Top

BMC Geriatrics

Published in:

Open Access 01-12-2022 | Care | Research

Utilization of ADCCs and quality of life among older adults: ethno-regional disparities in Israel

Authors: Adi Vitman-Schorr, Rabia Khalaila

Published in: BMC Geriatrics | Issue 1/2022

Abstract

Background

Adult day care centers (ADCCs) are a common service provided for frail older adults in the community. We examined the influence of older adults’ utilization of ADCC’s on their quality of life (QoL), and whether ethno-regional disparities are factors in the gaps found concerning QoL in different regions and between different ethnic groups.

Methods

Cross sectional data were collected through structured interviews with 360 older adults attending ADCCs. Participants represented three ethnic groups and three regions in Israel. QoL was assessed by SF-36 questionnaire.

Results

The results revealed a positive correlation between weekly hours at the ADCC, satisfaction with attending ADCC, and QoL. Older adults living in the central region had higher QoL than those living in the southern and northern regions. Veteran Israeli Jews reported higher QoL than FSU immigrants Israeli Arabs in all regions. Connection to one’s residential area was also correlated with QoL. A significant moderating effect of the interaction (ethnicity*area of residence) on QoL was also revealed.

Conclusions

Attending ADCC is a vital community services to promote QoL in later life. Gaps in ADCC utilization between ethnic groups and residential region may cause disparities in QoL, specifically, in minority groups and those living in peripheral regions. Service providers should minimize the disparities by improving accessibility and availability for each person regardless of ethnicity and region of residence.

Khalaila R, Litwin H. Modernisation and filial piety among traditional family caregivers: a study of Arab-Israelis in cultural transition. Aging Soc. 2012;32(5):769–89. https://doi.org/10.1017/S0144686X11000572.CrossRef

Lüdecke D, Bien B, McKee K, Krevers B, Mestheneos E, Di Rosa M, et al. For better or worse: factors predicting outcomes of family care of older people over a one-year period. A six-country European study. PLoS One. 2018;13(4):e0195294. https://doi.org/10.1371/journal.pone.0195294.CrossRefPubMedPubMedCentral

Maresova P, Lee S, Fadeyi OO, Kuca K. The social and economic burden on family caregivers for older adults in the Czech Republic. BMC Geriatr. 2020;20:171–83.PubMedPubMedCentralCrossRef

Khalaila R, Litwin H. Modernization and future care preferences: a cross-sectional survey of Arab Israeli caregivers. J Adv Nurs. 2011;67(7):1614–24. https://doi.org/10.1111/j.1365-2648.2010.05606.x.CrossRefPubMed

Ugargol AP, Bailey A. Family caregiving for older adults: gendered roles and caregiver burden in emigrant households of Kerala, India. Asian Popul Stud. 2018;14(2):194–210.CrossRef

Greenwood N, Smith R. Motivations for being informal carers of people living with dementia: a systematic review of qualitative literature. BMC Geriatr. 2019;19:169–87.PubMedPubMedCentralCrossRef

Brodeski G, Shnor I, Beer S. Elderly in Israel annual statistics 2018. Jerusalem: Myres- JDC- Brookdale; 2018. (In Hebrew)

Utz RL, Carr D, Nesse R, Wortman CB. The effect of widowhood on older adults; social participation: an evaluation of activity, disengagement, and continuity theories. Gerontologist. 2002;42:522–33.PubMedCrossRef

Schieman S, Campbell JE. Age variations in personal agency and self-esteem: the context of physical disability. J Aging Health. 2001;13:155–85.PubMedCrossRef

10.

Walker A. A strategy for active aging. Int Soc Secur Rev. 2002;55:121–39.CrossRef

11.

Atchley RC. Continuity and adaptation in aging: creating positive experiences. Baltimore: Johns Hopkins University Press; 1999.

12.

Iecovich E. Ageing in place: from theory to practice. Anthropol Notebooks. 2014;20(1):21–33.

13.

Ilinca S, Leichsenring K, Rodrigues R. From care in homes to care at home: European experiences with (de)institutionalisation in long-term care. Policy Brief 12/2015. Vienna: European Centre; 2015.

14.

Tang F, Pickard JG. Aging in place or relocation: perceived awareness of community-based long-term care and services. J Hous Elder. 2008;22:404–22.CrossRef

15.

Lu S, Wu Y, Mao Z, Liang X. Association of formal and informal social support with health-related quality of life among Chinese rural elders. Int J Environ Res Public Health. 2020;17:1351–65.PubMedCentralCrossRef

16.

