1
|
Egashira Y, Kubota Y, Watanabe R. Factors Associated With the Suspension of Domiciliary Dental Care for Older Adults During the First Wave of the Coronavirus Disease 2019 (COVID-19) Pandemic: A Comparative Study in the Japanese Local Government. Cureus 2024; 16:e70376. [PMID: 39469408 PMCID: PMC11515946 DOI: 10.7759/cureus.70376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2024] [Indexed: 10/30/2024] Open
Abstract
Objective The novel coronavirus has reduced the availability of dental services, including domiciliary dental care. The suspension of dental treatment worsens the dental condition. However, the impact on domiciliary dental care during the coronavirus disease 2019 (COVID-19) pandemic remains unclear. Therefore, the aim of this study is to determine the impacts of the COVID-19 pandemic on domiciliary dental care and associated factors. Materials and methods This comparative study used Japanese prefectural claims data, including data from older adults who utilized domiciliary dental care. We compared the suspension of dental treatment during the firstwave of the COVID-19 pandemic with that before the COVID-19 pandemic. The outcome was the completion of four consecutive months of treatment. The chi-squared test, t-test, and logistic regression were applied. Result Approximately 23.4% of participants suspended home dental services during the first wave of the COVID-19 pandemic, whereas 11.7% suspended these services before COVID-19. Logistic regression clarified the effect of the following variables (during the first wave of COVID-19 vs. before COVID-19): care need level of long-term care was 1-5 (=severe) (odds ratio (OR): 0.92 vs. no significance (NS)), visit by hospital dentists (OR: 1.83 vs. NS), volume of patients in the visited place (2-9 people, OR: NS vs. 0.72; over 10 people, OR: 0.58 vs. 0.32), planned physicians' visit (OR: 0.71 vs. 0.77), and taxed income per population (OR: NS vs. 1.00). Discussion Domiciliary dental care, especially those in care facilities, were a vulnerable population during the pandemic. This may contribute to the delivery of domiciliary dental care during any future pandemics.
Collapse
Affiliation(s)
- Yuki Egashira
- School of Health Innovation, Kanagawa University of Human Services, Kanagawa, JPN
| | - Yu Kubota
- School of Health Innovation, Kanagawa University of Human Services, Kanagawa, JPN
| | - Ryo Watanabe
- School of Health Innovation, Kanagawa University of Human Services, Kanagawa, JPN
| |
Collapse
|
2
|
Zhang L, Shi K, Wang C, Li Z. Rural-urban disparities in the unmet need for home visiting services among oldest-old in China: Changes over time and decomposition analysis. Arch Gerontol Geriatr 2023; 108:104919. [PMID: 36603358 DOI: 10.1016/j.archger.2022.104919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/21/2022] [Accepted: 12/27/2022] [Indexed: 12/29/2022]
Abstract
PURPOSE This study aims to assess trends in rural-urban disparities in the prevalence of unmet community-based home visiting services need and their contributing factors from 2005 to 2018 among oldest-old in China. METHODS The Chinese Longitudinal Healthy Longevity Survey data of oldest-old collected with a targeted random-sampling approach from half of counties/cities from 23 provinces across China was used. Unmet need was measured as the differences between healthcare services expected and available. We used Cochran-Armitage tests to test linear trends in prevalence of unmet need. Average marginal differences were estimated to measure magnitude of rural-urban disparities in prevalence of unmet need. Changes in rural-urban disparities were decomposed using Blinder-Oaxaca Decomposition technique to logit models. All analysis was performed by Stata 15.0. RESULTS From 2005-2018, decreased trends in prevalence of unmet need were observed (overall: 62.4% to 48.6%; rural: 65.9% to 47.3%; urban: 57.5% to 49.8%) (all ptrend < 0.001). In 2017/2018, urban oldest-old reported greater prevalence of unmet need (average marginal difference, 95% CI: 3.7% [0.4%-7.1%]); affluent oldest-old reported less unmet need than their peers. Oldest-old from Central and Western China reported greater prevalence of unmet need than their Eastern peers. Increases in income (percentages of explained change, overall: 21.3%; rural: 16.9%, urban: 36.9%) mainly contributed to decreased trends in prevalence of unmet need. CONCLUSIONS Oldest-old with socioeconomic disadvantages or living in Central and Western China reported greater prevalence of unmet need. Policy efforts are warranted to ensure equitable access to home visiting services among those oldest-old.
