Job loss and lower healthcare utilisation due to COVID-19 among older adults across 27 European countries.

Autor/inn/en	Ksinan Jiskrova, Gabriela; Bobak, Martin; Pikhart, Hynek; Ksinan, Albert J.
Titel	Job loss and lower healthcare utilisation due to COVID-19 among older adults across 27 European countries. Gefälligkeitsübersetzung: Arbeitsplatzverlust und geringere Inanspruchnahme der medizinischen Versorgung aufgrund von COVID-19 bei älteren Erwachsenen in 27 europäischen Ländern.
Quelle	In: Journal of epidemiology and community health, 75 (2021) 11, S. 1078-1083 PDF als Volltext Link als defekt meldenVerfügbarkeit
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
ISSN	1470-2738
DOI	10.1136/jech-2021-216715
Schlagwörter	Soziale Ungleichheit; Lebensalter; Älterer Arbeitnehmer; Chronische Krankheit; Europa; Lebensalter; Medizinische Versorgung; Soziale Ungleichheit; Gesundheitsgefährdung; Prävention; Auswirkung; Inanspruchnahme; Internationaler Vergleich; Qualifikation; Pandemie; Chronische Krankheit; Gesundheitsgefährdung; Medizinische Versorgung; Pandemie; Arbeitsplatzverlust; Qualifikation; Internationaler Vergleich; Auswirkung; Einflussfaktor; Geschlechtsspezifik; Inanspruchnahme; Prävention; Alter Mensch; Älterer Arbeitnehmer; Europa
Abstract	"Background Older adults are at greater risk for becoming severely ill from COVID-19; however, the impact of the pandemic on their economic activity and non-COVID-19-related healthcare utilisation is not well understood. The aim of this study was to examine the prevalence and predictors of COVID-19-related unemployment and healthcare utilisation in a sample of older adults across 27 European countries. Methods We used data from the Survey of Health, Ageing and Retirement in Europe COVID-19 Survey, collected between June and August 2020. Participants (n=52 061) reported whether they lost a job, forwent medical treatment and whether their appointment was postponed due to COVID-19. Three-level models were estimated for each outcome to test the effects of individual, household and country-level characteristics. Results: The mean prevalence of reported job loss, and forgone and postponed medical care was 19%, 12% and 26%, respectively. Job loss was associated with female sex, lower education and household income, and older age in women. For example, the OR of job loss, comparing primary versus tertiary (college) education, was 1.89 (95% CI 1.59 to 2.26). Forgone and postponed medical care was associated with older age in men, female sex and higher education. At the country level, postponed medical care was associated with more stringent governmental anti-COVID measures. Conclusion Job loss and lower healthcare utilisation for non-COVID-19-related reasons were common among older adults and were associated with several sociodemographic characteristics. Job loss appeared to disproportionally affect already economically vulnerable individuals, raising concerns about the exacerbation of social inequalities. Data may be obtained from a third party and are not publicly available. Data from the Survey of Health, Ageing and Retirement in Europe (SHARE) are available for research purposes only. Access to the SHARE data is provided on the basis of a release policy after individual registration. Details about the application and registration process can be found here: http://www.share-project.org/data-access/user-registration.html." The study refers to the period 2020-2020. (Author's abstract, IAB-Doku)..
Erfasst von	Institut für Arbeitsmarkt- und Berufsforschung, Nürnberg
Update	2023/1