{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:06:09Z","timestamp":1791911169019,"version":"4.3.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Older adults are increasingly encouraged to continue living in their own homes with support from home care services. However, few studies have focused on older adults\u2019 safety in home care. This study explored associations between the sense of security and factors related to demographic characteristics and home care services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (aged 65+ years) granted home care services at any time between 2016 and 2020 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =82,834\u221294,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent (demographics, health and care-related factors) variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The sense of security tended to increase between 2016 and 2020, and was significantly associated with being a woman, living outside big cities, being granted more home care services hours or being diagnosed\/treated for depression (cumulative odds ratio 2\u20139% higher). Anxiety, poor health and living alone were most strongly associated with insecurity (cumulative odds ratio 17\u201364% lower). Aside from overall satisfaction with home care services, accessibility and confidence in staff influenced the sense of security most.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:bold>We stress the need to promote older adults\u2019 sense of security for safe ageing in place, as mandated by Swedish law. Home care services profoundly influence older adults\u2019 sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults. Given the increasing shortage of staff, integrating complementary measures, such as welfare technologies, is crucial to promoting this sense of security.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14034948241236830","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T08:08:30Z","timestamp":1711094910000},"page":"250-257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Trust and easy access to home care staff are associated with older adults\u2019 sense of security: a Swedish longitudinal study"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7490-6735","authenticated-orcid":false,"given":"Rose-Marie","family":"Johansson-Pajala","sequence":"first","affiliation":[{"name":"School of Health, Care and Social Welfare, M\u00e4lardalen University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moudud","family":"Alam","sequence":"additional","affiliation":[{"name":"School of Information and Engineering\/Statistics, Dalarna University, Falun, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelie","family":"K. Gusdal","sequence":"additional","affiliation":[{"name":"School of Health, Care and Social Welfare, M\u00e4lardalen University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Marmst\u00e5l Hammar","sequence":"additional","affiliation":[{"name":"School of Health, Care and Social Welfare, M\u00e4lardalen University, Sweden"},{"name":"School of Health and Welfare, Dalarna University, Falun, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Marie","family":"Bostr\u00f6m","sequence":"additional","affiliation":[{"name":"Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institute, Stockholm, Sweden"},{"name":"R&amp;D unit, Stockholms Sjukhem, Stockholm, Sweden"},{"name":"Theme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-022-00699-x"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.14045"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1651-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12186"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2010.00211.x"},{"key":"e_1_3_3_7_2","article-title":"Concept analysis of patient safety in home care: a hybrid model","volume":"11","author":"Shahrestanaki SK","year":"2022","unstructured":"Shahrestanaki SK, Rafii F, Ghezeljeh TN. Concept analysis of patient safety in home care: a hybrid model. BMJ Open Qual 2022;11:e002077.","journal-title":"BMJ Open Qual"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm068"},{"key":"e_1_3_3_9_2","unstructured":"World Health Organization. Global age-friendly cities: a guide. WHO Geneva Switzerland. 2007. https:\/\/apps.who.Int\/iris\/bitstream\/handle\/10665\/43755\/9789241547307_eng.pdf?sequence=1&isAllowed=y (2007 accessed 22 August 2023)."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0213263"},{"key":"e_1_3_3_11_2","unstructured":"The National Board of Health and Welfare. Statistik om socialtj\u00e4nstinsatser till \u00e4ldre och personer med funktionsneds\u00e4ttning efter regiform [Statistics on social service efforts for the elderly and people with disabilities by form of government]. 2022. https:\/\/www.socialstyrelsen.se\/statistik-och-data\/statistik\/alla-statistikamnen\/socialtjanstinsatser-till-aldre-och-personer-med-funktionsnedsattning-efter-regiform\/ (2022 accessed 21 August 2023)."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12631"},{"key":"e_1_3_3_13_2","unstructured":"World Health Organization. Depressive disorder (depression). WHO Geneva Switzerland. 2023. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/depression (2023 accessed 17 January 2024)."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2018.12.002"},{"key":"e_1_3_3_15_2","unstructured":"The National Board of Health and Welfare. Psykisk oh\u00e4lsa hos personer 65 \u00e5r och \u00e4ldre. Uppf\u00f6ljning av v\u00e5rd och omsorg vid psykiska oh\u00e4lsa hos \u00e4ldre. \u00d6ppna j\u00e4mf\u00f6relser [Mental illness in people aged 65 and older. Follow-up of care and social care in the case of mental illness in the elderly. Open comparisons]. 2018. https:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint-dokument\/artikelkatalog\/oppna-jamforelser\/2018-9-12.pdf (2018 accessed 21 August 2023)."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-008-0006-5"},{"key":"e_1_3_3_17_2","unstructured":"World Health Organization. Patient safety \u2013 Making health care safer. WHO Geneva Switzerland. 2017. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/255507\/WHO-HIS-SDS-2017.11-eng.pdf?sequence=1 (2017 accessed 21 August 2023)."},{"key":"e_1_3_3_18_2","article-title":"Determinants of a sense of insecurity among home-dwelling older people","author":"Knuutila MT","year":"2022","unstructured":"Knuutila MT, Lehti TE, Karppinen H, et al. 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