. Respondents were identified in three trajectories: maintained disability (1.92%), progressive disability (10.56%), and functional independence trajectories (87.52%). The progressive disability trajectory partially and fully mediated the effects of age on later use of health care and long-term care services (the partially mediating effect on age and long-term care service use: β = 0.047, p < 0.001, for example). With the progressive disability trajectory in the model, higher education had a direct effect on greater use of long-term care services (β = 0.020, p =0.020), but through the mediating effect of the disability trajectory, education had an indirect effect on lower use of long-term care services(β = -0.025, p < 0.001). Education had fully mediating effects on the later use of i...Continue Reading

Citations

Jan 16, 2021·International Journal of Environmental Research and Public Health·Kuo-Feng WuHawjeng Chiou
Feb 13, 2021·Journal of the American Medical Directors Association·Jian XiaoYa Fang
Mar 26, 2021·Archives of Gerontology and Geriatrics·Chih-Kuang LiangLiang-Kung Chen

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