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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

BACKGROUND: Living arrangement of the elderly is one of the most important components that affect their quality of life in later years. The aging, with the phenomenon of low fertility rate and family structure transformation, has caused changes in the living arrangements of the elderly. This researc...

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Autores principales: Cui, Longyan, Li, Jingshan, Xie, Danni, Wang, Minghui, He, Fanrong, Chen, Junfeng, Ding, Ding
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314664/
https://www.ncbi.nlm.nih.gov/pubmed/35903382
http://dx.doi.org/10.3389/fpubh.2022.860974
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author Cui, Longyan
Li, Jingshan
Xie, Danni
Wang, Minghui
He, Fanrong
Chen, Junfeng
Ding, Ding
author_facet Cui, Longyan
Li, Jingshan
Xie, Danni
Wang, Minghui
He, Fanrong
Chen, Junfeng
Ding, Ding
author_sort Cui, Longyan
collection PubMed
description BACKGROUND: Living arrangement of the elderly is one of the most important components that affect their quality of life in later years. The aging, with the phenomenon of low fertility rate and family structure transformation, has caused changes in the living arrangements of the elderly. This research aimed to find the elderly's living arrangement preferences and influencing factors. METHODS: The data were obtained from The Chinese Longitudinal Healthy Longevity Survey (CLHLS) in the 2018, and the sample was comprised of 9,638 individuals aged ≥ 60 years. Independent variables were divided into social support, health status and so-economic status. Chi-square test and binary logistic regression were used to analyze the relationship between the above variates and living arrangement preferences. RESULTS: Currently, in terms of living arrangement preferences, nearly half (45.6%) of the respondents choose not to live with their children. The binary model results showed that elderly who were married (OR = 0.166, 95% CI: 0.147–0.187), experienced more than 6 years of education (OR = 0.600, 95% CI: 0.517–0.695), ability of daily living (ADL) impaired (OR = 0.810, 95% CI: 0.720–0.912), suffering from multiple chronic diseases (OR = 0.803, 95% CI: 0.720–0.912), and obtained community services (OR = 0.884, 95% CI: 0.803–0.972) incline to not live with their children. The elderly who living in rural areas (OR = 1.244, 95% CI: 1.129–1.371), with an income of more than 500,000 yuan per year (OR = 1.557, 95% CI: 1.380–1.757), having children visiting regularly (OR = 1.405, 95% CI: 1.161–1.707) and receiving children's financial support (OR = 1.194, 95% CI: 1.080–1.319) are more likely to choose to live with their children. CONCLUSIONS: This study found that the living arrangement preferences of the elderly were affected by social support and health status, and living with children is no longer the only option for the elderly these days. The elderly care services provided by communities or professional care institutions may become the mainstream of taking care of the elderly citizens in the aging society. Improving the types and forms of community nursing services to increase the accessibility of these services; setting up elderly care institutions reasonably and equipping adequate professional nursing staff should be considered as priority measures.
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spelling pubmed-93146642022-07-27 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, Danni Wang, Minghui He, Fanrong Chen, Junfeng Ding, Ding Front Public Health Public Health BACKGROUND: Living arrangement of the elderly is one of the most important components that affect their quality of life in later years. The aging, with the phenomenon of low fertility rate and family structure transformation, has caused changes in the living arrangements of the elderly. This research aimed to find the elderly's living arrangement preferences and influencing factors. METHODS: The data were obtained from The Chinese Longitudinal Healthy Longevity Survey (CLHLS) in the 2018, and the sample was comprised of 9,638 individuals aged ≥ 60 years. Independent variables were divided into social support, health status and so-economic status. Chi-square test and binary logistic regression were used to analyze the relationship between the above variates and living arrangement preferences. RESULTS: Currently, in terms of living arrangement preferences, nearly half (45.6%) of the respondents choose not to live with their children. The binary model results showed that elderly who were married (OR = 0.166, 95% CI: 0.147–0.187), experienced more than 6 years of education (OR = 0.600, 95% CI: 0.517–0.695), ability of daily living (ADL) impaired (OR = 0.810, 95% CI: 0.720–0.912), suffering from multiple chronic diseases (OR = 0.803, 95% CI: 0.720–0.912), and obtained community services (OR = 0.884, 95% CI: 0.803–0.972) incline to not live with their children. The elderly who living in rural areas (OR = 1.244, 95% CI: 1.129–1.371), with an income of more than 500,000 yuan per year (OR = 1.557, 95% CI: 1.380–1.757), having children visiting regularly (OR = 1.405, 95% CI: 1.161–1.707) and receiving children's financial support (OR = 1.194, 95% CI: 1.080–1.319) are more likely to choose to live with their children. CONCLUSIONS: This study found that the living arrangement preferences of the elderly were affected by social support and health status, and living with children is no longer the only option for the elderly these days. The elderly care services provided by communities or professional care institutions may become the mainstream of taking care of the elderly citizens in the aging society. Improving the types and forms of community nursing services to increase the accessibility of these services; setting up elderly care institutions reasonably and equipping adequate professional nursing staff should be considered as priority measures. Frontiers Media S.A. 2022-07-12 /pmc/articles/PMC9314664/ /pubmed/35903382 http://dx.doi.org/10.3389/fpubh.2022.860974 Text en Copyright © 2022 Cui, Li, Xie, Wang, He, Chen and Ding. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Cui, Longyan
Li, Jingshan
Xie, Danni
Wang, Minghui
He, Fanrong
Chen, Junfeng
Ding, Ding
Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title_full Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title_fullStr Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title_full_unstemmed Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title_short Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study
title_sort role of the social support and health status in living arrangement preference of the elderly in china—a cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314664/
https://www.ncbi.nlm.nih.gov/pubmed/35903382
http://dx.doi.org/10.3389/fpubh.2022.860974
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