Long-term care preference among Japanese older adults: differences by age, period and cohort

Sugisawa, Hidehiro; Sugihara, Yoko; Nakatani, Yomei

doi:10.1017/s0144686x1800171x

Cited by 6 publications

(11 citation statements)

References 47 publications

(70 reference statements)

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“…Before the implementation of the long-term care insurance system, 43% of older patients stayed in hospitals for more than six months due to the lack of long-term care facilities [28], but the provisions of formal care, including long-term care facilities and home care services, have been enriched in both quantity and quality since then. Indeed, according to a recent study of Japanese older adults [29], the preference for home care services increased before and after the reinforcement of the long-term care insurance system, but the preference for long-term care services remained relatively stable. Therefore, our findings should be updated to reflect more recent data.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, we need to be careful in generalizing the present results and interpreting differences across studies. For instance, another study of Japanese older adults [29] reported that the ratio of respondents preferring to reside in longterm care facilities if confined to bed was 30.1% in 1998. Unlike the present study, however, the measurement did not include a hospital as a long-term care facility.…”

Section: Discussionmentioning

confidence: 99%

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Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study

et al. 2022

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Background In Asia, where autonomous decision-making is not well accepted, little is known about whether and how individuals’ preferences are considered when deciding where they receive care. This study examined whether individuals preferring to age in place if confined to bed were less likely to be institutionalized, using longitudinal data of Japanese older adults. Methods We analyzed nationally representative data of 1,290 community-dwelling older adults aged 70 and above. Baseline data were collected in 1999, shortly before the long-term care insurance system was introduced. The outcome was measured as self- or proxy-reported years of institutionalization over seven years. The explanatory variable was whether individuals preferred to age in place if they were confined to bed. Participants were asked about their desired place of care (facility, home, or other) if confined to bed. Covariates were sociodemographic and health-related factors. We used Cox proportional hazards models and calculated hazard ratios (HRs) with 95% confidence intervals (CIs) to evaluate the association of aging-in-place preferences if confined to bed with institutionalization. We applied multiple imputation to deal with missing data. Results Seventy-eight respondents (6.0%) were institutionalized during the follow-up period. Compared to individuals preferring to reside in long-term care facilities if confined to bed (48.7%), those preferring to stay in their homes (39.6%) were less likely to be institutionalized, even after adjusting for relevant covariates (HR = 0.47, 95% CI 0.27–0.79 for model 1 including residential status; HR = 0.45, 95% CI 0.27–0.76 for model 2 including marital status and co-resident children). Conclusions Our findings suggest that individuals’ aging-in-place preferences tend to be considered under the long-term care insurance system. Individuals’ preferences should be shared with families and clinicians when deciding the place of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study

et al. 2022

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“… 15 - 17 ) Several studies have reported that individuals who live alone, women, and younger people prefer institutional care. 13 , 18 ) In contrast, men generally prefer informal care. 13 , 18 , 19 ) Studies have also shown a positive relationship between individuals' education level and their preferences for institutional (or formal) care.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Long-Term Care Preferences in Turkey

Güdük

Ankara²

2022

Ann Geriatr Med Res

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Background: This study aimed to identify the long-term care preferences and the factors affecting theses preferences in Turkish society, where long-term care may soon become an important issue. Methods:We applied data from the Family Structure Survey of Turkey conducted in 2016.Using data from 35,475 individuals, we performed descriptive analysis and logistic regressions to determine the preferences and determinants of individuals based on the Andersen Behavior Model.Results: Informal care was the main preference of individuals living in Turkey (37%). Men, individuals living in an extended family, and the young mostly favored informal care, while women, well-educated individuals, and urban individuals preferred institutional or formal care at home. Conclusion:Efforts should be made to raise individuals' awareness regarding existing longterm care services. These services should be strengthened in line with society's preferences, considering regional differences.

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“…Twenty‐nine studies out of 35 studies explored the impact of age on willingness of older people to engage with long‐term care services in 110,119 participants. Fifteen studies found a significant association between age and the willingness of older people to engage with long‐term care services (Carvalho et al, 2020; Hajek et al, 2017; Han et al, 2017; Kim & Kim, 2004; Liao, 2019; McCormick et al, 2002; Qian et al, 2018; Rodríguez, 2014; Shi & Hu, 2020; Sugisawa et al, 2020; Wang et al, 2004, 2020; Wei & Zhang, 2020; Xu et al, 2018; Zeng et al, 2019). And 10 studies found that the younger older people were likely to choose formal care.…”

Section: Resultsmentioning

confidence: 99%

Factors associated with the willingness of older people to engage with long‐term care services: A systematic review

Zhang

Miao

et al. 2022

Health Social Care Comm

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The ageing of the population has resulted in an increase in the demand for long-term care services for older people, but with limited resources, its challenges have also been highlighted. Although factors affecting the willingness of older people to engage with long-term care services have been widely reported, however, systematic review has not synthesised the evidence, and its associated factors remain unclear. This systematic review aims to study and synthesise the best available evidence on the potential factors related to the willingness of older people to engage with longterm care services. Eight electronic databases were comprehensively searched from inception to January 2021: the Cochrane Library, PubMed, Web of Science, CINAHL, Wanfang Database, China Knowledge Resource Integrated Database (CNKI), Weipu Database (VIP), and Chinese Biomedical Literature Database (CBM). The original literatures were screened according to selection criteria. Two researchers used 11-item checklist recommended by the Agency for Healthcare Research and Quality to evaluate the quality of the included literatures. And the review used narrative synthesis tointegrate factors related to the willingness of older people to engage with long-term care services. In total, 7794 studies were screened and 35 studies were included in this review. Among them, 23 studies were rated as moderate quality and 12 was high quality. Data synthesis identified that age, education, number of children, living arrangements, the relationship with children, primary caregivers, place of residence, social support, household income, medical insurance, activities of daily living ability and spiritual comfort should all be taken into account when establishing the appropriate long-term care service model or formulating relevant policies. However, many factors remain undetermined and require more rigorous original literature support. And multiple areas can be also considered in the future studies, especially psychological factors.

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Long-term care preference among Japanese older adults: differences by age, period and cohort

Cited by 6 publications

References 47 publications

Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study

Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study

Factors Affecting Long-Term Care Preferences in Turkey

Factors associated with the willingness of older people to engage with long‐term care services: A systematic review

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