April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Utilization of home care services by Canadian elderly with and without uncorrectable vision loss
Author Affiliations & Notes
  • Lina Chen
    University of Toronto, Toronto, ON, Canada
  • Graham Eric Trope
    University of Toronto, Toronto, ON, Canada
    University Health Network, Toronto, ON, Canada
  • Yvonne M Buys
    University of Toronto, Toronto, ON, Canada
    University Health Network, Toronto, ON, Canada
  • Yaping Jin
    University of Toronto, Toronto, ON, Canada
    Dalla Lana School of Public Health, Toronto, ON, Canada
  • Footnotes
    Commercial Relationships Lina Chen, None; Graham Trope, None; Yvonne Buys, None; Yaping Jin, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2680. doi:
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      Lina Chen, Graham Eric Trope, Yvonne M Buys, Yaping Jin; Utilization of home care services by Canadian elderly with and without uncorrectable vision loss. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2680.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To describe patterns of utilization of home care services among Canadian elderly with and without uncorrectable vision loss (i.e. unable to see close or distance with eyeglasses)

Methods: We analyzed self-reported data on utilization of home care services provided by professionals (excluding family or friends) in the Canadian Community Health Survey Health Aging 2008/2009. White respondents aged 65+ were included (n=14,925). The utilization of home care services by the elderly with and without uncorrectable vision loss was compared using prevalence ratio (PR) and 95% confidence intervals (CI).

Results: The utilization of home care services was 32.0% in the elderly with uncorrectable vision loss vs 10.8% (p<0.05) in those without uncorrectable vision loss. Higher levels of utilization were also found in people aged 75+ (18.7%) vs those aged 65-74 (5.7%, p<0.05), in females (14.2%) than males (8.3%, p<0.05), in elderly without a spouse/partner (18.6%) vs those with (7.8%, p<0.05), and in people with household income distribution under 20% (14.7% ) vs those with income distribution over 50% (9.8%, p<0.05). Adjusting for confounding effects, seniors with uncorrectable vision loss were 2 times more likely than those without uncorrectable vision loss to utilize professional home care services (PR 2.0, 95% CI 1.7-2.4). The top three activities requiring most assistance by the elderly with uncorrectable vision loss were personal care such as assistance with eating or bathing (35.8%), help with housework or home maintenance (33.9%), and medical care (13.9%). The commonest home care assistance required mostly by people without uncorrectable vision loss was housework or home maintenance (33.9%), medical care (23.6%) and personal care (19.8%).Transportation assistance e.g. trips to the doctor was reported by only a few participants in people with and without uncorrectable vision loss. Of the 8 functional health limitations examined by the survey, the level of utilization of home care services by people with uncorrectable vision loss (32.0%) was second only to that by individuals with mobility trouble (40.7%).

Conclusions: The utilization of professional home care services among people with uncorrectable vision loss was high. Seniors with uncorrectable vision loss were twice as likely as those without uncorrectable vision loss to use professional home care services.

Keywords: 460 clinical (human) or epidemiologic studies: health care delivery/economics/manpower • 463 clinical (human) or epidemiologic studies: prevalence/incidence • 413 aging  
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