Wu M, Yang Y, Zhang D, Zhao X, Sun Y, Xie H, et al. Association between social support and health-related quality of life among Chinese rural elders in nursing homes: the mediating role of resilience. Qual Life Res. 2018;27:783–92.PubMedCrossRef

17.

Logsdon RG, Pike KC, Korte L, Goehring C. Memory care and wellness services: efficacy of specialized dementia care in adult day services. Gerontologist. 2016;56(2):318–25.PubMedCrossRef

18.

Brown EL, Friedemann M, Mauro AC. Use of adult day care service centers in an ethnically diverse sample of older adults. J Appl Gerontol. 2014;33(2):189–206.PubMedCrossRef

19.

Baumgarten M, Lebel P, Laprise HÉ, Leclerc C, Quinn C. Adult day care for the frail elderly: outcomes, satisfaction, and cost. J Aging Health. 2002;14(2):237–59.PubMedCrossRef

20.

Gaugler JE, Zarit SH. The effectiveness of adult day services for disabled older people. J Aging Soc Policy. 2001;12(2):23–47.PubMedCrossRef

21.

Amit K, Litwin H. The subjective well-being of immigrants aged 50 and older in Israel. Soc Indic Res. 2010;98(1):89–104.PubMedPubMedCentralCrossRef

22.

de Belvis AG, Avolio M, Sicuro L, Rosano A, Latini E, Damiani G, et al. Social relationships and HRQOL: a cross-sectional survey among older Italian adults. BMC Public Health. 2008;8:348.PubMedPubMedCentralCrossRef

23.

Iecovich E, Carmel S. Differences between users and nonusers of day care centers among frail older persons in Israel. J Appl Gerontol. 2010;30(4):443–62.CrossRef

24.

Vitman- Schorr A, Ayalon L, Khalaila R. Perceived accessibility to services and sites among Israeli older persons. J Appl Gerontol. 2019;38(1):112–36. https://doi.org/10.1177/0733464817721112.CrossRefPubMed

25.

Grant RL, Bowling A. Challenges in comparing the quality of life of older people between ethnic groups, and the implications for national well-being indicators: a secondary analysis of two cross sectional surveys. Health Qual Life Outcomes. 2011;9:109.PubMedPubMedCentralCrossRef

26.

Vitman- Schorr A, Khalaila R. Aging in place and quality of life among the elderly in Europe: a moderated mediation model. Arch Gerontol Geriatr. 2018;77:196–204.PubMedCrossRef

27.

Lotfi S, Koohsari MJ. Analyzing accessibility dimension of urban quality of life: where urban designers face duality between subjective and objective reading of place. Soc Indic Res. 2009;94:417–35. https://doi.org/10.1007/s11205-009-9438-5.CrossRef

28.

Valdemarsson M, Jernryd E, Iwarsson S. Preferences and frequencies of visits to public facilities in old age – a pilot study in a Swedish town center. Arch Gerontol Geriatr. 2005;40:15–28. https://doi.org/10.1016/j.archger.2004.05.010.CrossRefPubMed

29.

Wennberg H, Stahl A, Hyden C. Older pedestrians’ perceptions of the outdoor environment in a year- round perspective. Eur J Ageing. 2009;6:277–90. https://doi.org/10.1007/s10433-009-0123-y.CrossRefPubMedPubMedCentral

30.

Vitman- Schorr A, Iecovich E, Alfasi N, Shamai S. Socio-spatial integration of older adults in four types of residential environments in Israel. J Appl Gerontol. 2015;36(10):1243–71.CrossRef

31.

Burton EJ, Mitchell L, Stride CB. Good places for ageing in place: development of objective built environment measures for investigating links with older people’s wellbeing. BMC Public Health. 2011;11:839–52. https://doi.org/10.1186/1471-2458-11-839.CrossRefPubMedPubMedCentral

32.

Taylor SAP. Place identification and positive realities of aging. J Cross-Cult Gerontol. 2001;16:5–20. https://doi.org/10.1023/A:1010673000367.CrossRefPubMed

33.

Roin A. The multifaceted notion of home: exploring the meaning of home among elderly people living in the Faroe Islands. J Rural Stud. 2015;39:22–31. https://doi.org/10.1016/j.jrurstud.2015.03.002.CrossRef

34.

Granbom M, Iwarsson S, Kylberg K, Pettersson C, Slaug B. A public health perspective to environmental barriers and accessibility problems for senior citizens living in ordinary housing. BMC Public Health. 2016;16:1–11. https://doi.org/10.1186/s12889-016-3369-2.CrossRef

35.

