Skip to main content
Log in

A longitudinal study integrating population, care and social services data. The Swedish National study on Aging and Care (SNAC)

  • Section on Longitudinal Studies
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background and aims: A large, national, long-term, longitudinal, multi-purpose study has been launched in Sweden — the Swedish National study on Aging and Care (SNAC). The study involves four research centers collecting data in four different areas of Sweden. Methods: The study consists of two parts: the population part and the care and services part. In the population part, a large, representative panel of elders in different age cohorts is followed over time to record and describe the aging process from different aspects. In the care and services part, a systematic, longitudinal, individually-based collection of data is performed concerning provision of care and services together with functional ability, specific health care problems, and living conditions of the recipients living in the area. Results: The data collection in the population part of the SNAC is not yet completed. In the present article, some preliminary results are reported from the care and services part. These pertain to comparisons between the participating areas with respect to the prevalence of disability among those receiving care and social services in their ordinary homes and those receiving care in special accommodation. A comparison is also presented with regard to the amount of home help provided to subjects with a given disability. Conclusions: This project has several advantages. It is expected to generate a rich data base relevant for future research on aging and care and to have a direct impact on the future Swedish system of care and services for the elderly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kinsella K, Velkoff VA. An aging world: 2001. Washington, DC: US Government Printing Office, 2001.

    Google Scholar 

  2. Statistics Sweden (SCB). Sveriges framtida befolkning 2003–2050 (The future population of Sweden 2003–2050). Stockholm: SCB, 2003 (in Swedish, English summary).

    Google Scholar 

  3. Palmore EB, Nowlin JB, Wang HS. Predictors of function among the old-old: A 10-year follow-up. J Gerontol 1985; 40: 244–50.

    Article  PubMed  CAS  Google Scholar 

  4. Branch LG, Ku L. Transition probabilities to dependency, in-stitutionalisation, and death among the elderly over a decade. J Aging Health 1989; 1: 370–408.

    Article  Google Scholar 

  5. Roos NP, Havens B, Black C. Living longer but doing worse: assessing health status in elderly persons at two points in time in Manitoba, Canada, 1971 and 1983. Soc Sci Med 1993; 36: 273–82.

    Article  PubMed  CAS  Google Scholar 

  6. Soldo BJ, Hurd MD, Rodgers WL, Wallace RB. Asset and health dynamics among the oldest old: An overview of the AHEAD study. J Gerontol 1997; 52B Special: S1–20.

  7. Tambay J-L, Catlin G. Sample design of the National Population Health Survey. Health Rep 1995; 7: 29–38.

    Google Scholar 

  8. Rockwood K, Wolfson C, McDowell I. The Canadian Study on Health and Aging: organizational lessons from a national, multicenter, epidemiological study. Int Psychogeriatr 2001; 13(Suppl 1): 233–7.

    Article  PubMed  Google Scholar 

  9. Baltes PB, Smith J. The Berlin Aging Study. Psychol Aging 1997; Special Issue.

  10. Deeg DJH, Knipscheer, van Tilburg W, Eds. Autonomy and well-being in the aging population. Concepts and design of the Longitudinal Aging Study Amsterdam. Bunnik: Netherlands Institute of Gerontology, 1993.

    Google Scholar 

  11. Maggi S, Zucchetto M, Grigoletto F, et al. The Italian Longitudinal Study on Aging (ILSA): design and methods. Aging Clin Exp Res 1994; 6: 464–73.

    Article  CAS  Google Scholar 

  12. Jylhä M, Jokela J, Tolvanen E, et al. The Tampere Longitudinal Study on Ageing - Description of the study, basic results on health and functional ability. Scand J Soc Med 1992; 47 (Suppl.): 1–58.

    Google Scholar 

  13. Ginzburg AW, Guralnik J, Blumstein T, et al. Assistance with personal care activities among the old-old in Israel: A national epidemiological study. J Am Geriatr Soc 2000; 49:1–8.

