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Disability and home care dynamics among older unmarried Americans
Author(s)Vicki A Freedman, Hakan Aykan, Douglas A Wolf
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 59B, no 1, January 2004
Pagespp S25-S33
Sourcehttp://www.geron.org
KeywordsPhysical disabilities ; Single persons ; Informal care ; Home care services ; Longitudinal surveys ; United States of America.
AnnotationUsing a sample of older Americans from the AHEAD (Asset and Health Dynamics Among the Oldest Old) study, the authors examine changes to total hours, paid hours and unpaid hours of care in response to decline and improvements in personal care (activities of daily living, or ADLs) and routine care (instrumental ADLs or IADLs) disability. They use Tobit models to model changes in the total hours of care received in the previous month, and changes in paid and unpaid hours. Changes in the total hours of care received respond to both increases and decreases in the count of ADL limitations. Although increases in the count of IADL limitations are met with substantial increases in the total hours of care, diseases are not met with correspondingly large declines in care. The same general picture is found for unpaid and paid care, and for Medicaid-funded home care. Disability and care are not static constructs in old age. Older unmarried people experienced worsening, stabilising and recovery of function, and their care hours change accordingly. Evaluations of home care programmes need to recognise these realities. (RH).
Accession NumberCPA-040705210 A
ClassmarkBN: SQ: P6: NH: 3J: 7T

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