Abstract：
OBJECTIVES:To understand whether disability trajectories mediated the association between sociodemographic characteristics and later health care and long-term care services use. METHODS:Data were from the Taiwan Longitudinal Study on Aging Survey, 1996-2007 (N =3429). Latent class growth curves modeling and structural equation modeling were applied to examine the effect of disability trajectory as mediator on sociodemographic characteristics and on later services use. RESULTS:Respondents were identified in three trajectories: maintained disability (1.92%), progressive disability (10.56%), and functional independence trajectories (87.52%). The progressive disability trajectory partially and fully mediated the effects of age on later use of health care and long-term care services (the partially mediating effect on age and long-term care service use: β = 0.047, p < 0.001, for example). With the progressive disability trajectory in the model, higher education had a direct effect on greater use of long-term care services (β = 0.020, p =0.020), but through the mediating effect of the disability trajectory, education had an indirect effect on lower use of long-term care services(β = -0.025, p < 0.001). Education had fully mediating effects on the later use of inpatient (β = -0.016, p < 0.001) and emergency services (β= -0.012, p < 0.001). CONCLUSIONS:Preventing older adults from developing a fast-growing disability trajectory could be an effective way to decrease use of health care and long-term care services and related expenditures in late life.
journal_name
Arch Gerontol Geriatrjournal_title
Archives of gerontology and geriatricsauthors
Yu HW,Tu YK,Chen YMdoi
10.1016/j.archger.2019.01.019subject
Has Abstractpub_date
2019-01-01 00:00:00pages
161-166eissn
0167-4943issn
1872-6976pii
S0167-4943(19)30015-9journal_volume
82pub_type
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journal_title：Archives of gerontology and geriatrics
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