Skip to main content

Research Repository

Advanced Search

Linkage of national health and social care data: a cross-sectional study of multimorbidity and social care use in people aged over 65 years in Scotland

Henderson, David A.G.; Atherton, Iain; McCowan, Colin; Mercer, Stewart W.; Bailey, Nick

Authors

David A.G. Henderson

Colin McCowan

Stewart W. Mercer

Nick Bailey



Abstract

Background: Little is known about the relationship between multimorbidity and social care use (also known as long-term care). The aim of this study was to assess the relationship between receipt of formal social care services and multimorbidity.

Methods: This retrospective data linkage, observational study included all individuals over the age of 65 in the population of Scotland in financial years 2014/15 and 2015/16 (n= 975,265). The main outcome was receipt of social care measured by presence in the Scottish Social Care Survey. Logistic regression models were used to assess the influence of multimorbidity, age, sex, and socioeconomic position on the outcome reporting Average Marginal Effects (AME).

Findings: 93.3% of those receiving social care had multimorbidity. 16.2% of those with multimorbidity received social care compared to 3.7% of those without. The strongest magnitudes of AME for receiving social care were seen for age and multimorbidity (respectively 50% and 18% increased probability comparing oldest to youngest and most severe multimorbidity to none). A 5.5% increased probability of receiving social care was observed for the most-deprived compared to the least-deprived.

Interpretation: Higher levels of social care receipt are observed in those with increasing age, severe multimorbidity and living in more deprived areas. Multimorbidity does not fully moderate the relationship between social care receipt and either age or deprivation.

Journal Article Type Article
Acceptance Date May 7, 2020
Online Publication Date Jul 16, 2020
Publication Date 2021-01
Deposit Date Jun 19, 2020
Publicly Available Date Jul 17, 2021
Print ISSN 0002-0729
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 50
Issue 1
Pages 176-182
DOI https://doi.org/10.1093/ageing/afaa134
Keywords Social Care; Multimorbidity; Data Linkage; Long-term care; older people
Public URL http://researchrepository.napier.ac.uk/Output/2671252

Files



Linkage of national health and social care data: a cross-sectional study of multimorbidity and social care use in people aged over 65 years in Scotland (1.1 Mb)
PDF

Copyright Statement
This is a pre-copyedited, author-produced version of an article accepted for publication in Age & Ageing following peer review. The version of record [citation] is available online at: [insert URL].







You might also like



Downloadable Citations