Is use of formal community services by older women related to changes in their informal care arrangements?

McKenzie, Samantha J., Lucke, Jayne C., Hockey, Richard L., Dobson, Annette J. and Tooth, Leigh R. (2012) Is use of formal community services by older women related to changes in their informal care arrangements?. Ageing and Society, 1-20. doi:10.1017/S0144686X12000992

Author McKenzie, Samantha J.
Lucke, Jayne C.
Hockey, Richard L.
Dobson, Annette J.
Tooth, Leigh R.
Title Is use of formal community services by older women related to changes in their informal care arrangements?
Journal name Ageing and Society   Check publisher's open access policy
ISSN 0144-686X
Publication date 2012-09-28
Year available 2012
Sub-type Article (original research)
DOI 10.1017/S0144686X12000992
Start page 1
End page 20
Total pages 20
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2013
Language eng
Abstract This paper examines how the relationships between the factors (predisposing, enabling and illness) of the 1973 Andersen framework and service use are influenced by changes in the caring role in older women of the 1921–26 cohort of the Australian Longitudinal Study on Women's Health. Outcome variables were the use of three formal community support services: (a) nursing or community health services, (b) home-making services and (c) home maintenance services. Predictor variables were survey wave and the following carer characteristics: level of education, country of birth, age, area of residence, ability to manage on income, need for care, sleep difficulty and changes in caring role. Carer changes were a significant predictor of formal service use. Their inclusion did not attenuate the relationship between the Andersen framework factors and service use, but instead provided a more complete representation of carers' situations. Women were more likely to have used support services if they had changed into or out of co-resident caring or continued to provide co-resident care for a frail, ill or disabled person, needed care themselves, and reported sleep difficulties compared with women who did not provide care. These findings are important because they indicate that support services are particularly relevant to women who are changing their caring role and who are themselves in need of care.
Keyword Australia
Changes in caring role
Use of community support services
Living arrangements
Older carers
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 28 September 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2013 Collection
School of Public Health Publications
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Created: Wed, 16 Jan 2013, 16:02:41 EST by Geraldine Fitzgerald on behalf of School of Public Health