Living with a partner delays dementia support access, Swedish study finds
A Swedish analysis of nearly 2,600 young-onset dementia patients reveals that people living with another adult receive home care and day services significantly later than those living alone—a finding with major implications for how healthcare systems allocate resources and design early intervention programs. The delay could mean years of informal caregiving burden on family members before formal support kicks in.
Originaltitel: Factors influencing time to support in young-onset dementia: survival analysis of data from the Swedish Dementia Registry (SveDem)
<p>Objectives: Understanding the timing of service access for persons with young-onset dementia is essential for developing adequate support. This study aims to describe the formal support available for persons with young-onset dementia in Sweden and identify factors influencing its provision over time.</p><p>Method: A prospective cohort study was carried out using data from the Swedish Dementia Registry (SveDem), focusing on persons diagnosed with young-onset dementia between January 2009 and April 2022 (n = 2592). Descriptive statistics provided a comprehensive overview of the population, and Cox Regressions were used to analyse factors associated with the time to receive support services post-diagnosis.</p><p>Results: Living with another adult and higher MMSE scores were significantly associated with later access to home help services (p < 0.001) and care facilities (p < 0.001). Higher MMSE scores (p < 0.001), older age (p = 0.023), living with another adult (p = 0.010) and diagnosis at primary care centres (p = 0.016) were also associated with later access to day-care services. No significant associations were found between age, sex, medications, care setting, living arrangement, or MMSE score or with the time to access counselling services.</p><p>Conclusion: The timing of access to support services for persons with young-onset dementia varies significantly, particularly for those living with another adult. These patterns may reflect a hidden caregiver burden.</p>