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Socioeconomic inequality in the use of long-term care for the elderly in Europe
Article | Year: 2023 | Pages: 149 - 176 | Volume: 47 | Issue: 2 Received: October 3, 2022 | Accepted: January 31, 2023 | Published online: June 12, 2023
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FULL ARTICLE
FIGURES & DATA
REFERENCES
CROSSMARK POLICY
METRICS
LICENCING
PDF
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N
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Formal care =
Yes (%)
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Informal care
= Yes (%)
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SP health
(mean (SD))
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ADL
(mean (SD))
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Chronic
(mean (SD))
|
Area =
Rural (%)
|
|
Austria
|
1,153
|
183
(15.9)
|
449
(38.9)
|
3.15
(1.02)
|
0.28
(0.91)
|
2.07
(1.66)
|
457
(39.6)
|
|
Germany
|
1,971
|
301
(15.3)
|
582
(29.5)
|
3.31
(0.94)
|
0.36
(1.07)
|
2.32
(1.74)
|
709
(36.0)
|
|
Sweden
|
1,914
|
196
(10.2)
|
464
(24.2)
|
2.88
(1.08)
|
0.17
(0.67)
|
1.81
(1.46)
|
319
(16.7)
|
|
Netherlands
|
1,482
|
247
(16.7)
|
355
(24.0)
|
2.96
(1.03)
|
0.16
(0.59)
|
1.60
(1.39)
|
293
(19.8)
|
|
Spain
|
1,614
|
301
(18.6)
|
310
(19.2)
|
3.43
(0.96)
|
0.54
(1.43)
|
2.35
(1.73)
|
370
(22.9)
|
|
Italy
|
1,457
|
163
(11.2)
|
273
(18.7)
|
3.46
(0.93)
|
0.33
(1.04)
|
1.90
(1.50)
|
511
(35.1)
|
|
France
|
1,790
|
299
(16.7)
|
509
(28.4)
|
3.28
(0.96)
|
0.29
(0.83)
|
2.13
(1.62)
|
870
(48.6)
|
|
Denmark
|
1,442
|
180
(12.5)
|
501
(34.7)
|
2.68
(1.11)
|
0.17
(0.63)
|
1.86
(1.50)
|
337
(23.4)
|
|
Greece
|
2,040
|
150
(7.4)
|
491
(24.1)
|
3.29
(0.95)
|
0.21
(0.86)
|
2.36
(1.61)
|
365
(17.9)
|
|
Switzerland
|
1,396
|
171
(12.2)
|
365
(26.1)
|
2.81
(0.93)
|
0.11
(0.45)
|
1.53
(1.41)
|
752
(53.9)
|
|
Belgium
|
1,319
|
370
(28.1)
|
381
(28.9)
|
3.09
(0.92)
|
0.32
(0.85)
|
2.19
(1.60)
|
255
(19.3)
|
|
Czech Republic
|
2,035
|
184
(9.0)
|
827
(40.6)
|
3.20
(0.82)
|
0.32
(0.96)
|
2.41
(1.68)
|
583
(28.6)
|
|
Poland
|
1,282
|
46
(3.6)
|
239
(18.6)
|
3.72
(0.83)
|
0.43
(1.18)
|
2.83
(2.00)
|
636
(49.6)
|
|
Luxembourg
|
581
|
70
(12.0)
|
109
(18.8)
|
3.25
(0.93)
|
0.22
(0.81)
|
2.64
(2.10)
|
262
(45.1)
|
|
Hungary
|
574
|
55
(9.6)
|
145
(25.3)
|
3.54
(0.94)
|
0.31
(0.92)
|
2.27
(1.56)
|
190
(33.1)
|
|
Slovenia
|
1,785
|
95
(5.3)
|
431
(24.1)
|
3.35
(0.96)
|
0.36
(1.15)
|
2.13
(1.61)
|
685
(38.4)
|
|
Estonia
|
2,121
|
107
(5.0)
|
741
(34.9)
|
3.96
(0.76)
|
0.40
(1.05)
|
2.24
(1.72)
|
705
(33.2)
|
|
Croatia
|
725
|
44
(6.1)
|
214
(29.5)
|
3.58
(0.98)
|
0.33
(1.02)
|
2.42
(1.67)
|
210
(29.0)
|
|
Lithuania
|
837
|
40
(4.8)
|
179
(21.4)
|
3.78
(0.75)
|
0.51
(1.35)
|
