Gender difference in utilization willingness of institutional care among the single seniors: evidence from rural Shandong, China

Qian, Yang‐Yang; Chu, Jie; Ge, Dongyu; Zhang, Li; Sun, Long; Zhou, Chengchao

doi:10.1186/s12939-017-0577-z

Cited by 21 publications

(27 citation statements)

References 24 publications

(29 reference statements)

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“…We assume that the elderly living alone typically lack physical and psychological assistance and care from their family, and are therefore more willing to live in elder care institutions. Similar results were found in a study that showed that elderly people who lived alone were more willing to live in elder care institutions, for both single males and females, when compared with those who lived with children or others 38. First, as another study concluded, older people are more likely than any other section of the population to be living in single-person households 39.…”

Section: Discussionsupporting

confidence: 79%

Effects of individual, family and community factors on the willingness of institutional elder care: a cross-sectional survey of the elderly in China

et al. 2020

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ObjectiveTo investigate the effects of the willingness to live in elder care institutions associated with individual factors, family environment and the community environment in the elderly in China.DesignCross-sectional survey.SettingHeilongjiang Province, China.ParticipantsA total of 1003 elderly people were selected through multistage sampling in Heilongjiang Province.Primary and secondary outcome measuresA multistage, stratified sampling design was employed. Differences in health status, family environment and community environment of the respondents were compared with the t-test and χ2 test. Logistic regression analysis was performed to assess key determinants of willingness to live in institutions.ResultsThis study showed that 45.4% of respondents were willing to live in elder care institutions in the future. Factors influencing willingness to live in elder care institutions were age, house ownership, living with spouse and children, disease caregivers and availability of home healthcare services. The elders who had no property (OR=2.37, 95% CI 1.750 to 3.200, p<0.01) and those aged 80 or above (OR=2.25, 95% CI 1.490 to 3.400, p<0.01) were, respectively, 2.370 and 2.250 times more receptive to living in elder care institutions than their control groups. However, those living with a spouse (OR=0.47, 95% CI 0.287 to 0.762, p<0.01), living with children (OR=0.25, 95% CI 0.158 to 0.402, p<0.01) or living with a spouse and children (OR=0.29, 95% CI 0.160 to 0.509, p<0.01) were less willing to live in elder care institutions.ConclusionsThese results suggest that the willingness to enter elder care institutions is affected by individual, family environmental and community environmental factors. We should vigorously develop community-centred intensive home-based elder care services by improving the quality and availability of home health services by expanding investment in the community.

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Section: Discussionsupporting

confidence: 79%

Effects of individual, family and community factors on the willingness of institutional elder care: a cross-sectional survey of the elderly in China

et al. 2020

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“…47 According to some elderly, if they live in an eldercare institution, their children might be considered unfilial and could be ridiculed. 48 …”

Section: Discussionmentioning

confidence: 99%

Urban-rural differences in factors associated with willingness to receive eldercare among the elderly: a cross-sectional survey in China

Xing

Pei

et al. 2018

BMJ Open

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ObjectiveWillingness to receive eldercare is an important factor affecting the reasonable allocation of resources and appropriate development of eldercare services. This study aimed to investigate the differences in willingness to receive eldercare and the influencing factors in urban and rural areas.DesignCross-sectional survey.SettingResearch was conducted in the urban and rural areas of three cities (Harbin, Qiqihar and Jiamusi) in Heilongjiang province, China.ParticipantsA total of 1003 elderly were selected through multistage sampling in Heilongjiang province, including 581 in urban areas and 422 in rural areas.Main outcome measuresDescriptive statistics were reported for socioeconomic and demographic status, physical health, life satisfaction and social support in urban and rural areas. Mean differences were examined using t-tests, and categorical variable differences were examined using χ2 tests. The factors influencing willingness to receive eldercare in urban and rural areas were analysed using logistic regression.ResultsThe results showed that 51.6% of urban elderly and 59.0% of rural elderly preferred family eldercare. Factors that influenced willingness to receive eldercare for urban elderly were age (OR 2.791, 95% CI 1.644 to 4.737), house property (OR 0.494, 95% CI 0.329 to 0.740) and objective support (OR 0.764, 95% CI 0.681 to 0.858). For rural elderly, the factors were having children (OR 0.368, 95% CI 0.146 to 0.930), house property (OR 0.371, 95% CI 0.231 to 0.596) and living arrangement (OR 3.361, 95% CI 1.436 to 7.866).ConclusionMore attention should be paid to improving the functioning of family eldercare and promoting the development of varied eldercare services. Investments and targeted policies should be undertaken for different subgroups of urban and rural elderly.

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“…20 In this study, a three-stage cluster sampling was used to select participants, as described in detail previously. 21 A total of 3923 older people were included in the analysis. We used a face-to-face interview to collect data from November 2011 to January 2012.…”

Section: Methodsmentioning

confidence: 99%

Utilisation willingness for institutional care by the elderly: a comparative study of empty nesters and non-empty nesters in Shandong, China

et al. 2018

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IntroductionInstitutional care has been strongly promoted in China to meet seniors’ long-term care needs. Empty-nest elderly, in comparison with their counterparts, have less social support and fewer caring networks. This study aimed to compare the utilisation willingness for institutional care and its predictors between empty-nest and non-empty-nest seniors.MethodsA total of 3923 seniors were included in the analysis. Binary logistic regression models were used to understand the association between the living arrangements of the elderly households and willingness for institutional care and to identify the predictors of the utilisation willingness for institutional care among empty nesters and non-empty nesters.ResultsOur study found that approximately 8.5% of the seniors had a willingness for institutional care in Shandong, China. Empty-nest singles (OR 5.301; 95% CI 2.838 to 9.904) and empty-nest couples (OR 1.547; 95% CI 1.135 to 2.107) were found to be more willing to receive institutional care. Our results also showed that residence was a key determinant for institutionalisation willingness in empty-nest and non-empty-nest elderly. Among empty-nest singles, psychological stress was a positive determinant for institutional care. Factors, including education attainment, relationship with adult children, household income and per capita living space, were determinants for empty-nest couple willingness for institutionalisation. Age, number of children and self-reported health status were found to be associated factors for willingness among non-empty nesters.ConclusionsThe government should pay more attention to institutional care in rural areas where there is still a gap in elder care compared with that in urban areas. Targeted policies should be made for different types of seniors to offer appropriate institutional care.

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Gender difference in utilization willingness of institutional care among the single seniors: evidence from rural Shandong, China

Cited by 21 publications

References 24 publications

Effects of individual, family and community factors on the willingness of institutional elder care: a cross-sectional survey of the elderly in China

Effects of individual, family and community factors on the willingness of institutional elder care: a cross-sectional survey of the elderly in China

Urban-rural differences in factors associated with willingness to receive eldercare among the elderly: a cross-sectional survey in China

Utilisation willingness for institutional care by the elderly: a comparative study of empty nesters and non-empty nesters in Shandong, China

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