European Journal of Ageing

, Volume 6, Issue 2, pp 137–145 | Cite as

Moving in and out of public old age care among the very old in Sweden

  • Daniel Hallberg
  • Mårten Lagergren
Original Investigation


In this paper, we present empirical results for the very old (75+) concerning transitions between independent living in ordinary home without public support, independent living in ordinary home or special accommodations with home help and home health care, and living in around the clock care. We investigate the role of age and gender, dependency in activities of daily living (ADL) and the informal support from a partner. We also study mortality conditional on the above-mentioned variables and on the mode of old age care. The results show that the propensity to move to a more intensive mode of care is less for males, higher with more limitations in personal ADL and increasing with age. There is also a stabilizing effect of the availability of informal care support, as measured by marriage or cohabitation, as it makes it less likely to move from the current care mode. In the case of mortality, the observed relations pointed in the expected directions—mortality increasing with increasing PADL-limitations and age and being higher for men than for women. The age relation, however, does not hold in the same way in around the clock care. The estimated relationships are used as input in a micro-simulation model intended for analysis of the effect of population aging on the needs and resource requirements for old age care in Sweden.


Old age care Transfers Mortality 



We are grateful for comments and suggestions from Björn Lindgren, Anders Klevmarken, Lennart Flood, Kristian Bolin, Urban Fransson, Matias Eklöf, and two anonomous referees. Financial support from the Swedish council for working life and social research (FAS) is gratefully acknowledged.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Institute for Futures StudiesStockholmSweden
  2. 2.Stockholm Gerontology Research CenterStockholmSweden

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