    Google Scholar 

  14. Svanborg A, et al. A cohort comparison of functional ability and mental disorders in two representative samples of 70-year olds. In: Senile dementia: Outlook for the future. New York: Alan R. Liss, 1984.

    Google Scholar 

  15. Fratiglioni L, Viitanen M, Backman L, Sandman PO, Winblad B. Occurrence of dementia in advanced age: The study design of the Kungsholmen project. Neuroepidemiology 1992; 11(Suppl 1): 29–36.

    Article  PubMed  Google Scholar 

  16. Manton K, Gu X. Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982–1999. Proc Natl Acad Sci 2001; 98: 6354–9.

    Article  PubMed  CAS  Google Scholar 

  17. Crimmins EM, Saito Y, Reynolds SL. Further evidence on recent trends in the prevalence and incidence of disability among older Americans from two sources: the LSOA and the NHIS. J Gerontol 1997; 52: S59–71.

    CAS  Google Scholar 

  18. Statistics Sweden. The Swedish National Survey of Living Conditions, 1975–99. Stockholm: Statistiska Centralbyrån, 1975–1999 (in Swedish).

  19. Thorslund M, Lundberg O. Health and inequalities among the oldest old. J Aging Health 1994; 6: 51–69.

    Article  PubMed  CAS  Google Scholar 

  20. Thorslund M, Lennartsson C, Parker M, Lundberg O. De allra äldstas hälsa (The health of the oldest-old). Lakartidningen 2004 (in press) (in Swedish).

  21. Gudex C, Lafortune G. An inventory of health and disability-related surveys in OECD countries. OECD Labour market and social policy occasional papers No. 44, 2000.

  22. Freedman VA, Martin LG, Schoeni RF. Recent trends in disability and functioning among older adults in the United States: A systematic review. JAMA 2002; 288: 3137–46.

    Article  PubMed  Google Scholar 

  23. Minicuci N, Noala M, Bardage C, et al. Cross-determinants of quality of life from six longitudinal studies on aging. The CLE-SA Project (Comparison of Longitudinal European Studies on Aging). Aging Clin Exp Res 2003; 15: 187–202.

    Google Scholar 

  24. Ferlie E, Challis D, Davies B. Efficiency-improving innovations in social care of the elderly. Aldershot, England: Gower Publ. Ltd, 1989.

    Google Scholar 

  25. Crowell S, Rockwood K, Stolee P, et al. Use of home care services by elderly people in Eastern Canada. Canadian Journal on Aging 1996; 15: 413–26.

    Article  Google Scholar 

  26. Lagergren M. The system of care for frail elderly persons: The case of Sweden. Aging Clin Exp Res 2002; 14: 252–7.

    PubMed  Google Scholar 

  27. Thorslund M, Bergmark A, Parker M. Care for elderly people in Sweden. In: Weisstub DC, et al., Eds. Caring for our elders. Dordrecht, The Netherlands: Kluwer 2001.

    Google Scholar 

  28. Trydegard GB, Thorslund M. Inequality in the welfare state? Local variation in care of the elderly — the case of Sweden. International Journal of Social Welfare 2001; 10: 174–84.

    Article  Google Scholar 

  29. Hebert R, Bravo G, Korner-Bitensky N, Voyer L. Refusal and information bias associated with postal questionnaires and face to face interviews in very elderly subjects. J Clin Epidemiol 1996; 9: 373–81.

    Article  Google Scholar 

  30. Berger EY. A system of rating the severity of senility. J Am Geriatr Soc 1980; 28: 234–6.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mårten Lagergren.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lagergren, M., Fratiglioni, L., Hallberg, I.R. et al. A longitudinal study integrating population, care and social services data. The Swedish National study on Aging and Care (SNAC). Aging Clin Exp Res 16, 158–168 (2004). https://doi.org/10.1007/BF03324546

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324546

Keywords

Navigation