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dc.contributor.authorBennett, Holly
dc.contributor.authorNorton, Sam
dc.contributor.authorBunn, Frances
dc.contributor.authorRobinson, Louise
dc.contributor.authorRait, Greta
dc.contributor.authorGoodman, Claire
dc.contributor.authorBrayne, Carol
dc.contributor.authorMatthews, Fiona
dc.date.accessioned2018-10-04T01:08:22Z
dc.date.available2018-10-04T01:08:22Z
dc.date.issued2018-07-24
dc.identifier.citationBennett , H , Norton , S , Bunn , F , Robinson , L , Rait , G , Goodman , C , Brayne , C & Matthews , F 2018 , ' The impact of dementia on service use by individuals with a comorbid health condition: a comparison of two cross-sectional analyses conducted approximately ten-years apart ' , BMC Medicine , vol. 16 , 114 . https://doi.org/10.1186/s12916-018-1105-8
dc.identifier.issn1741-7015
dc.identifier.otherORCID: /0000-0002-5885-918X/work/62749062
dc.identifier.otherORCID: /0000-0002-8938-4893/work/62749728
dc.identifier.urihttp://hdl.handle.net/2299/20683
dc.description.abstractBackground The presence of concomitant medical conditions in people with dementia is common. Dementia may be related to differential use of health, social and informal care. Methods Data from two large UK population-based studies (CFAS I & II) of adults aged 65 years and older were analysed using logistic regression for binary outcomes and Poisson regression for count outcomes to look at differences in non-dementia service use by those with dementia and a health condition in comparison to those with the health condition alone. Results A total of 1619 individuals from CFAS I and 3805 individuals from CFAS II over the age of 75 years were included in this analysis. The presence of dementia and either stroke, diabetes or visual impairment tended to increase the likelihood of a range of different services being used over having any of the health conditions alone. There has been a shift to the use of unpaid care over time. There is now increased use of unpaid care from friends and family by those with dementia and another health condition in comparison to the health condition alone. Conclusions Either due to the decrease in care home spaces or affordability, people with dementia are now relying on unpaid care more than people with other long-term health conditions.en
dc.format.extent590579
dc.format.extent590579
dc.language.isoeng
dc.relation.ispartofBMC Medicine
dc.subjectCare
dc.subjectChange over time
dc.subjectCo-morbidity
dc.subjectDementia
dc.subjectProspective Studies
dc.subjectCross-Sectional Studies
dc.subjectHumans
dc.subjectAged, 80 and over
dc.subjectFemale
dc.subjectMale
dc.subjectAged
dc.subjectDementia/psychology
dc.subjectMedicine(all)
dc.titleThe impact of dementia on service use by individuals with a comorbid health condition: a comparison of two cross-sectional analyses conducted approximately ten-years aparten
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionEvidence Based Practice
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85050333232&partnerID=8YFLogxK
rioxxterms.versionofrecord10.1186/s12916-018-1105-8
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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