The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians

Introduction Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and o...

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Main Authors: Tiffany K Gill, Steve Wesselingh, Maria C Inacio
Format: Article
Language:English
Published: Swansea University 2020-12-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/1615
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spelling doaj-22c92cc50c59413db0c64d33449b5b862021-02-10T16:41:54ZengSwansea UniversityInternational Journal of Population Data Science2399-49082020-12-015510.23889/ijpds.v5i5.1615The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older AustraliansTiffany K Gill0Steve Wesselingh1Maria C Inacio2The University of Adelaide and South Australian Health and Medical Research Institute, Adelaide, AustraliaSouth Australian Health and Medical Research Institute, Adelaide, AustraliaSouth Australian Health and Medical Research Institute and University of South Australia, Adelaide, Australia Introduction Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care. Objectives and Approach The objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined. Results 401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care. Conclusion / Implications Compared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear. https://ijpds.org/article/view/1615
collection DOAJ
language English
format Article
sources DOAJ
author Tiffany K Gill
Steve Wesselingh
Maria C Inacio
spellingShingle Tiffany K Gill
Steve Wesselingh
Maria C Inacio
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
International Journal of Population Data Science
author_facet Tiffany K Gill
Steve Wesselingh
Maria C Inacio
author_sort Tiffany K Gill
title The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
title_short The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
title_full The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
title_fullStr The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
title_full_unstemmed The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
title_sort impact of musculoskeletal conditions on assessed levels of care required by older australians
publisher Swansea University
series International Journal of Population Data Science
issn 2399-4908
publishDate 2020-12-01
description Introduction Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care. Objectives and Approach The objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined. Results 401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care. Conclusion / Implications Compared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear.
url https://ijpds.org/article/view/1615
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