2.43
(1.78)
|
252
(30.1)
|
|
Bulgaria
|
586
|
33
(5.6)
|
168
(28.7)
|
3.55
(0.97)
|
0.36
(1.05)
|
2.11
(1.44)
|
290
(49.5)
|
|
Cyprus
|
404
|
97
(24.0)
|
88
(21.8)
|
3.37
(1.05)
|
0.44
(1.31)
|
2.51
(1.73)
|
93
(23.0)
|
|
Finland
|
719
|
61
(8.5)
|
217
(30.2)
|
3.31
(0.90)
|
0.18
(0.64)
|
2.34
(1.64)
|
344
(47.8)
|
|
Latvia
|
486
|
16
(3.3)
|
101
(20.8)
|
4.11
(0.70)
|
0.22
(0.76)
|
2.04
(1.33)
|
151
(31.1)
|
|
Malta
|
494
|
29
(5.9)
|
53
(10.7)
|
3.33
(0.86)
|
0.17
(0.90)
|
1.68
(1.28)
|
120
(24.3)
|
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Romania
|
735
|
19
(2.6)
|
214
(29.1)
|
3.79
(0.98)
|
0.49
(1.36)
|
1.94
(1.49)
|
551
(75.0)
|
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Slovakia
|
398
|
30
(7.5)
|
72
(18.1)
|
3.20
(0.96)
|
0.26
(0.84)
|
1.59
(1.57)
|
229
(57.5)
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Age
(mean (SD))
|
Gender =
Female (%)
|
Married =
Married (%)
|
Children
(mean (SD))
|
Education
(mean (SD))
|
Income
(mean (SD))
|
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Austria
|
75.90
(7.11)
|
695
(60.3)
|
701
(60.8)
|
2.21
(1.40)
|
9.26
(4.87)
|
2220
(2566)
|
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Germany
|
74.82
(6.86)
|
1004
(50.9)
|
1424
(72.2)
|
1.99
(1.22)
|
12.89
(3.62)
|
2062
(883)
|
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Sweden
|
76.07
(7.02)
|
1018
(53.2)
|
1329
(69.4)
|
2.28
(1.24)
|
12.02
(3.98)
|
1708
(800)
|
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Netherlands
|
74.29
(6.64)
|
764
(51.6)
|
1167
(78.7)
|
2.30
(1.32)
|
12.04
(3.83)
|
1896
(803)
|
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Spain
|
77.05
(8.11)
|
896
(55.5)
|
1157
(71.7)
|
2.36
(1.48)
|
8.29
(5.00)
|
1441
(1456)
|
|
Italy
|
75.60
(7.06)
|
779
(53.5)
|
1121
(76.9)
|
2.08
(1.26)
|
8.24
(4.36)
|
1358
(917)
|
|
France
|
75.30
(7.72)
|
1021
(57.0)
|
1094
(61.1)
|
2.22
(1.32)
|
11.97
(3.84)
|
2118
(1700)
|
|
Denmark
|
74.58
(6.95)
|
771
(53.5)
|
980
(68.0)
|
2.29
(1.21)
|
13.35
(3.45)
|
2579
(3493)
|
|
Greece
|
75.17
(7.28)
|
1079
(52.9)
|
1460
(71.6)
|
1.91
(1.05)
|
9.01
(4.26)
|
1723
(2634)
|
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Switzerland
|
75.22
(7.43)
|
749
(53.7)
|
927
(66.4)
|
2.13
(1.36)
|
8.83
(5.41)
|
3837
(6361)
|
|
Belgium
|
74.78
(7.44)
|
710
(53.8)
|
862
(65.4)
|
2.12
(1.30)
|
12.53
(3.72)
|
1798
(717)
|
|
Czech Republic
|
74.69
(6.44)
|
1200
(59.0)
|
1286
(63.2)
|
2.21
(0.99)
|
12.36
(3.18)
|
1138
(881)
|
|
Poland
|
73.81
(7.24)
|
690
(53.8)
|
910
(71.0)
|
2.45
(1.46)
|
10.18
(3.32)
|
1130
(1042)
|
|
Luxembourg
|
73.49
(6.64)
|
301
(51.8)
|
436
(75.0)
|
1.90
(1.24)
|
11.95
(4.42)
|
3548
(4067)
|
|
Hungary
|
73.60
(6.47)
|
345
(60.1)
|
335
(58.4)
|
1.79
(0.99)
|
10.86
(2.83)
|
835
(396)
|
|
