caa a22 4500 605450943 CHVBK 20210128100149.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10433-015-0351-2 doi (NATIONALLICENCE)springer-10.1007/s10433-015-0351-2 Complex health problems among the oldest old in Sweden: increased prevalence rates between 1992 and 2002 and stable rates thereafter [Elektronische Daten] [Bettina Meinow, Ingemar Kåreholt, Mats Thorslund, Marti Parker] Studies of health trends in older populations usually focus on single health indicators. We include multiple medical and functional indicators, which together indicate the broader impact of health problems experienced by individuals and the need for integrated care from several providers of medical and long-term care. The study identified severe problems in three health domains (diseases/symptoms, mobility, and cognition/communication) in three nationally representative samples of the Swedish population aged 77+ in 1992, 2002, and 2011 (n≈1900; response rate >85%). Institutionalized people and proxy interviews were included. People with severe problems in two or three domains were considered to have complex health problems. Results showed a significant increase of older adults with complex health problems from 19% in 1992 to 26% in 2002 and no change thereafter. Changes over time remained when controlling for age and sex. When stratified by education, complex health problems increased significantly for people with lower education between 1992 and 2002 and did not change significantly between 2002 and 2011. For higher-educated people, there was no significant change over time. Among the people with severe problems in the symptoms/disease domain, about half had no severe problems in the other domains. People with severe mobility problems, on the other hand, were more likely to also have severe problems in other domains. Even stable rates may imply an increasing number of very old people with complex health problems, resulting in a need for improved coordination between providers of medical care and social services. Springer-Verlag Berlin Heidelberg, 2015 Complex health problems nationallicence Morbidity trends nationallicence Oldest old nationallicence Frail older adults nationallicence Multimorbidity nationallicence Meinow Bettina Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut Kåreholt Ingemar Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut Thorslund Mats Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut Parker Marti Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut European Journal of Ageing Springer Netherlands 12/4(2015-12-01), 285-297 1613-9372 12:4<285 2015 12 10433 https://doi.org/10.1007/s10433-015-0351-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10433-015-0351-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Meinow Bettina Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut NATIONALLICENCE 700 1- Kåreholt Ingemar Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut NATIONALLICENCE 700 1- Thorslund Mats Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut NATIONALLICENCE 700 1- Parker Marti Aging Research Center, Karolinska Institute & Stockholm University, Gävlegatan 16, 113 30, Stockholm, Sweden aut NATIONALLICENCE 773 0- European Journal of Ageing Springer Netherlands 12/4(2015-12-01), 285-297 1613-9372 12:4<285 2015 12 10433