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Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan

Bibliographic Data

ID12288989
AuthorsWei‐Yun Chang (Department of Nursing Kaohsiung Medical University Chung‐Ho Memorial Hospital Kaohsiung Taiwan), Kuei‐Min Chen (0000-0002-4075-9607, College of Nursing Kaohsiung Medical University Kaohsiung Taiwan, corresponding author), Meng‐Chin Chen (0000-0002-1029-5012, Department of Nursing Yuhing Junior College of Health Care and Management Kaohsiung Taiwan), Li‐Yen Yang (School of Nursing Fooyin University Kaohsiung Taiwan), Hui‐Fen Hsu (0000-0001-7948-6020, Center for Long‐Term Care Research Kaohsiung Medical University Kaohsiung Taiwan)
Year2020
Volume28
Issue6
Pages2382-2389
Publication date2020-06-16
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13059
PMID32542839
OpenAlexW3035030774
LanguageEN
Citations received1
References cited16

By early screening, the high-need older adults who require multiple care needs and resources can be identified and the necessary assistance can then be provided. However, a precise definition of and related research on high-need older adults are limited. Identifying older adults with high needs is of practical urgency. This study aimed to investigate the prevalence of high-need community-dwelling older adults and to identify the characteristic differences between high-need older adults and those without high needs. This cross-sectional descriptive survey research was conducted between July and December 2018 and used a simple random sampling to select older adults aged 65 and older who had lived in the community for at least 3 months. The High-need Community-dwelling Older Adults Screening Scale was used to identify high-need older adults in the community. A total of 818 community-dwelling older adults were surveyed and the prevalence of high-need older adults was 24.1%. Those screened as high-need older adults (n = 197) were 78.58 (SD = 7.60) years old in average, mostly female, widowed or single but living with someone, had chronic illnesses (M = 2.11, SD = 1.41), an elementary school level of education and religious beliefs. Furthermore, differences were found between older adults with high needs (n = 197) and those without high needs (n = 621) where there is a significantly higher proportion of high-need older adults who were 85 years and older, being male, widowed or single, illiterate, living alone, had chronic illnesses and no religious belief. The high prevalence of high-need community-dwelling older adults highlighted the importance of screening. If community care centres are provided with a comprehensive screening tool for finding high-need older adults during home visits, this would lead to timely identification of older adults with potential needs and enhance the preventive nature of home visits

Activities of daily living · Cross-sectional study · Needs assessment · Older people · Psychiatry · Chronic Disease Management Strategies · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Gerontology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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