Collapse
Affiliation(s)
- Liang Zhang
- School of Business, Wuxi Vocational College of Science and Technology, Wuxi, Jiangsu, China.
| | - Kewei Shi
- Surveillance and Health Equity Sciences, American Cancer Society, Atlanta, GA, United States
| | - Chengzhong Wang
- Department of Research Management, Xuzhoushi Center of Disease Control and Prevention, Xuzhou, Jiangsu, China.
| | - Zhong Li
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China; Institute of Healthy Jiangsu Development, Nanjing Medical University, Nanjing, Jiangsu, China.
| |
Collapse
|
3
|
Naruse T, Hatsushi M, Tsuchiya-Ito R, Kobayashi M, Kato J. Experiences of Disabled Older Adults in Urban Area Adult Day Care Centers: A Multisite Case Study. Gerontol Geriatr Med 2023; 9:23337214231156304. [PMID: 36814693 PMCID: PMC9940214 DOI: 10.1177/23337214231156304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 01/10/2023] [Accepted: 01/21/2023] [Indexed: 02/20/2023] Open
Abstract
This study described clients' experiences within adult day care (ADC) and its related impacts. A multisite case study was conducted with 26 older adults from six ADCs in Tokyo, with interviews and field observations conducted between November 2020 and July 2022. The transcribed interviews and field notes were analyzed qualitatively. Three categories pertaining to context ("guilt and resignation to the current living conditions," "desire for social connection despite frustrating limitations," and "supported life based on weekly ADC routine") and four categories about the experiences within ADC ("savoring disability- and age-friendly conversations," "feeling happy about something new and positive," "challenges for changes in self-image," and "discomfort with others and the waste of time") were extracted. Clients' increased vulnerability due to disabilities and COVID-19 affected their experiences. ADCs provide a safe place for interaction, and their use must be encouraged to develop a disability- and age-friendly society.
Collapse
Affiliation(s)
- Takashi Naruse
- Division of Care Innovation, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Japan,Takashi Naruse, Division of Care Innovation, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
| | | | - Rumiko Tsuchiya-Ito
- Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan
| | | | - Junichi Kato
- Long-Term Care Health Facility, Peace Plaza, Seishinkai Medical Corporation, Tokyo, Japan
| |
Collapse
|
4
|
Melby L, Lyngstad M, Ose SO. Consequences of the Early Phase of the COVID-19 Pandemic for Home-Healthcare Recipients in Norway: A Nursing Perspective. Healthcare (Basel) 2023; 11:346. [PMID: 36766920 PMCID: PMC9914130 DOI: 10.3390/healthcare11030346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 01/19/2023] [Accepted: 01/19/2023] [Indexed: 01/27/2023] Open
Abstract
Municipal home-healthcare services are becoming increasingly important as growing numbers of people are receiving healthcare services in their home. The COVID-19 pandemic represented a challenge for this group, both in terms of care providers being restricted in performing their duties and care receivers declining services for fear of being infected. Furthermore, preparedness plans were not always in place. The purpose of this study is to investigate the consequences for recipients of home healthcare in Norway of the actual level of COVID-19 infection spread in the local population, as observed by licensed nurses working in home-healthcare services. Approximately 2100 nurses answered the survey. The most common adverse consequences for home-healthcare recipients were increased isolation and loneliness, increased health concerns, and the loss of respite care services. An increased burden for relatives/next of kin and fewer physical meetings with service providers were frequently observed and reported as well. This study shows that there were more adverse consequences for service users in municipalities with higher levels of contagion than in those with lower levels of contagion. This indicates that the municipalities adapted measures to the local rate of contagion, in line with local municipal preparedness strategies.
