{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:11:13Z","timestamp":1790683873745,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Limited research has shown that people with dementia (PwD) from lower socio\u2010economic backgrounds can face difficulties in accessing the right care at the right time. This study examined whether socio\u2010economic status (SES) and rural versus urban living location are associated with the time between diagnosis and care home admission in PwD living in Wales, UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\/Design<\/jats:title><jats:p>This study linked routine health data and an e\u2010cohort of PwD who have been admitted into a care home between 2000 and 2018 living in Wales. Survival analysis explored the effects of SES, living location, living situation, and frailty on the time between diagnosis and care home admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 34,514 PwD, the average time between diagnosis and care home admission was 1.5 (\u00b11.4) years. Cox regression analysis showed that increased age, living alone, frailty, and living in less disadvantaged neighbourhoods were associated with faster rate to care home admission. Living in rural regions predicted a slower rate until care home admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is one of the first studies to show a link between socio\u2010economic factors on time to care home admission in dementia. Future research needs to address variations in care needs between PwD from different socio\u2010economic and geographical backgrounds.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.5446","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T21:18:29Z","timestamp":1602537509000},"page":"511-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Socio\u2010economic predictors of time to care home admission in people living with dementia in Wales: A routine data linkage study"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0746-0566","authenticated-orcid":false,"given":"Clarissa","family":"Giebel","sequence":"first","affiliation":[{"name":"Institute of Population Health Sciences University of Liverpool  Liverpool UK"},{"name":"NIHR ARC NWC  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Hollinghurst","sequence":"additional","affiliation":[{"name":"Health Data Research UK (HDR\u2010UK) Data Science Building Swansea University  Swansea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Akbari","sequence":"additional","affiliation":[{"name":"Health Data Research UK (HDR\u2010UK) Data Science Building Swansea University  Swansea UK"},{"name":"Administrative Data Research Wales Swansea University  Swansea UK"},{"name":"Dementia Platform  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schnier","sequence":"additional","affiliation":[{"name":"Dementia Platform  London UK"},{"name":"Usher Institute University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Dementia Platform  London UK"},{"name":"Usher Institute University of Edinburgh  Edinburgh UK"},{"name":"Centre for Clinical Brain Sciences University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"North","sequence":"additional","affiliation":[{"name":"Health Data Research UK (HDR\u2010UK) Data Science Building Swansea University  Swansea UK"},{"name":"Dementia Platform  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gabbay","sequence":"additional","affiliation":[{"name":"Institute of Population Health Sciences University of Liverpool  Liverpool UK"},{"name":"NIHR ARC NWC  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Rodgers","sequence":"additional","affiliation":[{"name":"Institute of Population Health Sciences University of Liverpool  Liverpool UK"},{"name":"NIHR ARC NWC  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"World Alzheimer Report 2016","author":"Alzheimer's Disease International (ADI)","year":"2016"},{"key":"e_1_2_9_3_1","volume-title":"Dementia UK: Update","author":"Prince M","year":"2014"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-014-0620-6"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4637"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0891988716686835"},{"issue":"5","key":"e_1_2_9_7_1","first-page":"465.e9","article-title":"What makes institutional long\u2010term care the most appropriate setting for people with dementia? 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