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Open Access Gender Differences in Use and Availability of Home and Community-Based Services for People with Dementia Différences entre les genres en ce qui a trait à l'utilisation et la disponibilité des services à domicile et services communautaires destinés aux personnes atteintes de démence

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Abstract:

The purpose was to examine the use and availability of home and community-based services by men and women with dementia using data from the 2003 Canadian Community Health Survey. Variables of interest were based on the Andersen and Newman model and included predisposing, enabling, need, and use of health service variables, perceived unmet health and home care needs, and availability of home and community-based health services. Women reported better health and received more supportive care yet had more unmet home care needs than men. Thus, the caregivers of men with dementia (often their wives) were particularly vulnerable to negative outcomes, as their care recipients had poorer health yet received fewer services. These gender differences should be considered when policies and programs are developed, the needs of care recipients and caregivers are assessed, and services are provided.

French
L'étude avait pour objet d'examiner la disponibilité des services à domicile et services communautaires, de même que leur utilisation par les hommes et les femmes atteints de démence, en s'appuyant sur les données de l'Enquête sur la santé dans les collectivités canadiennes de 2003. Les variables d'intérêt, définies selon le modèle d'Andersen et Newman, étaient les variables de prédisposition, de capacité, de besoin et d'utilisation des services de santé, les besoins en soins de santé et soins à domicile non comblés perçus, ainsi que la disponibilité des services de santé à domicile et communautaires. Les femmes ont fait état d'une meilleure santé et recevaient davantage de soins de soutien, mais leurs besoins en soins à domicile non comblés étaient plus importants que chez les hommes. Ainsi, les soignants des hommes atteints de démence (souvent leurs épouses) étaient particulièrement exposés aux résultats négatifs, car les personnes prises en charge étaient en moins bonne santé mais recevaient moins de services. Il conviendra de prendre en compte ces différences entre les genres, dans l'élaboration des politiques et programmes, dans l'évaluation des besoins des personnes prises en charge et des soignants, de même que dans la prestations des services.

Keywords: CANADIAN COMMUNITY HEALTH SURVEY; CANADIANS WITH DEMENTIA; GENDER DIFFERENCES IN USE OF COMMUNITY-BASED SERVICES; SUPPORTIVE HOME CARE

Document Type: Research Article

Publication date: 2008-03-01

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