Sharon A, Brodeski J, Be'er S. Social clubs for the elderly- national distribution, activity patterns and visitor characteristics. Jerusalem: Myers Joint Brookdale Institute; 2013. (In Hebrew)

36.

Perez FR, Fernandez-Mayoralas G, Rivera FEP, Abuin JMR. Ageing in place: predictors of the residential satisfaction of elderly. Soc Indic Res. 2001;54(2):173–208.CrossRef

37.

Vitman Schorr A, Iecovich E, Alfasi N. Ageism and social integration of older adults in their neighborhoods in Israel. The Gerontologist. 2013;54(2):177–89.CrossRef

38.

Leyden KM. Social capital and the build environment: the importance of walkable neighborhood. Am J Public Health. 2003;93:1546–51.PubMedPubMedCentralCrossRef

39.

Lai DWL, Surood S. Effect of service barriers on health status of aging south Asian immigrants in Calgary, Canada. Health Soc Work. 2013;38(1):41–50.PubMedCrossRef

40.

Lai DWL, Chau SBY. Effects of service barriers on health status of elderly Chinese immigrants in Canada. Soc Work. 2007;52:261–9.PubMedCrossRef

41.

Dupuis J, Weiss DR, Wolfson C. Gender and transportation access among community-dwelling seniors. Can J Aging. 2007;26:149–58.PubMedCrossRef

42.

Zanchetta MS, Poureslami IM. Health literacy within the reality of immigrants’ culture and language. Can J Public Health. 2006;97:S26–30.PubMed

43.

Michalos AC, Zumbo BD. Ethnicity, modern prejudice and the quality of life. Soc Indic Res. 2001;53(2):189–222.CrossRef

44.

Coverdill JE, Lopez CA, Petrie MA. Race, ethnicity and the quality of life in America, 1972-2008. Soc Forces. 2011;89(3):783–806.CrossRef

45.

Burholt V, Dobbs C, Victor C. Social support networks of older migrants in England and Wales: the role of collectivist culture. Ageing Soc. 2018;38(7):1453–77. https://doi.org/10.1017/S0144686X17000034.CrossRef

46.

Bajekal M, Blane D, Grewal I, et al. Ethnic differences in influences on quality of life at older ages: a quantitative analysis. Ageing Soc. 2004;24:709–28.CrossRef

47.

Barger SD, Donoho CJ, Wayment HA. The relative contributions of race/ethnicity, socioeconomic status, health, and social relationships to life satisfaction in the United States. Qual Life Res. 2009;18:179–89.PubMedCrossRef

48.

Damri N, Litwin H. Minority population group status and QOL change: the case of older Israelis. Eur J Ageing. 2016;13:299–309.PubMedPubMedCentralCrossRef

49.

Lowenstein A, Katz R. Intergenerational family relations in the multicultural society of Israel. J Intergener Relationship. 2015;13:1–5.CrossRef

50.

Baron-Epel O, Kaplan G, Moran M. Perceived discrimination and health-related quality of life among Arabs and Jews in Israel: a population-based survey research article. BMC Public Health. 2010;10(282):1–9.

51.

Hadad Haj Yehia N, Asaf R. The Arab society in Israel socio-economic situation and a look to the future. Jerusalem: The Israel Democracy Institute; 2017. (In Hebrew)

52.

Lahana E, Pappa E, Niakas D. The impact of ethnicity, place of residence and socioeconomic status on health-related quality of life: results from a Greek health survey. Int J Public Health. 2010;55:391–400.PubMedCrossRef

53.

Philip D, Havens B, Van Ineveld CHM, Finlayson M. Rural– urban differences in health status of elderly Manitobans. CJRM. 2002;7:89–93.

54.

Li CI, Lin CH, Lin WY, Liu CS, Chang CK, Meng NH, et al. Successful aging defines by health-related quality of life and its determinants in community dwelling elders. PBC Public Health. 2014;14:1013.

55.

Khalaila R, Litwin H. Changes in health behaviors and their associations with depressive symptoms among Israelis aged 50 and older. Journal of Aging & Health. 2014;26(3):401–21. https://doi.org/10.1177/0898264313516997.CrossRef

56.

Khalaila R. Socioeconomic status, health behaviors, and self-rated health among older Arab in Israel. J Cross-Cult Gerontol. 2017;32(1):115–30. https://doi.org/10.1007/s10823-016-9301-5.CrossRefPubMed

57.

Lin CC, Li C, Chang CK, Liu CS, Lin CH, Meng NS, et al. Reduced health related quality of life in elders with frailty: a cross sectional study of community dwelling elders in Taiwan. PLoS One. 2011;6(7):1–7.CrossRef

58.

