ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Socioeconomic Inequalities in Home-Care Use Across Regional Long-term Care Systems in Europe.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social inequity in ageing in place among older adults in Organisation for Economic Cooperation and Development countries: a mixed studies systematic review.Age and ageing · 2024Pooled it
- Cash-for-care and its impact on older adults' informal and formal long-term care use: evidence from continental European countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Identifying the factors influencing long-term care utilization by older adults in China: machine learning analysis.BMC geriatrics · 2026Article
- Socio-economic inequalities in unmet long-term care needs in Spain.European journal of ageing · 2026Article
- Older people's preferences for elderly care mode in Northwest China: a multilevel analysis stratified by socioeconomic status.BMC geriatrics · 2026Article
- Caring in the XXI century: the sustainability of long-term care in aging societies-mapping challenges and developing solutions within the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Socio-economic differences in receiving care by the over-80s in Germany and England: intensity of care needs as a moderator.European journal of ageing · 2025Article
- Informal and formal long-term care utilization and unmet needs in Europe: examining socioeconomic disparities and the role of social policies for older adults.International journal of health economics and management · 2025Article
- The Care Gap in Later Life Across European Countries.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- [Homecare arrangements: examining the use of support services in relation to socioeconomic status].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
- Different impact on health outcomes of long-term care insurance between urban and rural older residents in China.Scientific reports · 2023Article
- Inequities in home care use among older Canadian adults: Are they corrected by public funding?PloS one · 2023Article
- Gender differences in access to community-based care: a longitudinal analysis of widowhood and living arrangements.European journal of ageing · 2022Article
- Functional disability and utilisation of long-term care in the older population in England: a dual trajectory analysis.European journal of ageing · 2022Article
- Impact of Changing Socioeconomic Conditions on Family Caregiving Norms: Evidence from Japan.Behavioral sciences (Basel, Switzerland) · 2022Article
- Inequalities in unpaid carer's health, employment status and social isolation.Health & social care in the community · 2022Article
- Socioeconomic differences in informal caregiving in Europe.European journal of ageing · 2022Article
- Barriers to efficient management of in-home care: A qualitative content analysis.Nursing open · 2022Article
- Socioeconomic Inequality in the Use of Long-Term Care among European Older Adults: An Empirical Approach Using the SHARE Survey.International journal of environmental research and public health · 2020Article
- Perceptions of Stress and Engagement in High-Intensity Caregiving: A Cross-Sectional Study in Lithuania.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe examine whether socioeconomic inequalities in home-care use among disabled older adults are related to the contextual characteristics of long-term care (LTC) systems. Specifically, we investigate how wealth and income gradients in the use of informal, formal, and mixed home-care vary according to the degree to which LTC systems offer alternatives to families as the main providers of care ("de-familization").
methodWe use survey data from SHARE on disabled older adults from 136 administrative regions in 12 European countries and link them to a regional indicator of de-familization in LTC, measured by the number of available LTC beds in care homes. We use multinomial multilevel models, with and without country fixed-effects, to study home-care use as a function of individual-level and regional-level LTC characteristics. We interact financial wealth and income with the number of LTC beds to assess whether socioeconomic gradients in home-care use differ across regions according to the degree of de-familization in LTC.
resultsWe find robust evidence that socioeconomic status inequalities in the use of mixed-care are lower in more de-familized LTC systems. Poorer people are more likely than the wealthier to combine informal and formal home-care use in regions with more LTC beds. SES inequalities in the exclusive use of informal or formal care do not differ by the level of de-familization. DISCUSSION: The results suggest that de-familization in LTC favors the combination of formal and informal home-care among the more socioeconomically disadvantaged, potentially mitigating health inequalities in later life.
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