Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-27T15:29:39.850Z Has data issue: false hasContentIssue false
  • English
  • Français

Changes Over Time in Long-Term Care Use, ADL and IADL Among the Oldest-Old Participants of the Aging in Manitoba Longitudinal Study

Published online by Cambridge University Press:  29 November 2010

Marcia Finlayson  and
Betty Havens
Marcia Finlayson
Affiliation:
University of Illinois at Chicago
Betty Havens
Affiliation:
University of Manitoba
Get access Rights & Permissions [Opens in a new window]

Résumé

Vers 2031, les personnes les plus âgées (85 ans et plus) pourraient composer 4 pourcent de la population totale du Canada. Ce document relève les changements constates dans le domaine de l'utilisation des soins de longue durée, des activités de la vie quotidienne (AVQ) et des activités instrumentales de la vie quotidienne (ATVQ) chez les participants les plus âgés du Aging in Manitoba Longitudinal Study, d'après trois éléments répartis sur 13 ans. Parmi les participants, 38,4 pour cent n'avaient pas eu recours aux soins de longue durée pendant la période examinée; entre 75 et 88 pour cent des participants pouvaient continuer à manger, à se déplacer dans leur maison et à se mettre au lit et à en sortir sans aide. En ce qui a trait aux activités instrumentales de la vie quotidienne, la proportion des gens qui n'avait pas besoin d'aide allait de 3 pour cent (réparations dans la maison) à 58 pour cent (se préparer une tasse de thé ou de café). Les résultats de ces analyses signalent l'hétérogénéité des aptitudes fonctionnelles des personnes très âgées et viennent enrichir la documentation portant sur cette tranche de la population.