Mulasso A, Roppolo M, Rabaglietti E. The role of individual characteristics and physical frailty on health-related quality of life (HRQOL): a cross sectional study of Italian community –dwelling older adults. Arch Gerontol Geriatr. 2014;59:542–8.PubMedCrossRef

59.

Harrell FE, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996;15:361–87.PubMedCrossRef

60.

Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36®): I. conceptual framework and item selection. Med Care. 1992;30(6):473–83.PubMedCrossRef

61.

Ware JE, Kosinski M, Keller SD. SF-36 physical and mental health summary scales: a user’s manual. 5th ed. Boston: Health Assessment Lab. New England Medical Center; 1994.

62.

Levin-Epshtein N, Sagiv-Shifter T, Shabati E, Shmueli A. Validation of the 36-items short- form health survey (Hebrew version) in the adult population of Israel. Med Care. 1998;36:1361–70.CrossRef

63.

Ahmed Sheikh K, Yagoub U, Elsatouhy M, Al Sanosi R, Ahmed MS. Reliability and validity of the Arabic version of the SF-36 health survey questionnaire in population of Khat chewers—Jazan region-Kingdom of Saudi Arabia. Appl Res Qual Life. 2013;10:1–13. https://doi.org/10.1007/s11482-013-9291-1.CrossRef

64.

Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. The Gerontologist. 1970;1:20–30.CrossRef

65.

Bilotta C, Bergamaschini L, Spreafico S, Vergani C. Day care Centre attendance and quality of life in depressed older adults living in the community. Europe J Ageing. 2010;7:29–35.CrossRef

66.

Jacob ME, Abraham VJ, Abraham S, Jacob KS. Effect of community-based day care on mental health and quality of life of older in rural South India: a community intervention study. Int J Geriatr Psychiatry. 2007;22:445–7.PubMedCrossRef

67.

Iecovich E, Carmel S. Differences between users and nonusers of day care centers among frail older persons in Israel. J Appl Gerontol. 2011;30:443–62.CrossRef

68.

Berg-Verman A, Mevorach G, Schnorr I, Be'er S, Zisberg J. Active ageing in Israel: gaps between center and periphery during the last decade. Gerontol Geriatr. 2019;56:79–90 (In Hebrew).

69.

Garcia-Martin MA, Gomez-Jacinto L, Martimportugues- GC. Structural model of the effects of organized leisure activities on the well-being of older adults in Spain. Act Adapt Aging. 2004;28:19–34.

70.

Valadez AA, Lumadule C, Gutierrez B, de Vries-Kell S. Comrades and adult day care centers: the perceived impact of socialization on mental wellness. J Aging Stud. 2006;20:39–53.CrossRef

71.

Philips DR, Cheng KHC, Yeh AGO, Siu OL. Person–environment (P–E) fit models and psychological well-being among older persons in Hong Kong. Environ Behav. 2010;42:221–42.CrossRef

72.

Arajas CB, Jones SCT, Milam AJ, et al. Coping, discrimination, and physical health conditions among predominantly poor, urban African Americans: implications for community-level health services. J Community Health. 2019;44:954–62.CrossRef

73.

Jamal A. Patterns of national inequality in Israel. In: Bareli A, Gotwin D, Priling T, editors. Society and economy in Israel: historic and contemporary look. Jerusalem: Yad Itzhak Ben Zvi; 1985. p. 145–82. (In Hebrew).

74.

Ayalon L. Perceived discrimination and stigma in the context of the long-term care insurance law from the perspectives of Arabs and the Jews in the north of Israel. Int J Environ Res Public Health. 2019;16(19):3511. https://doi.org/10.3390/ijerph16193511.CrossRefPubMedCentral

Title: Utilization of ADCCs and quality of life among older adults: ethno-regional disparities in Israel
Authors: Adi Vitman-Schorr
Rabia Khalaila
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Care
Published in: BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-021-02674-0

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2022

Prevalence of potentially inappropriate medications based on the STOPPFrail criteria in frail older patients with limited life expectancy: a cross-sectional study

A multifactorial interdisciplinary intervention to prevent functional and mobility decline for more participation in (pre-)frail community-dwelling older adults (PromeTheus): study protocol for a multicenter randomized controlled trial

Subclinical cardiovascular disease and frailty risk: the atherosclerosis risk in communities study

Age and sex-specific associations between depressive symptoms, body mass index and cognitive functioning among Korean middle-aged and older adults: a cross-sectional analysis

Potentially inappropriate medications in relation to length of nursing home stay among older adults

Sleep duration, genetic susceptibility, and Alzheimer's disease: a longitudinal UK Biobank-based study

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials