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Heterogeneity in the effect of obesity on future long-term care use in England

Gousia, Katerina and Nizalova, Olena and Malisauskaite, Gintare and Forder, Julien E. (2019) Heterogeneity in the effect of obesity on future long-term care use in England. Working paper. PSSRU, Kent, UK (KAR id:77853)

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Abstract

Although there is some recent evidence around the effects of obesity on health care utilisation and costs, not much is known about the relationship between obesity and long-term care utilisation (Public Health England, 2013). Few studies from the USA find that obesity increases the risk of nursing home admissions and use of personal care assistance (Elkins et al. 2006, Ziza et al. 2002, Resnik et al. 2005, Yang and Zhang 2014). Nizalova, Gousia and Forder (2017) show that obesity leads to higher use of informal care but find no effect on other types of long-term care. In this study we explore whether the effect on various types of care differs depending on the degree of obesity among older people in England and whether the findings are sensitive to the incorporation of information on long-term care use prior to death. We find that in addition to the obesity at the level of BMI between 25 and 45 representing a risk for future use of informal care, (super) obesity at the level of BMI at 45 and greater represents a significant risk for all types of care use, including social care and nursing home/residential care.

Item Type: Monograph (Working paper)
Uncontrolled keywords: long-term care, social care, elderly people, informal care, obesity, super obesity, BMI
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Divisions > Division of Human and Social Sciences > School of Economics
Depositing User: Olena Nizalova
Date Deposited: 25 Oct 2019 19:22 UTC
Last Modified: 15 Sep 2021 15:23 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/77853 (The current URI for this page, for reference purposes)
Gousia, Katerina: https://orcid.org/0000-0002-2494-786X
Nizalova, Olena: https://orcid.org/0000-0002-1704-2632
Malisauskaite, Gintare: https://orcid.org/0000-0002-0797-5949
Forder, Julien E.: https://orcid.org/0000-0001-7793-4328
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