The seniors unequally face their loss of autonomy according to their level and especially their place of life, details a study by the Caisse des Dépôts published Thursday. Those who live in the north and east of France combine the weaknesses but are more supported by their families. In Paris and in the small crown, they are not spared by solitude.
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urban or village, with or without a car, owners or not, isolated or surrounded by their families, the seniors unequally face the loss of their autonomy according to their level but especially their place of life. The Caisse des Dépôts et Consignations, which finances real estate projects to accommodate the elderly, paints the table of “territorial disparities in terms of aging and access to care”, in a study presented Thursday, May 12.
France has 16 million inhabitants over the age of 60 (the study takes 2016 as a reference year). Seniors who declare that they have difficulty performing the gestures of daily life represent 6.9 % of the 60-74 year olds and 26.8 % of the over 75s. But geographic “contrasts” are “important”, note the authors of the study, Nathalie Chataigner and Clémence Darrigade.
Those who live in the Hauts-de-France, Grand-Est and Haute-Corse regions are more frequently in loss of autonomy than in Brittany, Ile-de-France or in the Pays de la Loire. Seniors of Northern France and East also have, on average, lower income than those in the south and western. They are less often owners and holders of a car. They combine the weaknesses. But family support is more important than in other territories. In the Massif Central, the level of dependence is at a very high level for those over 75, which also have low incomes and live more isolated.
The “crucial” presence of nurses and physiotherapists
The elderly of rich urban areas are not spared from loneliness. In Paris and in the small crown, the level of dependence is high among the over 60s, who live alone for 31 % of them. A good quarter are tenants of social housing. More than a quarter live in a building without elevator. 28 % are immigrants.
Like the majority of the population, seniors live rather in urban areas and in coastal areas. But those over 60 are proportionally more numerous than other age groups in rural or little dense areas. However, access to health professionals is more complicated as we move away from cities. The over 60s who live in the campaign are the most dependent on the lack of general practitioners. They are on the front line in the face of “medical deserts”, defined as territories where the inhabitants only have access to 2.5 consultations per year, while the national average is more than 4 annual visits per capita.
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