Predictors of Unmet Needs in Chilean Older People with Dependency: A Cross-Sectional Study

Raffaela Carvacho, Marcela Carrasco, María Beatriz Fernández, Claudia Miranda-Castillo

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Approximately one in five Chilean older adults has some degree of dependency. Limited evidence is available on self-perceived needs in Latin-American older people. The main aim of this study was to identify predictors of unmet needs of dependent older persons without cognitive impairment, considering personal and primary informal caregivers’ factors. This cross-sectional study was conducted with a sample of 77 dyads of older people with dependency and their caregivers. A survey was administered, evaluating sociodemographic characteristics, anxious and depressive symptomatology, health-related quality of life, and social support. Older people’s self-reported met and unmet needs and caregivers’ burden and self-efficacy were also assessed. To determine predictors of unmet needs, a multiple regression analysis was carried out. Most participants had mild to moderate levels of dependency. The most frequent unmet needs were “daytime activities” (33.8%), “company” (23.4%), “benefits” (23.4%), and “psychological distress” (24.7%). Older people’s higher level of dependency and anxious symptomatology were predictors of a higher number of unmet needs, with a model whose predictive value was 31%. The high prevalence of anxious symptomatology and its relationship with the presence of unmet needs highlight the importance of making older people’s psychological and social needs visible and addressing them promptly.

Original languageEnglish
Article number6928
JournalInternational Journal of Environmental Research and Public Health
Volume20
Issue number20
DOIs
Publication statusPublished - Oct 2023

Keywords

  • Camberwell Assessment of Need for the Elderly
  • functional dependency
  • mental health
  • needs assessment
  • older people

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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