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Using data from the SNAC Stockholm Eldercare study, we identified all individuals aged\u2009\u2265\u200965 in the municipality of Stockholm who entered publicly funded LTC for the first time between 2015 and 2022 (n\u2009=\u200933,393). Descriptive statistics and regression models were used to examine: (1) temporal trends in sociodemographic characteristics and care needs among individuals entering LTC between 2015 and 2022; (2) factors associated with entering LTC with a high level of dependency; and (3) the type and amount of LTC granted.\n                  <\/jats:p>\n                  <jats:p>Sociodemographic characteristics remained largely stable over time, but the proportion entering LTC with high dependency increased from 21% in 2015 to 29% in 2022, suggesting a shift toward more extensive care needs at admission. Higher age (\u2265\u200990), cohabiting, lower income, and at least weekly informal care significantly increased the likelihood of entering LTC with extensive needs. Most first-time users were granted home care (85\u201387%), although the predicted number of monthly hours slightly declined from 27 to 25, adjusted for sociodemographic and need-related factors. Entry into LTC reflects an interplay of care needs, care-seeking-behaviour, and policies and eligibility criteria. Our findings highlight the importance of further research into how attitudes and beliefs shape care-seeking behaviour, and whether earlier entry into LTC during functional decline could help prevent the development of more extensive needs.<\/jats:p>","DOI":"10.1007\/s10433-025-00906-5","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:04:29Z","timestamp":1768280669000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Older people in Sweden increasingly enter long-term care with extensive care needs\u2013a register study of first-time users based on the SNAC Stockholm Eldercare study"],"prefix":"10.1007","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2059-9474","authenticated-orcid":false,"given":"Bettina","family":"Meinow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8245-5479","authenticated-orcid":false,"given":"Ida","family":"Goliath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8861-7552","authenticated-orcid":false,"given":"Sarah","family":"Wallcook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0536-0024","authenticated-orcid":false,"given":"Maria","family":"Flink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7978-0069","authenticated-orcid":false,"given":"Pernilla Alencar","family":"Siljehag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0512-8719","authenticated-orcid":false,"given":"Charlotte","family":"Klinga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4399-5592","authenticated-orcid":false,"given":"Helena","family":"Strehlenert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8653-8028","authenticated-orcid":false,"given":"\u00c5sa","family":"von Berens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"906_CR1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284","author":"RM Andersen","year":"1995","unstructured":"Andersen RM (1995) Revisiting the behavioral model and access to medical care: Does it matter? 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