Keywords

Oldest-oldLongitudinal StudyADLIADLLong-Term CarePersonnes plus âgéesétude longitudinaleAVQATVQsoins de longue durée
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 2 , Été/Summer 2001 , pp. 271 - 290
Copyright
Copyright © Canadian Association on Gerontology 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allison, P.D. (1984). Event history analysis: Regression for longitudinal event data. Newbury Park: Sage Publications.CrossRefGoogle Scholar
Barer, B.M. (1994). Men and women aging differently. International Journal of Aging and Human Development, 38(1), 29–40.CrossRefGoogle ScholarPubMed
Béland, F., & Zunkunegui, M.V. (1999). Predictors of functional status in older people living at home. Age and Ageing, 28, 153–159.CrossRefGoogle ScholarPubMed
Bould, S., Smith, M.H., & Longino, C.F. (1998). Ability, disability and the oldestold. Journal of Aging and Social Policy, 5(1), 13–31.Google Scholar
Branch, L.G., Katz, S., Kniepmann, K., & Papsidero, J. (1984). A prospective study of functional status among community elders. American Journal of Public Health, 74(3), 266–268.CrossRefGoogle ScholarPubMed
Branch, L.G., & Ku, L. (1989). Transition probabilities to dependency, institutionalization, and death among the elderly over a decade. Journal of Aging and Health, 1(3), 370–108.CrossRefGoogle Scholar
Camacho, T.C., Strawbridge, W.J., Cohen, R., & Kaplan, G.A. (1993). Functional ability in the oldest old. Journal of Aging and Health, 5(4), 439–454.CrossRefGoogle Scholar
Centre on Aging. (1996). Manitoba fact book on aging. Winnipeg, MB: Centre on Aging, University of Manitoba.Google Scholar
Chappell, N.L. (1981). Measuring functional ability and chronic health conditions among the elderly: A research note on the adequacy of three instruments. Journal of Health and Social Behavior, 22, 90–102.CrossRefGoogle ScholarPubMed
Chipperfield, J.G., Havens, B., & Doig, W. (1997). Method and description of the Aging in Manitoba Project: A 20-year longitudinal study. Canadian Journal on Aging, 16(4), 606–625.CrossRefGoogle Scholar
Clayton, G.M., Dudley, W.N., Patterson, W.D., & Lawhorn, L.A. (1994). The influence of rural/urban residence on health in the oldest-old. International Journal on Aging and Human Development, 38(1), 65–89.CrossRefGoogle ScholarPubMed
Cohen, M.A., Tell, E.J., & Wallack, S.S. (1986). Client-related risk factors of nursing home entry among elderly adults. Journal of Gerontology, 41(6), 785–792.CrossRefGoogle ScholarPubMed
Coughlin, T.A., McBride, T.D., & Liu, K. (1990). Determinants of transitory and permanent nursing home admissions. Medical Care, 28(1), 616–631.CrossRefGoogle ScholarPubMed
Crimmins, E., & Saito, Y. (1993). Getting better and getting worse. Journal of Aging and Health, 5(1), 3–36.CrossRefGoogle Scholar
Department of Health. (1990). Aging in Manitoba — 1983/84. Winnipeg, MB: Province of Manitoba.Google Scholar
Division of Research. (1973). Aging in Manitoba: A study of the needs of the elderly and of resources available to meet need. Winnipeg, MB: Department of Health and Social Development, Province of Manitoba.Google Scholar
Dominion Bureau of Statistics. (1927). Census of Manitoba, 1926: Population and agriculture. Ottawa, ON: F.A. Acland.Google Scholar
Dontas, A.S., Toupadaki, N., Tzonou, A., & Kasviki-Charvati, P. (1996). Survival in the oldest-old: Death risk factors in old and very old subjects. Journal of Aging and Health, 8(2), 220–237.CrossRefGoogle ScholarPubMed
Finlayson, M., & Havens, B. (1999). Profiles of change and stability: The oldest survivors of the Aging in Manitoba Longitudinal Study [Abstract]. Official Program of the 28th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology p. 72.Google Scholar
Gitlin, L.N., Schemm, R.L., Landsberg, L., & Burgh, D. (1996). Factors predicting assistive device use in the home by older people following rehabilitation. Journal of Aging and Health, 8(4), 554–575.CrossRefGoogle ScholarPubMed
Grabbe, L., Demi, A.S., Whittington, F., Jones, J.M., Branch, L.G., & Lambert, R. (1995). Functional status and the use of formal home care in the year before death. Journal of Aging and Health, 7(3), 339–365.CrossRefGoogle ScholarPubMed
Hall, M.K., & Havens, B. (1997). Aging in Manitoba Study 1996: A twenty-five year longitudinal study. Technical Report. Winnipeg, MB: Aging in Manitoba Longitudinal Study.Google Scholar
Havens, B. (1984). Individual needs and community resources. In Mangen, D.J. & Peterson, W.A. (Eds.), Research instruments in social gerontology, Volume 3 (pp. 137–147). Minneapolis, MN: University of Minnesota Press.Google Scholar
Havens, B., & Finlayson, M. (1999). Canada's oldest-old: The Survey of Ageing and Independence. Ottawa, ON: Seniors' Directorate, Health Canada.Google Scholar
Hébert, R., Brayne, C., & Spiegelhalter, D. (1997). Incidence of functional decline and improvement in a community dwelling, very elderly population. American Journal of Epidemiology, 145(10), 935–944.CrossRefGoogle Scholar
Johnson, C., & Barer, B.M. (1997). Life beyond 85 years: The aura of survivorship. New York, NY: Springer Publishing Company.Google Scholar
Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A., & Jaffe, M.W. (1963). Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185(12), 914–919.CrossRefGoogle Scholar
Lawton, M.P., & Brody, E.M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.CrossRefGoogle ScholarPubMed
Marshall, V.W., McMullin, J.A., Ballantyne, P., Daciuk, J.F., & Wigdor, B.T. (1991). Summary: Contributions to independence over the adult life course. Toronto, ON: Seniors Independence Research Program, Human Resources Development Canada.Google Scholar
Menard, S. (1991). Longitudinal research. Newbury Park, CA: Sage Publications.Google Scholar
Minister of Industry. (1997). Aportrait of seniors in Canada. Ottawa, ON: Minister Responsible for Statistics Canada.Google Scholar
Moore, E.G., Rosenberg, M.W., & Fitzgibbon, S.H. (1999). Activity limitation and chronic conditions in Canada's elderly, 1986–2011. Disability and Rehabilition, 21(5/6), 196–210.CrossRefGoogle ScholarPubMed
Norland, J.A. (1994). Focus on Canada: Profile of Canada's seniors. Ottawa, ON: Statistics Canada.Google Scholar
Portney, L.G., & Watkins, M.P. (1993). Foundations of clinical research: Applications to practice. Norwalk, CT: Appleton & Lange.Google Scholar
Roos, N.P., & Havens, B. (1991). Predictors of successful aging: A twelve-year study of Manitoba elderly. American Journal of Public Health, 81(1), 63–68.CrossRefGoogle ScholarPubMed
Shahtahmasebi, S., Davies, R., & Wenger Clare, G. (1992). A longitudinal analysis of factors related to survival in old age. The Gerontologist, 32(3), 404–113.CrossRefGoogle ScholarPubMed
Shanas, E., Townsend, P., Wedderburn, D., Friis, D., Milhoj, P., & Stehauwer, J. (1968). Old people in three industrial societies. New York, NY: Atherton.Google Scholar
Shapiro, E. (1986). Patterns and predictors of home care use by the elderly when need is the sole basis for admission. Home Health Care Services Quarterly, 7(1), 29–44.CrossRefGoogle ScholarPubMed
Shapiro, E., & Tate, R.B. (1985). Predictors of long term care facility use among the elderly. Canadian Journal on Aging, 4(1), 11–19.CrossRefGoogle Scholar
SPSS for Windows, Version 9.0 [Computer Software]. (1998). Chicago, IL: SPSS, Inc.Google Scholar
SPSS, Inc. (1999). SPSS for Windows, Base System. Chicago, IL: SPSS, Inc.Google Scholar
Stokes, J., & Lindsay, J. (1996). Major causes of death and hospitalizations in Canadian seniors. Chronic Diseases in Canada, 17(2), 63–73.Google ScholarPubMed
Suzman, R.M., Willis, D.P., & Manton, KG. (1992). The oldest-old. New York, NY: Oxford University Press.CrossRefGoogle Scholar
Taeuber, C.M., & Rosenwaike, I. (1992). A demographic portrait of America's oldest-old. In Suzman, R.M., Willis, D.P., & Manton, K.G. (Eds.), The oldest-old (pp. 17–49). New York, NY: Oxford University Press.Google Scholar
Verbrugge, L.M. (1989). Gender, aging, and health. In Markides, KS. (Ed.), Aging and health (pp. 23–77). Newbury Park, CA: Sage Publications.Google Scholar
Wolinsky, F.D. (1997). Approaches to measuring functional status in the elderly: Theoretical, methodological, and measurement considerations [Abstract]. The Gerontologist, 37, 64.Google Scholar
Yamaguchi, K (1991). Event history analysis. Newbury Park, CA: Sage Publications.Google Scholar
Zarit, S.H., Johansson, B., & Berg, S. (1993). Functional impairment and co-disability in the oldest-old. Journal of Aging and Health, 5(3), 291–305.CrossRefGoogle Scholar
Zarit, S.H., Johansson, B., & Malmberg, B. (1995). Changes in functional competency in the oldest old. Journal of Aging and Health, 7(1), 3–23.CrossRefGoogle ScholarPubMed