Health and social home services among community-dwelling older people during COVID-19: Results from the cross-sectional LOST in Lombardia project.

COVID-19 Italy caregivers community services cross-sectional studies health and social services home care pandemics

Journal

Scandinavian journal of public health
ISSN: 1651-1905
Titre abrégé: Scand J Public Health
Pays: Sweden
ID NLM: 100883503

Informations de publication

Date de publication:
08 Sep 2023
Historique:
medline: 9 9 2023
pubmed: 9 9 2023
entrez: 9 9 2023
Statut: aheadofprint

Résumé

Few studies have focused on changes in health and social services access due to the COVID-19 pandemic. We aimed to describe changes in the use of selected health and social home services due to the pandemic and to investigate potential associated factors, including socio-demographic characteristics, number of chronic diseases and mental health indicators, among older Italian individuals. We analysed data from the LOST in Lombardia cross-sectional study conducted in November 2020 on a large representative sample of 4400 individuals aged ⩾65 years. To identify potential factors associated with the increased use of three selected health and social home services, we estimated odds ratios (OR) and confidence intervals (CI) using multivariable logistic regression models. Compared to the year before, 5.0% of older adults increased help from domestic workers (vs. 6.9% reducing) during the pandemic, 4.4% increased help from non-familiar caregivers (vs. 1.3% decreasing) and 4.7% increased medical home visits (vs. 1.0% decreasing). An increase in the use of these services was more frequent among participants with co-morbidities (

Sections du résumé

BACKGROUND UNASSIGNED
Few studies have focused on changes in health and social services access due to the COVID-19 pandemic. We aimed to describe changes in the use of selected health and social home services due to the pandemic and to investigate potential associated factors, including socio-demographic characteristics, number of chronic diseases and mental health indicators, among older Italian individuals.
METHODS UNASSIGNED
We analysed data from the LOST in Lombardia cross-sectional study conducted in November 2020 on a large representative sample of 4400 individuals aged ⩾65 years. To identify potential factors associated with the increased use of three selected health and social home services, we estimated odds ratios (OR) and confidence intervals (CI) using multivariable logistic regression models.
RESULTS UNASSIGNED
Compared to the year before, 5.0% of older adults increased help from domestic workers (vs. 6.9% reducing) during the pandemic, 4.4% increased help from non-familiar caregivers (vs. 1.3% decreasing) and 4.7% increased medical home visits (vs. 1.0% decreasing). An increase in the use of these services was more frequent among participants with co-morbidities (
CONCLUSIONS UNASSIGNED

Identifiants

pubmed: 37688313
doi: 10.1177/14034948231184516
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

14034948231184516

Auteurs

Paola Bertuccio (P)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy.

Giacomo Pietro Vigezzi (GP)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy.
Collegio Ca' della Paglia, Fondazione Ghislieri, Italy.

Andrea Amerio (A)

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Italy.
IRCCS San Martino Polyclinic Hospital, Italy.

Luca Cavalieri D'oro (L)

Epidemiology Unit, Brianza Health Protection Agency, Italy.

Licia Iacoviello (L)

Department of Medicine and Surgery, Research Centre in Epidemiology and Preventive Medicine (EPIMED), University of Insubria, Italy.
Department of Epidemiology and Prevention, IRCCS Neuromed, Italy.

David Stuckler (D)

Department of Social and Political Sciences, Bocconi University, Italy.

Carlo Signorelli (C)

Vita-Salute San Raffaele University, Italy.

Alberto Zucchi (A)

Epidemiology Unit, Bergamo Health Protection Agency, Italy.

Silvano Gallus (S)

Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Italy.

Anna Odone (A)

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy.

Classifications MeSH