ArticleBMC geriatrics2013
Gender differences in home care clients and admission to long-term care in Ontario, Canada: a population-based retrospective cohort study.
Article in BMC geriatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of physical activity and exercise training on health-related quality of life in older adults: an umbrella review.GeroScience · 2025Pooled it
- Age and sex differences in hospitalisation of nursing home residents: a systematic review.BMJ open · 2016Pooled it
- A large cluster randomized trial of outcome-based pathways to improve home-based wound care.Trials · 2017Trial
- Comparing Administrative Data and Resident Assessment Instrument Data for Mental Health Surveillance in Home Care and Long-Term Care Populations.International journal of methods in psychiatric research · 2026Article
- The Impact of the COVID-19 Pandemic on Homecare Use for Individuals with Physical Disabilities Stratified by Sex, Age, and Mental Health Condition: A Cohort Study Using Administrative Health Data.Home health care management & practice · 2026Article
- Characteristics of long stay home care clients' acute care use who live with frailty in Alberta, Canada: A retrospective cohort study.PloS one · 2026Article
- All-cause and cause-specific mortality in older people with and without diabetes in Norwegian home care services: a nationwide registry study.BMC geriatrics · 2025Article
- Risk Factors for Emergency Department Visits or Hospitalizations Among Older Adults With Urinary Incontinence in Home Health Care.Journal of gerontological nursing · 2025Article
- Characterizing complex care relationships in Canada using the Canadian Longitudinal Study on Aging (CLSA).BMC geriatrics · 2025Article
- Association of loneliness with healthcare transitions and mortality in older adults in Ontario, Canada: a retrospective cohort study.BMJ open · 2025Article
- Sex Differences in Healthcare Utilization in Persons Living with Dementia Between 2000 and 2017: A Population-Based Study in Quebec, Canada.Journal of aging and health · 2025Article
- Equity in home care use in Canada: a cross-sectional analysis of the Canadian longitudinal study on ageing.BMJ public health · 2024Article
- Inter-provincial variation in older home care clients and their pathways: a population-based retrospective cohort study in Canada.BMC geriatrics · 2023Article
- Profiles of socially isolated community-dwelling older adults during the COVID-19 pandemic: A latent class analysis.Maturitas · 2023Article
- Health Monitoring Using Smart Home Technologies: Scoping Review.JMIR mHealth and uHealth · 2023Article
- Caring for older men and women: whose caregivers are more distressed? A population-based retrospective cohort study.BMC geriatrics · 2022Article
- Caregiving Needs Are Unmet for Many Older Homeless Adults: Findings from the HOPE HOME Study.Journal of general internal medicine · 2022Article
- Article
- Gender Differences in Mental Health Symptoms Among Canadian Older Adults During the COVID-19 Pandemic: a Cross-Sectional Survey.Canadian geriatrics journal : CGJ · 2022Article
- Eldercare services for people with and without a dementia diagnosis: an analysis of Swedish registry data.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHome care is integral to enabling older adults to delay or avoid long-term care (LTC) admission. To date, there is little population-based data about gender differences in home care users and their subsequent outcomes. Our objectives were to quantify differences between women and men who used home care in Ontario, Canada and to determine if there were subsequent differences in LTC admission.
methodsThis is a population-based retrospective cohort study. We identified all adults aged 76+ years living in Ontario and receiving home care on April 1, 2007 (baseline). Using the Resident Assessment Instrument - Home Care (RAI-HC) linked to other databases, we characterized the cohort by living condition, health and functioning, and identified all acute care and LTC use in the year following baseline.
resultsThe cohort consisted of 51,201 women and 20,102 men. Women were older, more likely to live alone, and more likely to rely on a child or child-in-law for caregiver support. Men most frequently identified a spouse as caregiver and their caregivers reported distress twice as often as women's caregivers. Men had higher rates of most chronic conditions and were more likely to experience impairment. Men were more likely to be admitted to hospital, to have longer stays in hospital, and to be admitted to LTC.
conclusionsUnderstanding who uses home care and why is critical to ensuring that these programs effectively reduce LTC use. We found that women outnumbered men but that men presented with higher levels of need. This detailed gender analysis highlights how needs differ between older women, men, and their respective caregivers.
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