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Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China

Background: Long-term care (LTC) needs for the elderly have become increasingly crucial policy concerns in rapidly aging Asia, especially in China, the most populous nation. However, very few studies have examined the cohort differences in terms of their existing and expected utilization of LTC serv...

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Detalles Bibliográficos
Autores principales: Zhang, Liangwen, Zeng, Yanbing, Wang, Lixia, Fang, Ya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084295/
https://www.ncbi.nlm.nih.gov/pubmed/32150946
http://dx.doi.org/10.3390/ijerph17051701
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author Zhang, Liangwen
Zeng, Yanbing
Wang, Lixia
Fang, Ya
author_facet Zhang, Liangwen
Zeng, Yanbing
Wang, Lixia
Fang, Ya
author_sort Zhang, Liangwen
collection PubMed
description Background: Long-term care (LTC) needs for the elderly have become increasingly crucial policy concerns in rapidly aging Asia, especially in China, the most populous nation. However, very few studies have examined the cohort differences in terms of their existing and expected utilization of LTC services, above all urban–rural differences. This study aims to evaluate the differences of LTC current status and needs between urban–rural areas and age groups, and to identify influencing factors causing the different LTC needs. Methods: The data come from the Chinese Longitudinal Health Longevity Survey in 2014. A total of 7192 home-based elderly aged ≥65 years by multistage sampling were enrolled. The Andersen Model was applied to categorize the influential factors into three components including predisposing, enabling and needs. Multivariate logistic regression analysis was used to analyze the influential factors of the three levels of LTC needs. Results: A total of 6909 valid sample sizes were included in this study. The overall LTC needs of the elderly showed a rapidly increasing trend among which older people had the highest needs for bathing (27.29%) and toileting (15.8%). It was also demonstrated the aged cohort between urban and rural exerted an impact on all aspects of LTC status and needs to varying degrees (p < 0.05). Compared with urban areas, the LTC needs for the elderly in rural areas was more vigorous, but the supply was seriously inadequate. The elderly who were older, living in rural areas, unmarried, non-farming, with low income, in poor health and having less autonomy had higher anticipated needs for LTC services (OR > 1, p < 0.01). Compared with the young-old in rural areas, the young-old in urban areas were prone to live alone (OR = 1.61, p < 0.01). The elderly who were older, living in rural areas, farming, with low income, lonely and depressed had higher anticipated needs for community-based services (1 < OR < 1.69, p < 0.05). Conclusions: The aged cohort in urban–rural distinction were facing an increasing need for immediate care due to the inadequate support being provided, especially among rural elderly. The oldest elderly in rural areas had higher LTC needs, and different levels of needs were affected by age, economic level, family support, health status and other related effects. This study provides evidence-based recommendation for further improving the construction and development of the LTC system in China.
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spelling pubmed-70842952020-03-24 Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China Zhang, Liangwen Zeng, Yanbing Wang, Lixia Fang, Ya Int J Environ Res Public Health Article Background: Long-term care (LTC) needs for the elderly have become increasingly crucial policy concerns in rapidly aging Asia, especially in China, the most populous nation. However, very few studies have examined the cohort differences in terms of their existing and expected utilization of LTC services, above all urban–rural differences. This study aims to evaluate the differences of LTC current status and needs between urban–rural areas and age groups, and to identify influencing factors causing the different LTC needs. Methods: The data come from the Chinese Longitudinal Health Longevity Survey in 2014. A total of 7192 home-based elderly aged ≥65 years by multistage sampling were enrolled. The Andersen Model was applied to categorize the influential factors into three components including predisposing, enabling and needs. Multivariate logistic regression analysis was used to analyze the influential factors of the three levels of LTC needs. Results: A total of 6909 valid sample sizes were included in this study. The overall LTC needs of the elderly showed a rapidly increasing trend among which older people had the highest needs for bathing (27.29%) and toileting (15.8%). It was also demonstrated the aged cohort between urban and rural exerted an impact on all aspects of LTC status and needs to varying degrees (p < 0.05). Compared with urban areas, the LTC needs for the elderly in rural areas was more vigorous, but the supply was seriously inadequate. The elderly who were older, living in rural areas, unmarried, non-farming, with low income, in poor health and having less autonomy had higher anticipated needs for LTC services (OR > 1, p < 0.01). Compared with the young-old in rural areas, the young-old in urban areas were prone to live alone (OR = 1.61, p < 0.01). The elderly who were older, living in rural areas, farming, with low income, lonely and depressed had higher anticipated needs for community-based services (1 < OR < 1.69, p < 0.05). Conclusions: The aged cohort in urban–rural distinction were facing an increasing need for immediate care due to the inadequate support being provided, especially among rural elderly. The oldest elderly in rural areas had higher LTC needs, and different levels of needs were affected by age, economic level, family support, health status and other related effects. This study provides evidence-based recommendation for further improving the construction and development of the LTC system in China. MDPI 2020-03-05 2020-03 /pmc/articles/PMC7084295/ /pubmed/32150946 http://dx.doi.org/10.3390/ijerph17051701 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhang, Liangwen
Zeng, Yanbing
Wang, Lixia
Fang, Ya
Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title_full Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title_fullStr Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title_full_unstemmed Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title_short Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China
title_sort urban–rural differences in long-term care service status and needs among home-based elderly people in china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084295/
https://www.ncbi.nlm.nih.gov/pubmed/32150946
http://dx.doi.org/10.3390/ijerph17051701
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