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Le recours aux maisons de retraite pour les hommes et femmes âgés en Finlande et en Belgique


  • Elina K. Einiö
  • Christine Guilbault
  • Pekka Martikainen
  • Michel Poulain


In a context of population ageing, it is of particular interest to study the determinants of care home use. This article compares data from registers in Finland (1997-2001) and Belgium (2001-2005). Being a woman is associated with a higher probability of residing in a care home at an older age in both countries, although the gender differences are somewhat larger in Belgium, and the relative gender difference in care home admission is higher in Belgium (hazard ratio = 1.82) than in Finland (1.35). These differences are largely related to the fact that women are older, less likely to be married, less healthy and have a lower socioeconomic status than men in both countries. The female excess in Belgium remained significant after controlling simultaneously for demographic, socioeconomic and health characteristics (hazard ratio = 1.12), while for Finland, the female excess was reversed in the multivariate models (0.91). The results suggest that older women are more dependent on institutional care not only because they have a higher likelihood of being widowed, which reduces their chances of receiving informal care from their married partner, but also because they are, on average, more disadvantaged in terms of material resources.

Suggested Citation

  • Elina K. Einiö & Christine Guilbault & Pekka Martikainen & Michel Poulain, 2012. "Le recours aux maisons de retraite pour les hommes et femmes âgés en Finlande et en Belgique," Population (french edition), Institut National d'Études Démographiques (INED), vol. 67(1), pages 75-101.
  • Handle: RePEc:cai:popine:popu_1201_0075

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    References listed on IDEAS

    1. Kathleen Mcgarry & Robert Schoeni, 2000. "Social security, economic growth, and the rise in elderly widows’ independence in the twentieth century," Demography, Springer;Population Association of America (PAA), vol. 37(2), pages 221-236, May.
    2. Duée, Michel & Rebillard, Cyril & Pennec, Sophie, 2005. "Les personnes dépendantes en France : Evolution et prise en charge
      [Old-age disability in France: Long-term evolution, private caregiving and public expenditure]
      ," MPRA Paper 69877, University Library of Munich, Germany.
    3. Spieß, Christa Katharina & Schneider, A. Ulrike, 2003. "Interactions between care-giving and paid work hours among European midlife women, 1994 to 1996," EconStor Open Access Articles, ZBW - German National Library of Economics, pages 41-68.
    4. Susan Ettner, 1995. "The impact of “parent care” on female labor supply decisions," Demography, Springer;Population Association of America (PAA), vol. 32(1), pages 63-80, February.
    5. Aline Désesquelles & Nicolas Brouard, 2003. "Le réseau familial des personnes âgées de 60 ans ou plus vivant à domicile ou en institution," Population (french edition), Institut National d'Études Démographiques (INED), vol. 58(2), pages 201-227.
    6. Iacovou, Maria, 2000. "Health, wealth and progeny: explaining the living arrangements of older European women," ISER Working Paper Series 2000-08, Institute for Social and Economic Research.
    7. Robert Michael & Victor Fuchs & Sharon Scott, 1980. "changes in the propensity to live alone: 1950–1976," Demography, Springer;Population Association of America (PAA), vol. 17(1), pages 39-56, February.
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