Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study

Cui, Longyan; Li, Jingshan; Xie, Di; Wang, Minghui; He, Fanrong; Chen, Junfeng; Ding, Ding

doi:10.3389/fpubh.2022.860974

Cited by 12 publications

(9 citation statements)

References 37 publications

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“…It does not make sense to validate such a model. According to a reliable survey conducted in 2018, the vast majority of elderly people in China (96.4%) lived with family members, while a small percentage lived alone (3.3%) or in nursing homes (0.3%) [12,16].Therefore, this study only validates our self-developed SFHF model.…”

Section: Background and Objectivesmentioning

confidence: 91%

External validation of a prognostic model for one-year survival after fragility hip fracture: A retrospective cohort study

Fu,

Li,

Wei

et al. 2024

Preprint

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Purpose To scientifically manage fragility hip fracture patients, we have developed a survival prediction model for predicting 1-year survival after fragility hip fracture (SFHF). This study aims to validate the model. Methods This was a retrospective cohort study conducted in the orthopaedics department at a regional medical centre in central China. Fragility hip fracture patients who were consecutively admitted to the orthopaedics department from January 2016 to October 31, 2021. We evaluated the performance of an SFHF model (including the full model and the simplified model) from the following three aspects: (1) Discrimination. We presented the concordance (c) index of the model, including Harrell's c-index and Uno's c-value. Overall performance was measured using Nagelkerke R2 values. (2) Calibration. The calibration plot method was used to evaluate the calibration of the model. (3) Decision curve analysis (DCA) was used to judge whether the model had clinical value in the validation population. Results A total of 877 (≥ 50 years) (out of 1132) eligible fragility hip fracture patients were included in this study. Among them, 47 patients were lost to follow-up. Among the patients who were successfully followed up, 87 died within 1 year of the fracture. After applying simple imputation to deal with missing values, the final effective sample size was 93 cases. The 1-year mortality rate after fracture was 10.6%. The Harrell’s c-index values of the full and simple SFHF models were 0.764 (standard error, 0.024) and 0.763 (0.024), respectively. Uno’s c-values were 0.765 (0.024) and 0.763 (0.024), respectively. The Nagelkerke R2 values were 0.144 and 0.144, respectively. The calibration plot showed that the model had good calibration between predicted and actual values. DCA showed that the model was clinically useful within a threshold range of risk of death of 0.03–0.38. Conclusion Our study preliminarily confirmed that the SFHF model has good accuracy and generalizability in predicting the one-year survival rate of fragility hip fracture patients, and that it has good clinical value. This predictive model may be considered for clinical practice.

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Section: Background and Objectivesmentioning

confidence: 91%

External validation of a prognostic model for one-year survival after fragility hip fracture: A retrospective cohort study

Fu,

Li,

Wei

et al. 2024

Preprint

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“… 25 Social support and health status will affect the living arrangement preference of the elderly. 26 Therefore, it is hypothesized that social support and loneliness will affect the choice preference of the elderly toward the IMSEC model. Therefore, social support and loneliness were selected as independent variables.…”

Section: Methodsmentioning

confidence: 99%

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Qin,

Zhou,

Cheng

et al. 2024

INQUIRY

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Facing the increasingly severe aging situation, China has started to implement the “integrated medical services and elderly care (IMSEC)” policy, which covers a variety of IMSEC models. However, there is currently little research on middle-aged and elderly people’s choice preference for these IMSEC models and their associated factors. Through the face-to-face questionnaire method, the choice preference of middle-aged and elderly people aged 45 years and over in Zhejiang Province, China, to the IMSEC model is explored. Through the multinomial logistic regression model, the influencing factors of choice preference are analyzed. A total of 1034 people are included in 2022. Their choice preference for the 4 major types of IMSEC models are Home IMSEC model (48.07%), Community IMSEC model (23.79%), Institutional IMSEC model (21.76%), and Internet Plus IMSEC model (6.38%). “C1. Home elderly care and contracted with a family doctor” is the most chosen subtype, accounting for 34.53%. The rural elderly are more likely to choose “Home IMSEC model” (OR(95%CI) = 2.977(1.343-6.601)). Elderly people with relatively large life care needs are more likely to choose “Institutional IMSEC model” (OR(95%CI) = 1.114(1.042-1.190)). Moreover, age, education, and self-reported health status are also influencing factors of choice preference. The government should focus on promoting the development of the “Home IMSEC model” and increase the promotion of “Internet Plus IMSEC model.” In addition, the life care service capacity and spiritual comfort capacity of IMSEC institutions, as well as the medical service capacity of the community, need to be enhanced.

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“…The burdened caregiver's existing resources and wellbeing should also be supported (53). The availability and needs orientation of health services and the accessibility of these services need to be improved in this context (54), as couples are among the most isolated care constellations.…”

Section: Implications For Health Professionals Working With Older Cou...mentioning

confidence: 99%

Longing for normalcy in couple relationships: How chronic illness and care dependency change the relationship of long-married couples

Niedling

Hämel

2023

Front. Public Health

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IntroductionCoping with chronic illness and care dependency in a marital dyad challenges many older couples. In our qualitative research study, we are interested in how long-married spouses in Germany experience their couple relationship while dealing with long-term care and adapting everyday life to the care situation.MethodsWe conducted problem-centered interviews with 17 spouses according to the interpretive-reconstructive documentary method.ResultsWe derived four thematic areas: (1) partner(ship) disappears behind the disease; (2) partners struggle with changing tasks and roles; (3) caring partners mourn the loss of intimacy; and (4) partners strive to rebalance the partnership.DiscussionWhen chronic illness and care dependency enter couples' lives, the self-image as husband or wife is affected. Primary health care professionals should be sensitive to the specific constellation of care in couple relationships and recognize the significance of this dyadic relationship as living in a satisfying couple relationship is essential for the health and wellbeing of both partners.

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Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study

Cited by 12 publications

References 37 publications

External validation of a prognostic model for one-year survival after fragility hip fracture: A retrospective cohort study

External validation of a prognostic model for one-year survival after fragility hip fracture: A retrospective cohort study

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Longing for normalcy in couple relationships: How chronic illness and care dependency change the relationship of long-married couples

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