Published Papers - Abstract 988

Rahman M, Efird JT, Kendig H & Byles JE. Patterns of home and community care use among older participants in the Australian Longitudinal Study of Women’s Health. European Journal on Ageing, 2019; 163: 293-303

The aims of this study were to investigate patterns of Home and Community Care (HACC) use and to identify factors influencing first HACC use among older Australianwomen. Our analysis included 11,133 participants from the Australian Longitudinal Study of Women’s Health (1921-26 birth cohort) linked with HACC service use andmortality data from 2001-2011. Patterns of HACC use were analysed using a k-median cluster approach. Multi-variable competing risk analysis was used to estimate risk of first HACC use. Approximately 54% of clients used a minimum volume and number of HACC services; 25% belonged to three complex care use clusters (i.e., higher volume and number of services) while the remainder were intermediate users. Results reveal that initiation of HACC use was significantly associated with 1) living in remote, inner, or regional areas, 2) being widowed or divorced, 3) having difficulty in managing income, 4) not receiving Veteran’s Affairs benefits, 5) having chronic conditions, 6) reporting lower scores on the SF-36 health related quality of life, and 7) poor/fair selfrated health . Our findings highlight the importance of providing a range of services to meet the diverse care needs of older women, especially in the community setting.