Collapse
Affiliation(s)
- Line Melby
- Department of Health Research, SINTEF Digital, 7465 Trondheim, Norway
| | | | | |
Collapse
|
5
|
COVID-19 pandemic and the international classification of functioning in multiple system atrophy: a cross-sectional, nationwide survey in Japan. Sci Rep 2022; 12:14163. [PMID: 35986084 PMCID: PMC9389480 DOI: 10.1038/s41598-022-18533-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 08/16/2022] [Indexed: 02/08/2023] Open
Abstract
AbstractThe present study aimed to determine the magnitude of and risk factors for the effects of the COVID-19 pandemic on the international classification of functioning, disability and health (ICF) in patients with multiple system atrophy (PwMSA). The study was part of a cross-sectional, nationwide, multipurpose mail survey for Japanese PwMSA from October to December, 2020. The primary outcome was the impact of the early COVID-19 pandemic on ICF functioning, consisting of body function, activity, and participation. Age, sex, disease type, disease duration, and dwelling place were asked as participants’ characteristics, and the multiple system impairment questionnaire (MSIQ), patient health questionnaire-2, modified rankin scale, barthel index, life-space assessment (LSA), and EuroQoL were examined. Multivariate logistic regression analyses were performed to identify independent risk factors for a worse function score due to the COVID-19 pandemic for each ICF functioning domain. A total of 155 patients (mean age 65.6 [SD 8.1] years; 43.9% women; mean disease duration 8.0 [SD 6.2] years; 65% MSA with cerebellar ataxia, 13% MSA with parkinsonism, 9% MSA with predominant autonomic features) were analyzed. Of the ICF functioning domains, the respondents reported that the early COVID-19 pandemic affected body function in 17.4%, activity in 17.6%, and participation in 46.0%. The adjusted multivariate model identified MSIQ and LSA as the two variables that independently contributed to all domains. The COVID-19 pandemic affected ICF functioning of PwMSA in Japan, and the severity of disease-related impairments and a large daily living space were common risk factors. These results help support the focus on patient characteristics for medical and social welfare support.
Collapse
|
6
|
Kuroda Y, Sugimoto T, Satoh K, Suemoto CK, Matsumoto N, Uchida K, Kishino Y, Sakurai T. Factors Associated with Behavioral and Psychological Symptoms of Dementia during COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10094. [PMID: 36011727 PMCID: PMC9407936 DOI: 10.3390/ijerph191610094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 08/05/2022] [Accepted: 08/10/2022] [Indexed: 06/15/2023]
Abstract
(1) Background: Preventive measures to control the spread of COVID-19 are essential, but they often cause social isolation and diminish the physical and mental health of older adults. In cognitively impaired individuals, the pandemic has worsened behavioral and psychological symptoms of dementia (BPSD). Here, we explored the factors contributing to the worsening of BPSD during the COVID-19 pandemic. (2) Methods: Potential patients were identified at a memory clinic in Japan between June 2017 and June 2021. Eligible patients had a diagnosis of mild cognitive impairment (MCI) or dementia during the study period. The outcome was BPSD, as assessed by using the Dementia Behavioral Disorders Scale. Information on patients' lifestyle habits and use of care services was obtained for use as primary explanatory variables; multiple regression analysis was performed to examine the relationship between BPSD and care services use or lifestyle habits. The model was adjusted for sociodemographic factors, and the interaction terms of the pandemic period with lifestyle and service use were included to evaluate the effects of COVID-19. (3) Results: We identified 977 participants with MCI and 1380 with dementia (MCI group: 69.8% age 75 years or older, 54.2% female; dementia group: 79.8% age 75 years or older, 64.8% female). After adjustment for possible confounders, significantly worse BPSD was demonstrated in those who used daycare services during COVID-19 (both MCI and dementia patients; p = 0.007 and p = 0.025 respectively) and in those with poor nutritional function (dementia patients; p = 0.040). (4) Conclusions and Implications: During COVID-19, poor nutritional status and use of daycare services were associated with BPSD in those with cognitive decline. These findings indicate the need to fully examine the quantity and quality of care services for people with cognitive decline during emergencies and to continue to provide effective services.
Collapse
Affiliation(s)
- Yujiro Kuroda
- Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
| | - Taiki Sugimoto
- Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
| | - Kenichi Satoh
- Faculty of Data Science, Shiga University, Hikone 522-8522, Japan
| | - Claudia K. Suemoto
- Division of Geriatrics, University of Sao Paulo, Sao Paulo 01246-903, Brazil
| | - Nanae Matsumoto
- Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
| | - Kazuaki Uchida
- Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
| | - Yoshinobu Kishino
- Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
- Department of Cognition and Behavior Science, Nagoya University Graduate School of Medicine, Nagoya 464-8601, Japan
| | - Takashi Sakurai
- Department of Prevention and Care Science, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
- Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
- Department of Cognition and Behavior Science, Nagoya University Graduate School of Medicine, Nagoya 464-8601, Japan
| |
Collapse
|