title: Determinants of long-term care services among the elderly: a population-based study in Taiwan.
abstract: OBJECTIVE
  The aim of the study was to investigate determinants of long-term care use and to clarify the differing characteristics of home/community-based and institution-based services users.
  
  
  METHODS
  Cross-sectional, population-based study.
  
  
  METHODS
  Utilizing data from the 2005 National Health Interview Survey conducted in Taiwan.
  
  
  METHODS
  A national sample of 2,608 people (1,312 men, 1,296 women) aged 65 and older.
  
  
  METHODS
  The utilization of long-term care services (both home/community- and institution-based services) was measured. A χ(2) analysis tested differences in baseline characteristics between home/community-based and institution-based long-term care users. The multiple-logistic model was adopted with a hierarchical approach adding the Andersen model's predisposing, enabling, and need factors sequentially. Multiple logistic models further stratified data by gender and age.
  
  
  RESULTS
  Compared with users of home/community-based care, those using institution-based care had less education (p = 0.019), greater likelihood of being single (p = 0.001), fewer family members (p = 0.002), higher prevalence of stool incontinence (p = 0.011) and dementia (P = .025), and greater disability (p = 0.016). After adjustment, age (compared with 65-69 years; 75-79 years, odds ratio [OR] = 2.08, p = 0.044; age ≥80, OR = 3.30, p = 0.002), being single (OR = 2.16, p = 0.006), urban living (OR = 1.68, p = 0.037), stroke (OR = 2.08, p = 0.015), dementia (OR = 2.32, p = 0.007), 1-3 items of activities of daily living (ADL) disability (OR = 5.56, p<0.001), and 4-6 items of ADL disability (OR = 21.57, p<0.001) were significantly associated with long-term care use.
  
  
  CONCLUSIONS
  Age, single marital status, stroke, dementia, and ADL disability are predictive factors for long-term care use. The utilization was directly proportional to the level of disability.
authors.affiliation: Institute of Public Health, National Yang-Ming University, Taipei, Taiwan ; Department of Dermatology, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan.
authors.forename: Chen-Yi
authors.initials: CY
authors.lastname: Wu
authors.affiliation: Institute of Public Health, National Yang-Ming University, Taipei, Taiwan ; Department of Education and Research, Taipei City Hospital, Taipei, Taiwan.
authors.forename: Hsiao-Yun
authors.initials: HY
authors.lastname: Hu
authors.affiliation: Department of Education and Research, Taipei City Hospital, Taipei, Taiwan ; Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Nicole
authors.initials: N
authors.lastname: Huang
authors.affiliation: Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan ; Universal Eye Center, Taoyuan Branch, Taiwan.
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Fang
authors.affiliation: Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Yiing-Jeng
authors.initials: YJ
authors.lastname: Chou
authors.affiliation: Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan ; National Yang-Ming University School of Medicine, Taipei, Taiwan.
authors.forename: Chung-Pin
authors.initials: CP
authors.lastname: Li
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006699:Home Care Services / Q000592:standards / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000592:standards; D006801:Humans; D016015:Logistic Models; D008134:Long-Term Care / Q000379:methods* / Q000706:statistics & numerical data*; D008297:Male; D009735:Nursing Homes / Q000592:standards / Q000706:statistics & numerical data*; D016017:Odds Ratio; D013624:Taiwan