Slovenia
|
75.10
(7.35)
|
1027
(57.5)
|
1255
(70.3)
|
1.99
(0.95)
|
10.56
(3.29)
|
1779
(2469)
|
|
Estonia
|
76.39
(7.35)
|
1358
(64.0)
|
1142
(53.8)
|
1.95
(1.21)
|
11.76
(3.48)
|
944
(762)
|
|
Croatia
|
73.97
(6.59)
|
386
(53.2)
|
535
(73.8)
|
1.86
(0.98)
|
10.21
(3.73)
|
1062
(1219)
|
|
Lithuania
|
76.03
(7.44)
|
535
(63.9)
|
427
(51.0)
|
2.09
(1.25)
|
10.94
(4.09)
|
1083
(1420)
|
|
Bulgaria
|
74.34
(6.68)
|
356
(60.8)
|
332
(56.7)
|
1.95
(0.82)
|
10.23
(3.35)
|
653
(748)
|
|
Cyprus
|
76.92
(7.33)
|
241
(59.7)
|
286
(70.8)
|
2.55
(1.29)
|
8.58
(4.37)
|
6565
(7901)
|
|
Finland
|
74.67
(6.61)
|
381
(53.0)
|
512
(71.2)
|
2.22
(1.57)
|
11.18
(3.68)
|
2986
(5077)
|
|
Latvia
|
75.28
(6.83)
|
321
(66.0)
|
246
(50.6)
|
1.74
(1.17)
|
11.51
(3.24)
|
1098
(1689)
|
|
Malta
|
73.55
(6.33)
|
260
(52.6)
|
402
(81.4)
|
2.43
(1.39)
|
9.23
(3.69)
|
1561
(2403)
|
|
Romania
|
73.74
(6.99)
|
409
(55.6)
|
479
(65.2)
|
2.30
(1.51)
|
8.93
(3.69)
|
686
(375)
|
|
Slovakia
|
71.68
(5.79)
|
209
(52.5)
|
283
(71.1)
|
1.98
(1.11)
|
11.60
(2.08)
|
1842
(2890)
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Note: Belgium – BE, Bulgaria – BG, Denmark – DK, Germany – DE, Estonia – EE, Ireland – IE, Greece – EL, Spain – ES, France – FR, Croatia – HR, Italy – IT, Cyprus – CY, Latvia – LV, Lithuania – LT, Luxembourg – LU, Hungary – HU, Malta – MT, Netherlands – NL, Austria – AT, Poland – PL, Portugal – PT, Romania – RO, Slovenia – SI, Slovakia – SK, Finland – FI, Sweden – SE, Switzerland – CH, Czech Republic – CZ.
Note: Belgium – BE, Bulgaria – BG, Denmark – DK, Germany – DE, Estonia – EE, Ireland – IE, Greece – EL, Spain – ES, France – FR, Croatia – HR, Italy – IT, Cyprus – CY, Latvia – LV, Lithuania – LT, Luxembourg – LU, Hungary – HU, Malta – MT, Netherlands – NL, Austria – AT, Poland – PL, Portugal – PT, Romania – RO, Slovenia – SI, Slovakia – SK, Finland – FI, Sweden – SE, Switzerland – CH, Czech Republic – CZ.
Table 1Descriptive statistic of all dependent and independent variables DISPLAY Table
Figure 1Concentration index values for each country DISPLAY Figure
Figure 2Formal care concentration index decomposition DISPLAY Figure
Figure 3Informal care concentration index decomposition DISPLAY Figure
Figure 4Formal care concentration index decomposition DISPLAY Figure
Figure 5Informal care concentration index decomposition DISPLAY Figure
Figure 6Horizontal inequity DISPLAY Figure
* The authors are grateful to two anonymous referees who have contributed to the quality of the final version of the paper.
1 Niko Speybroeck Decomposing socioeconomic health inequalities, Int J Public Health (2010) 55:347-351.
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June, 2023 II/2023
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