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Urban and rural differences in risk of admission to a care home: a census-based follow-up study

McCann, Mark, Grundy, Emily and O’Reilly, Dermot (2014) Urban and rural differences in risk of admission to a care home: a census-based follow-up study. Health and Place, 30. pp. 171-176. ISSN 1353-8292

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Identification Number: 10.1016/j.healthplace.2014.09.009


Research on admissions to care homes for older people has paid more attention to individual and social characteristics than to geographical factors. This paper considers rural–urban differences in household composition and admission rates. Cohort: 51,619 people aged 65 years or older at the time of the 2001 Census and not living in a care home, drawn from a data linkage study based on c.28% of the Northern Ireland population. Living alone was less common in rural areas; 25% of older people in rural areas lived with children compared to 18% in urban areas. Care home admission was more common in urban (4.7%) and intermediate (4.3%) areas than in rural areas (3.2%). Even after adjusting for age, sex, health and living arrangements, the rate of care home admission in rural areas was still only 75% of that in urban areas. People in rural areas experience better family support by living as part of two or three generation households. Even after accounting for this difference, older rural dwellers are less likely to enter care homes; suggesting that neighbours and relatives in rural areas provide more informal care; or that there may be differential deployment of formal home care services.

Item Type: Article
Official URL:
Additional Information: © 2014 Elsevier B.V.
Divisions: Social Policy
Lifecourse, Ageing & Population Health
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 12 Nov 2014 10:00
Last Modified: 20 Sep 2021 02:05
Projects: Northern Ireland Longitudinal Study (NILS)
Funders: Health and Social Care Research and Development Division of the Public Health Agency (HSC R&D Division), Northern Ireland Statistics and Research Agency (NISRA), Economic and Social Research Council, Northern Ireland Government

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