A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Physical and mental functioning trajectory classes among older adults and their association with specialized healthcare use (2023)
Ikonen, J. N., Törmäkangas, T., von Bonsdorff, M. B., Mikkola, T. M., Eriksson, J. G., & Haapanen, M. J. (2023). Physical and mental functioning trajectory classes among older adults and their association with specialized healthcare use. BMC Geriatrics, 23, Article 448. https://doi.org/10.1186/s12877-023-04157-w
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Ikonen, Jenni N.; Törmäkangas, Timo; von Bonsdorff, Mikaela B.; Mikkola, Tuija M.; Eriksson, Johan G.; Haapanen, Markus J.
Lehti tai sarja: BMC Geriatrics
eISSN: 1471-2318
Julkaisuvuosi: 2023
Ilmestymispäivä: 21.07.2023
Volyymi: 23
Artikkelinumero: 448
Kustantaja: Biomed Central
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1186/s12877-023-04157-w
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/88623
Tiivistelmä
Sex-specific physical and mental functioning trajectory classification could offer a way of understanding the differences in healthcare use at older age.
Methods
Using latent growth mixture models, sex-specific physical and mental functioning trajectory classes were formed for 1991 participants (mean age 61.5 years) of the Helsinki Birth Cohort Study. Physical and mental functioning were evaluated with the SF-36 survey conducted in clinical examinations in 2001–2004, 2011–2013, and 2017–2018. First and follow-up outpatient visits, emergency visits, and hospital days were extracted from a national register between the first clinical examination and the year 2017. We used regression models to examine the associations between healthcare use and trajectory classes.
Results
Two physical and mental functioning trajectory classes, high and intermediate, were observed for both sexes. The intermediate physical functioning trajectory class was associated with higher utilization rates of all examined specialized healthcare services (fully-adjusted IRRs varying 1.36–1.58; 95% CI = 1.03–1.79, 95% CI = 1.21–2.05) compared to the high trajectory class. Relative to the high trajectory class, the intermediate mental trajectory class was associated with the use of first outpatient visits (fully-adjusted IRRs 1.17, 95% CI = 1.03–1.33 for men, and 1.16, 95% CI = 1.04–1.30 for women). The findings were similar among both sexes.
Conclusions
Compared to the high trajectory class, the intermediate physical functioning trajectory class was associated with greater specialized healthcare use and the intermediate mental trajectory class with first outpatient visits. Public health interventions should be considered to support functioning with aging.
YSO-asiasanat: erikoissairaanhoito; terveydenhuolto; ikääntyminen; ikääntyneet; palvelut
Vapaat asiasanat: growth mixture model; hospital service; health service
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2023
JUFO-taso: 2
