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Life expectancy in long-term institutional care by marital status: multistate life table estimates for older Finnish men and women

Martikainen, Pekka, Moustgaard, Heta, Einiö, Elina K. and Murphy, Michael J. (2014) Life expectancy in long-term institutional care by marital status: multistate life table estimates for older Finnish men and women. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69 (2). pp. 303-310. ISSN 1079-5014

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Abstract

Objectives.We estimate (a) probabilities of moving to and from long-Term institutional care and probabilities of death and (b) life expectancy in the community and in care by gender and marital status.Method.A 40% random sample of Finns aged 65+ at the end of 1997 (n = 301,263) drawn from the population register was linked with register-based information on sociodemographic characteristics, entry and exit dates for long-Term institutional care, and dates of death in 1998-2003. Probabilities and life expectancies were estimated using multistate life tables.Results.At age 65, women are expected to spend more of their remaining lifetime in institutions than men (1.6 and 0.7 years, respectively). These care expectancies remain similar even for survivors to very advanced ages. Gender differences are driven by women's higher chances of entering institutions at ages above 80 years and lower chances of exit. At age 65, 59% of women and 36% of men will ever enter long-Term institutions. The married spend less of their longer life expectancy in institutions than the non-married. The large gender difference in care use exists within each marital status group.Discussion.The resources that are needed to provide long-Term care services will increase as age of death increases. We demonstrate significantly longer care expectancy among women and among the unmarried.

Item Type: Article
Official URL: http://psychsocgerontology.oxfordjournals.org/
Additional Information: © 2014 The Authors
Library of Congress subject classification: H Social Sciences > HN Social history and conditions. Social problems. Social reform
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Sets: Research centres and groups > LSE Health and Social Care
Research centres and groups > LSE Health
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Funders: Academy of Finland, Economic and Social Research Council project Modeling Needs and Resources of Older People to 2030
Projects: 1129888 to P. Martikainen, RES-339-25-0002 to M. Murphy
Date Deposited: 11 Mar 2014 12:55
URL: http://eprints.lse.ac.uk/56038/

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