Medical and social factors influencing the utilization of healthcare services among older adults in Israel during the COVID-19 lockdown.
COVID-19
medical factors
medical service
older adults
social factor
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2023
2023
Historique:
received:
07
05
2023
accepted:
29
08
2023
medline:
2
11
2023
pubmed:
13
10
2023
entrez:
13
10
2023
Statut:
epublish
Résumé
The corona virus disease 2019 (COVID-19) pandemic significantly impacted older adults. However, most older communities focused on the medical issues. The aims of this study were to identify the medical and social factors linked with the usage of medical services during the COVID-19 lockdown in Israel. The study was conducted Over two periods of time from February to April in 2019 (P1), before the COVID-19 and from February to April in 2020 (P2), during the first lockdown. The study was conducted on people aged 65 and older in Israel. The variable statistics were analyzed using frequency tabulation, cross-tabulation frequencies, and t-tests. Two hierarchical logistic regressions were conducted over four steps for each period. The participants (n = 102,303) comprised 64.5% female (65,946) and 35.5% male (36,357) (mean age 80.5, SD- 7.46). It was found that participants who had not subscribed to the supportive community services were 7.47 times more likely to access medical services in P1 and 12.417 times more likely to access medical services during the lockdown. This variable was also found to be a strong predictor in the final model. The most significant variable for predicting the participants' needs during P2 was their previous needs in P1. Other social variables were living in assisted living home and living in community settlements. The presence of 12 diseases in this study did not predict service demand. Community support reduces medical service demands during disasters and provides services for older adults. During pandemics, however, social services need to be expanded and made more easily accessible to older adults.
Sections du résumé
Background
The corona virus disease 2019 (COVID-19) pandemic significantly impacted older adults. However, most older communities focused on the medical issues. The aims of this study were to identify the medical and social factors linked with the usage of medical services during the COVID-19 lockdown in Israel.
Methods
The study was conducted Over two periods of time from February to April in 2019 (P1), before the COVID-19 and from February to April in 2020 (P2), during the first lockdown. The study was conducted on people aged 65 and older in Israel. The variable statistics were analyzed using frequency tabulation, cross-tabulation frequencies, and t-tests. Two hierarchical logistic regressions were conducted over four steps for each period.
Results
The participants (n = 102,303) comprised 64.5% female (65,946) and 35.5% male (36,357) (mean age 80.5, SD- 7.46). It was found that participants who had not subscribed to the supportive community services were 7.47 times more likely to access medical services in P1 and 12.417 times more likely to access medical services during the lockdown. This variable was also found to be a strong predictor in the final model. The most significant variable for predicting the participants' needs during P2 was their previous needs in P1. Other social variables were living in assisted living home and living in community settlements. The presence of 12 diseases in this study did not predict service demand.
Conclusion
Community support reduces medical service demands during disasters and provides services for older adults. During pandemics, however, social services need to be expanded and made more easily accessible to older adults.
Identifiants
pubmed: 37829095
doi: 10.3389/fpubh.2023.1218507
pmc: PMC10565215
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1218507Informations de copyright
Copyright © 2023 Shaked, Korn, Shapiro, Zwilling and Zigdon.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
BMC Geriatr. 2021 May 4;21(1):291
pubmed: 33947334
BMC Health Serv Res. 2017 Sep 12;17(1):645
pubmed: 28899369
Soc Sci Med. 2007 Feb;64(4):818-29
pubmed: 17126973
Clin Immunol. 2021 Mar;224:108651
pubmed: 33333255
Disaster Med Public Health Prep. 2022 Feb;16(1):36-39
pubmed: 32782063
PLoS One. 2020 Sep 24;15(9):e0239646
pubmed: 32970769
J Clin Nurs. 2020 Jul;29(13-14):2044-2046
pubmed: 32239784
Klin Padiatr. 2021 Jan;233(1):40-42
pubmed: 33105512
Dtsch Arztebl Int. 2020 Aug 17;117(33-34):545-552
pubmed: 32865489
PLoS One. 2020 Apr 16;15(4):e0231076
pubmed: 32298283
Res Aging. 2022 May-Jun;44(5-6):369-381
pubmed: 34344251
Am Psychol. 2017 Sep;72(6):601-612
pubmed: 28880106
Med Sci Monit. 2021 Apr 09;27:e930278
pubmed: 33833211
Healthcare (Basel). 2022 Sep 23;10(10):
pubmed: 36292300
JAMA Intern Med. 2021 Apr 1;181(4):439-448
pubmed: 33394006
PLoS One. 2022 Dec 15;17(12):e0278893
pubmed: 36520880
JAMA Intern Med. 2020 Oct 1;180(10):1345-1355
pubmed: 32667669
Diabetes Metab Res Rev. 2021 Feb;37(2):e3377
pubmed: 32588943
Congest Heart Fail. 2013 Jan-Feb;19(1):16-24
pubmed: 22958604
Cureus. 2020 Apr 6;12(4):e7560
pubmed: 32269893
Int J Environ Res Public Health. 2022 Mar 24;19(7):
pubmed: 35409535
BMC Health Serv Res. 2020 Mar 23;20(1):241
pubmed: 32293427
Z Gerontol Geriatr. 2021 Mar;54(2):152-160
pubmed: 33595696
Int J Geriatr Psychiatry. 2020 Dec;35(12):1466-1467
pubmed: 32364283
J Card Surg. 2020 Jun;35(6):1345-1347
pubmed: 32419177
Infez Med. 2021 Mar 1;29(1):20-36
pubmed: 33664170
Med J Islam Repub Iran. 2020 Sep 17;34:123
pubmed: 33437719
Appl Microbiol Biotechnol. 2021 Jan;105(2):441-455
pubmed: 33394144
BMC Public Health. 2021 Oct 25;21(1):1936
pubmed: 34696767
Am J Emerg Med. 2020 Jul;38(7):1504-1507
pubmed: 32317203
BMJ. 1999 Oct 16;319(7216):1060-2
pubmed: 10521206
Death Stud. 2022;46(7):1667-1677
pubmed: 33040716
Notf Rett Med. 2022;25(5):341-347
pubmed: 33903799
Wien Klin Wochenschr. 2020 Jul;132(13-14):356-361
pubmed: 32435867
Notf Rett Med. 2021;24(6):943-952
pubmed: 32837303
Front Public Health. 2020 Jul 21;8:406
pubmed: 32793544
MMWR Morb Mortal Wkly Rep. 2020 Jun 12;69(23):699-704
pubmed: 32525856
Telemed J E Health. 2020 Aug;26(8):973-975
pubmed: 32324109
Osong Public Health Res Perspect. 2020 Aug;11(4):209-215
pubmed: 32864312
Int J Environ Res Public Health. 2021 Aug 15;18(16):
pubmed: 34444377
Am J Respir Crit Care Med. 2021 Jan 1;203(1):24-36
pubmed: 33146552
BMC Geriatr. 2020 Mar 30;20(1):123
pubmed: 32228462
Clin Rev Allergy Immunol. 2023 Feb;64(1):90-107
pubmed: 35044620