Cargando…
Unmet care needs in the oldest old with social loss experiences: results of a representative survey
BACKGROUND: Loss experiences such as the loss of a spouse, a close relative or significant others become more likely in old age and may be strongly related to specific unmet health care needs. These unmet needs may often remain undetected and undertreated followed by a negative impact on well-being...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576733/ https://www.ncbi.nlm.nih.gov/pubmed/33081693 http://dx.doi.org/10.1186/s12877-020-01822-2 |
_version_ | 1783598072535711744 |
---|---|
author | Stein, Janine Löbner, Margrit Pabst, Alexander König, Hans-Helmut Riedel-Heller, Steffi G. |
author_facet | Stein, Janine Löbner, Margrit Pabst, Alexander König, Hans-Helmut Riedel-Heller, Steffi G. |
author_sort | Stein, Janine |
collection | PubMed |
description | BACKGROUND: Loss experiences such as the loss of a spouse, a close relative or significant others become more likely in old age and may be strongly related to specific unmet health care needs. These unmet needs may often remain undetected and undertreated followed by a negative impact on well-being and social role functioning. The present study aims at exploring the relationship between loss experiences and specific unmet care needs in old age. METHODS: As part of the study „Need assessment in the oldest old: application, psychometric examination and establishment of the German version of the Camberwell Assessment of Need for the Elderly (CANE)”, the adapted German version of the CANE was used in a population-representative telephone survey in a sample of 988 individuals aged 75+ years. Loss experiences within the last 12 months were assessed within the structured telephone survey. Descriptive and interferential statistical analyses were run in order to examine the association between loss experiences and occurring unmet care needs. RESULTS: Overall, 29.7% of the oldest old reported at least one social loss with other relatives losses being the most frequent (12.5%), followed by non-family losses (10.7%). A significant relationship between loss experiences and a higher number of unmet care needs was observed, especially for close family losses. Other risk factors for unmet care needs were age, marital status, depression, social support and morbidity. CONCLUSIONS: This study provides, for the first time in Germany, data on the association between loss experiences and unmet needs. These findings may substantially contribute to the development of loss-specific interventions, effective treatment and health care planning for the bereaved elderly. |
format | Online Article Text |
id | pubmed-7576733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75767332020-10-21 Unmet care needs in the oldest old with social loss experiences: results of a representative survey Stein, Janine Löbner, Margrit Pabst, Alexander König, Hans-Helmut Riedel-Heller, Steffi G. BMC Geriatr Research Article BACKGROUND: Loss experiences such as the loss of a spouse, a close relative or significant others become more likely in old age and may be strongly related to specific unmet health care needs. These unmet needs may often remain undetected and undertreated followed by a negative impact on well-being and social role functioning. The present study aims at exploring the relationship between loss experiences and specific unmet care needs in old age. METHODS: As part of the study „Need assessment in the oldest old: application, psychometric examination and establishment of the German version of the Camberwell Assessment of Need for the Elderly (CANE)”, the adapted German version of the CANE was used in a population-representative telephone survey in a sample of 988 individuals aged 75+ years. Loss experiences within the last 12 months were assessed within the structured telephone survey. Descriptive and interferential statistical analyses were run in order to examine the association between loss experiences and occurring unmet care needs. RESULTS: Overall, 29.7% of the oldest old reported at least one social loss with other relatives losses being the most frequent (12.5%), followed by non-family losses (10.7%). A significant relationship between loss experiences and a higher number of unmet care needs was observed, especially for close family losses. Other risk factors for unmet care needs were age, marital status, depression, social support and morbidity. CONCLUSIONS: This study provides, for the first time in Germany, data on the association between loss experiences and unmet needs. These findings may substantially contribute to the development of loss-specific interventions, effective treatment and health care planning for the bereaved elderly. BioMed Central 2020-10-20 /pmc/articles/PMC7576733/ /pubmed/33081693 http://dx.doi.org/10.1186/s12877-020-01822-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Stein, Janine Löbner, Margrit Pabst, Alexander König, Hans-Helmut Riedel-Heller, Steffi G. Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title | Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title_full | Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title_fullStr | Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title_full_unstemmed | Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title_short | Unmet care needs in the oldest old with social loss experiences: results of a representative survey |
title_sort | unmet care needs in the oldest old with social loss experiences: results of a representative survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576733/ https://www.ncbi.nlm.nih.gov/pubmed/33081693 http://dx.doi.org/10.1186/s12877-020-01822-2 |
work_keys_str_mv | AT steinjanine unmetcareneedsintheoldestoldwithsociallossexperiencesresultsofarepresentativesurvey AT lobnermargrit unmetcareneedsintheoldestoldwithsociallossexperiencesresultsofarepresentativesurvey AT pabstalexander unmetcareneedsintheoldestoldwithsociallossexperiencesresultsofarepresentativesurvey AT konighanshelmut unmetcareneedsintheoldestoldwithsociallossexperiencesresultsofarepresentativesurvey AT riedelhellersteffig unmetcareneedsintheoldestoldwithsociallossexperiencesresultsofarepresentativesurvey |