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000283055 041__ $$aEnglish
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000283055 1001_ $$0P:(DE-2719)9003359$$aBlecha, Nadia$$b0$$eFirst author
000283055 1112_ $$aAlzheimer’s Association International Conference$$cToronto$$d2025-07-27 - 2025-07-31$$gAAIC 25$$wCanada
000283055 245__ $$aAssociations Between Supporting Factors and Healthcare Utilization in People with Dementia: Data from the DelpHi Study
000283055 260__ $$c2025
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000283055 520__ $$aThis study examined the relationship between healthcare utilization and support related factors, such as social support and marital status, in patients with dementia (PwD) over 5 years.We analysed data from 498 participants in the GP-based randomized controlled intervention trial DelpHi-MV (dementia: life- and person-centred help in Mecklenburg-Western Pomerania, Germany). Negative binomial regression was used to model GP and internist visits, while zero-inflated negative binomial regression analysed dentist and neurologist/psychiatrist visits, with predictors including social support and sociodemographic variables.Participants had a mean age of 80.1 years (SD = 5.45), with 59.6% female and 43.7% married. Emotional support (β = 0.23, SE = 0.04, p < 0.0001), social integration (β = -0.10, SE = 0.03, p = 0.003), and marital status (divorcés: β = 0.24, SE = 0.07, p < 0.0001; widowers: β = 0.08, SE = 0.04, p = 0.03) were associated with GP visits. Practical support was positively associated with dentist visits (b = 0.27, SE = 0.06, p < 0.0001). Social integration (b = 0.21, SE = 0.08, p = 0.03) and marital status (singles: b = 1.42, SE = 0.24, p < 0.0001) emerged as significant predictors for neurologist/psychiatrist visits.Our findings highlight the importance of social support, including emotional and practical support, social integration, and marital status, as key predictors of healthcare utilization in PwD. These results underscore the need for tailored interventions to address social and demographic disparities in dementia care.
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000283055 650_2 $$2MeSH$$aHumans
000283055 650_2 $$2MeSH$$aFemale
000283055 650_2 $$2MeSH$$aMale
000283055 650_2 $$2MeSH$$aDementia: psychology
000283055 650_2 $$2MeSH$$aDementia: therapy
000283055 650_2 $$2MeSH$$aSocial Support
000283055 650_2 $$2MeSH$$aAged, 80 and over
000283055 650_2 $$2MeSH$$aMarital Status
000283055 650_2 $$2MeSH$$aAged
000283055 650_2 $$2MeSH$$aPatient Acceptance of Health Care: statistics & numerical data
000283055 650_2 $$2MeSH$$aGermany
000283055 7001_ $$0P:(DE-2719)9001870$$aBlotenberg, Iris$$b1
000283055 7001_ $$0P:(DE-2719)9002739$$aJeran, Lina Charlotte$$b2
000283055 7001_ $$0P:(DE-2719)2810763$$aMichalowsky, Bernhard$$b3
000283055 7001_ $$0P:(DE-2719)2000040$$aHoffmann, Wolfgang$$b4
000283055 7001_ $$0P:(DE-2719)2290613$$aThyrian, Jochen René$$b5$$eLast author
000283055 773__ $$0PERI:(DE-600)2201940-6$$a10.1002/alz70858_102801$$gVol. 21 Suppl 4, no. Suppl 4, p. e102801$$nSuppl 4$$pe102801$$tAlzheimer's and dementia$$v21$$x1552-5260$$y2025
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