PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmcphBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Public Health
 
BMC Public Health. 2012; 12: 396.
Published online Jun 1, 2012. doi:  10.1186/1471-2458-12-396
PMCID: PMC3403897
Are acceptance rates of a national preventive home visit programme for older people socially imbalanced?: a cross sectional study in Denmark
Yukari Yamada,corresponding author1,2 Anette Ekmann,1,3 Charlotte Juul Nilsson,1,4 Mikkel Vass,4,5,6 and Kirsten Avlund1,3,4
1Section of Social Medicine, Department of Public Health, University of Copenhagen, Oster Farimagsgade 5, DK-1014, Copenhagen, Denmark
2Department of Social Medicine and Health Policy, Faculty of Medicine and Dentistry, Palacky University Olomouc, Hnevotinska 3, 77515, Olomouc, Czech Republic
3Danish Aging Research Center (DARC), University of Aarhus, Odense and Copenhagen, J.B. Winslows Vej 9B st. tv, 5000, Odense, Denmark
4Centre for Healthy Aging (CEHA), University of Copenhagen, Oster Farimagsgade 5, DK-1014, Copenhagen, Denmark
5Research Unit and Section of General Practice, Department of Public Health, University of Copenhagen, Oster Farimagsgade 5, DK-1014, Copenhagen, Denmark
6Section of Health Services Research, Department of Public Health, University of Copenhagen, Oester Farimagsgade 5, DK-1014, Copenhagen, Denmark
corresponding authorCorresponding author.
Yukari Yamada: yukari.yamada/at/upol.cz; Anette Ekmann: anek/at/sund.ku.dk; Charlotte Juul Nilsson: cjni/at/sund.ku.dk; Mikkel Vass: m.vass/at/dadlnet.dk; Kirsten Avlund: kiav/at/sund.ku.dk
Received February 8, 2012; Accepted June 1, 2012.
Abstract
Background
Preventive home visits are offered to community dwelling older people in Denmark aimed at maintaining their functional ability for as long as possible, but only two thirds of older people accept the offer from the municipalities. The purpose of this study is to investigate 1) whether socioeconomic status was associated with acceptance of preventive home visits among older people and 2) whether municipality invitational procedures for the preventive home visits modified the association.
Methods
The study population included 1,023 community dwelling 80-year-old individuals from the Danish intervention study on preventive home visits. Information on preventive home visit acceptance rates was obtained from questionnaires. Socioeconomic status was measured by financial assets obtained from national registry data, and invitational procedures were identified through the municipalities. Logistic regression analyses were used, adjusted by gender.
Results
Older persons with high financial assets accepted preventive home visits more frequently than persons with low assets (adjusted OR = 1.5 (CI95%: 1.1-2.0)). However, the association was attenuated when adjusted by the invitational procedures. The odds ratio for accepting preventive home visits was larger among persons with low financial assets invited by a letter with a proposed date than among persons with high financial assets invited by other procedures, though these estimates had wide confidence intervals.
Conclusion
High socioeconomic status was associated with a higher acceptance rate of preventive home visits, but the association was attenuated by invitational procedures. The results indicate that the social inequality in acceptance of publicly offered preventive services might decrease if municipalities adopt more proactive invitational procedures.
Keywords: Community dwelling older people, Preventive home visits, Socioeconomic status, Social inequality, Invitational procedure
Articles from BMC Public Health are provided here courtesy of
BioMed Central