Predictive factors for entry to long-term residential care in octogenarian Māori and non-Māori in New Zealand, LiLACS NZ cohort

Show simple item record Holdaway, Marycarol Wiles, Janine Kerse, Ngaire Wu, Zhenqiang Moyes, Simon Connolly, Martin J Menzies, Oliver Teh, Ruth Muru-Lanning, Marama Gott, Merryn Broad, Joanna B 2021-02-16T21:22:45Z 2021-02-16T21:22:45Z 2021-12
dc.identifier.citation BMC public health 21(1):34 06 Jan 2021
dc.description.abstract <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Long-term residential care (LTC) supports the most vulnerable and is increasingly relevant with demographic ageing. This study aims to describe entry to LTC and identify predictive factors for older Māori (indigenous people of New Zealand) and non-Māori.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>LiLACS-NZ cohort project recruited Māori and non-Māori octogenarians resident in a defined geographical area in 2010. This study used multivariable log-binomial regressions to assess factors associated with subsequent entry to LTC including: self-identified ethnicity, demographic characteristics, self-rated health, depressive symptoms and activities of daily living [ADL] as recorded at baseline. LTC entry was identified from: place of residence at LiLACS-NZ interviews, LTC subsidy, needs assessment conducted in LTC, hospital discharge to LTC, and place of death.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Of 937 surveyed at baseline (421 Māori, 516 non-Māori), 77 already in LTC were excluded, leaving 860 participants (mean age 82.6 +/− 2.71 years Māori, 84.6 +/− 0.52 years non-Māori). Over a mean follow-up of 4.9 years, 278 (41% of non-Māori, 22% of Māori) entered LTC; of the 582 who did not, 323 (55%) were still living and may yet enter LTC. In a model including both Māori and non-Māori, independent risks factors for LTC entry were: living alone (RR = 1.52, 95%CI:1.15–2.02), self-rated health poor/fair compared to very good/excellent (RR = 1.40, 95%CI:1.12–1.77), depressive symptoms (RR = 1.28, 95%CI:1.05–1.56) and more dependent ADLs (RR = 1.09, 95%CI:1.05–1.13). For non-Māori compared to Māori the RR was 1.77 (95%CI:1.39–2.23). In a Māori-only model, predictive factors were older age and living alone. For non-Māori, factors were dependence in more ADLs and poor/fair self-rated health.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Non-Māori participants (predominantly European) entered LTC at almost twice the rate of Māori. Factors differed between Māori and non-Māori. Potentially, the needs, preferences, expectations and/or values may differ correspondingly. Research with different cultural/ethnic groups is required to determine how these differences should inform service development.</jats:p> </jats:sec>
dc.language en
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartofseries BMC Public Health
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.subject 1117 Public Health and Health Services
dc.title Predictive factors for entry to long-term residential care in octogenarian Māori and non-Māori in New Zealand, LiLACS NZ cohort
dc.type Journal Article
dc.identifier.doi 10.1186/s12889-020-09786-z
pubs.issue 1
pubs.volume 21 2021-01-07T20:40:51Z
dc.rights.holder Copyright: The authors en
pubs.publication-status Published online
dc.rights.accessrights en
pubs.elements-id 834000
dc.identifier.eissn 1471-2458
pubs.number 34 2021-1-6

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