Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing

Background and aim Unmet need for social care is linked to numerous adverse health outcomes. Understanding which unmet needs have the biggest impact on healthy ageing could help resource-stretched services prioritise care. To address this evidence gap, our analysis aimed to explore the association b...

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Main Authors: Barbara Hanratty, Gemma F Spiers, David Sinclair, Andrew Kingston, Michelle M C Tan, Laurie E Davies
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e084812.full
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author Barbara Hanratty
Gemma F Spiers
David Sinclair
Andrew Kingston
Michelle M C Tan
Laurie E Davies
author_facet Barbara Hanratty
Gemma F Spiers
David Sinclair
Andrew Kingston
Michelle M C Tan
Laurie E Davies
author_sort Barbara Hanratty
collection DOAJ
description Background and aim Unmet need for social care is linked to numerous adverse health outcomes. Understanding which unmet needs have the biggest impact on healthy ageing could help resource-stretched services prioritise care. To address this evidence gap, our analysis aimed to explore the association between selected individual unmet care needs and an indicator of healthy ageing.Design and data Cross-sectional analysis of data from the English Longitudinal Study of Ageing (Wave 9). A total of 6109 people aged 50 years or over, with complete data items, formed the basis for this analysis.Measures Absolute unmet need for help with each: walking 100 yards and climbing one flight of steps (mobility); managing money, managing medication, doing housework and shopping for groceries (instrumental activities of daily living (IADLs)); and dressing, walking across a room, bathing or showering, eating, using the toilet and getting in and out of bed (activities of daily living (ADLs)). Our outcome measure was poor self-rated health .Results Associations between poor self-rated health and most unmet ADL, IADL and mobility needs were not statistically significant. People with an unmet need for support with managing money were nine times more likely to report poor self-rated health than those whose support needs were met in this domain (OR=9.23, 95% CI: 2.12 to 40.23). In a comparison of people with met and unmet needs, individuals with met needs had higher levels of dependency than those with unmet needs.Conclusions Some unmet needs may be especially consequential for older people’s health. However, shortcomings in current data limit a clear and confident assessment of this. Our analysis highlights the importance of data on the level of need to better understand the link between unmet care needs and healthy ageing.
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spelling doaj-art-e26c4c1966f74e8f88e313b4611cd9cf2025-01-23T06:25:11ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-084812Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of AgeingBarbara Hanratty0Gemma F Spiers1David Sinclair2Andrew Kingston3Michelle M C Tan4Laurie E Davies5Newcastle University, Newcastle upon Tyne, UKNewcastle University, Newcastle upon Tyne, UKNewcastle University, Newcastle upon Tyne, UKNewcastle University, Newcastle upon Tyne, UKNewcastle University, Newcastle upon Tyne, UKNewcastle University, Newcastle upon Tyne, UKBackground and aim Unmet need for social care is linked to numerous adverse health outcomes. Understanding which unmet needs have the biggest impact on healthy ageing could help resource-stretched services prioritise care. To address this evidence gap, our analysis aimed to explore the association between selected individual unmet care needs and an indicator of healthy ageing.Design and data Cross-sectional analysis of data from the English Longitudinal Study of Ageing (Wave 9). A total of 6109 people aged 50 years or over, with complete data items, formed the basis for this analysis.Measures Absolute unmet need for help with each: walking 100 yards and climbing one flight of steps (mobility); managing money, managing medication, doing housework and shopping for groceries (instrumental activities of daily living (IADLs)); and dressing, walking across a room, bathing or showering, eating, using the toilet and getting in and out of bed (activities of daily living (ADLs)). Our outcome measure was poor self-rated health .Results Associations between poor self-rated health and most unmet ADL, IADL and mobility needs were not statistically significant. People with an unmet need for support with managing money were nine times more likely to report poor self-rated health than those whose support needs were met in this domain (OR=9.23, 95% CI: 2.12 to 40.23). In a comparison of people with met and unmet needs, individuals with met needs had higher levels of dependency than those with unmet needs.Conclusions Some unmet needs may be especially consequential for older people’s health. However, shortcomings in current data limit a clear and confident assessment of this. Our analysis highlights the importance of data on the level of need to better understand the link between unmet care needs and healthy ageing.https://bmjopen.bmj.com/content/15/1/e084812.full
spellingShingle Barbara Hanratty
Gemma F Spiers
David Sinclair
Andrew Kingston
Michelle M C Tan
Laurie E Davies
Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
BMJ Open
title Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
title_full Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
title_fullStr Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
title_full_unstemmed Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
title_short Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing
title_sort which unmet social care needs have the biggest impact on healthy ageing an analysis of data from the english longitudinal study of ageing
url https://bmjopen.bmj.com/content/15/1/e084812.full
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