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How does long-term care impact the psychological wellbeing of older adults in different care policy contexts in the Netherlands?: A comparison of 1998, 2008 and 2018
Department of Sociology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Sociology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID iD: 0000-0002-5289-3176
Department of Sociology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
2022 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 30, no 5, p. e2750-e2760Article in journal (Refereed) Published
Abstract [en]

Receipt of long-term care (LTC) is generally associated with worse psychological wellbeing for community-dwelling older adults. In addition to objective features of care use (e.g. formal vs. informal care), the subjective evaluation of care provision in terms of perceived sufficiency might be particularly predictive of one's wellbeing but is seldomly considered in the literature. Substantial changes in the availability of long-term care in past decades raise the question to what extent these effects, if present, are consistent over historic time. The present study, therefore, aims at better understanding the associations between types of LTC use and perceived care sufficiency on psychological wellbeing in a changing LTC context in the Netherlands. Data from the Longitudinal Aging Study Amsterdam (LASA) were used from three points in time: 1998 (N = 582), 2008 (N = 459) and 2018 (N = 415). At each wave, participants were between 75 and 85 years of age and living independently. The results show that after adjusting for age, gender, education and health, using formal LTC had a negative effect on depressive symptoms only in 2018, but that this effect was not significantly worse compared to previous cohorts. Perceived care sufficiency was consistently negatively associated with depressive symptoms in all three points in time. This suggests that despite a less generous Dutch LTC system, psychological wellbeing among LTC users remains stable. Perceiving care provision as sufficient, however, can help older adults maintain psychological wellbeing and should be considered by researchers and policymakers that aim to improve care recipients’ wellbeing. © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
John Wiley and Sons Inc , 2022. Vol. 30, no 5, p. e2750-e2760
Keywords [en]
depressive symptoms, informal care, long-term care, perceived care sufficiency, psychological wellbeing, unmet care needs, Aged, Humans, Independent Living, Longitudinal Studies, Netherlands, Policy, human, long term care, longitudinal study
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-209275DOI: 10.1111/hsc.13719ISI: 000743209000001Scopus ID: 2-s2.0-85122826571OAI: oai:DiVA.org:liu-209275DiVA, id: diva2:1911592
Available from: 2024-11-08 Created: 2024-11-08 Last updated: 2025-02-27Bibliographically approved

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Suanet, Bianca

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