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Relationship between unmet needs for assistance and healthy aging among disabled older adults in China
BACKGROUND: Although there is a growing consensus around the world that long-term care services and supports are important to help the aged population with disabilities achieve healthy aging, a misallocation of care resources and inefficiency in care delivery still exist in China. The absence or ina...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350852/ https://www.ncbi.nlm.nih.gov/pubmed/35937242 http://dx.doi.org/10.3389/fpubh.2022.914313 |
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author | Cao, Yang Feng, Yuxin Luo, Yaling |
author_facet | Cao, Yang Feng, Yuxin Luo, Yaling |
author_sort | Cao, Yang |
collection | PubMed |
description | BACKGROUND: Although there is a growing consensus around the world that long-term care services and supports are important to help the aged population with disabilities achieve healthy aging, a misallocation of care resources and inefficiency in care delivery still exist in China. The absence or inadequate provision of long-term care services and supports among older adults with disabilities results in a range of adverse health consequences. However, the negative influence of unmet needs for assistance on healthy aging, based on functional perspectives including physiological, psychological, and societal domains, has been underestimated. This study aimed to measure healthy aging based on a person-centered approach and examine the relationship between unmet needs for assistance and healthy aging among older adults with disabilities in China. METHODS: Based on the data from the Chinese Longitudinal Healthy Longevity Survey 2018, we used the latent profile analysis with three indicators to uncover distinctive types of older adults experiencing distinct levels of healthy aging, and applied the ordered logit regression to analyze the correlation between unmet needs for assistance and different levels of healthy aging. To further address the endogeneity bias, the robust test was conducted by the two-stage least-squares instrumental variable estimation and the conditional mixed process instrumental variable estimation. RESULTS: Three ordered latent classes were identified: a low level of healthy aging (42.83%), a middle level of healthy aging (47.27%), and a high level of healthy aging (9.90%). Disabled older adults with unmet needs had a lower probability of achieving the higher level of healthy aging (OR = 0.57, SE = 0.04, CI = 0.48–0.66, p < 0.001). CONCLUSIONS: This study highlights the need to increase awareness among gerontological practitioners with respect to long-term care services and supports for disabled older adults as a potential for enhancing their healthy aging, and that unmet needs could be a basis for risk assessment and a means for determining the efficacy of long-term care interventions on maintaining health. |
format | Online Article Text |
id | pubmed-9350852 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93508522022-08-05 Relationship between unmet needs for assistance and healthy aging among disabled older adults in China Cao, Yang Feng, Yuxin Luo, Yaling Front Public Health Public Health BACKGROUND: Although there is a growing consensus around the world that long-term care services and supports are important to help the aged population with disabilities achieve healthy aging, a misallocation of care resources and inefficiency in care delivery still exist in China. The absence or inadequate provision of long-term care services and supports among older adults with disabilities results in a range of adverse health consequences. However, the negative influence of unmet needs for assistance on healthy aging, based on functional perspectives including physiological, psychological, and societal domains, has been underestimated. This study aimed to measure healthy aging based on a person-centered approach and examine the relationship between unmet needs for assistance and healthy aging among older adults with disabilities in China. METHODS: Based on the data from the Chinese Longitudinal Healthy Longevity Survey 2018, we used the latent profile analysis with three indicators to uncover distinctive types of older adults experiencing distinct levels of healthy aging, and applied the ordered logit regression to analyze the correlation between unmet needs for assistance and different levels of healthy aging. To further address the endogeneity bias, the robust test was conducted by the two-stage least-squares instrumental variable estimation and the conditional mixed process instrumental variable estimation. RESULTS: Three ordered latent classes were identified: a low level of healthy aging (42.83%), a middle level of healthy aging (47.27%), and a high level of healthy aging (9.90%). Disabled older adults with unmet needs had a lower probability of achieving the higher level of healthy aging (OR = 0.57, SE = 0.04, CI = 0.48–0.66, p < 0.001). CONCLUSIONS: This study highlights the need to increase awareness among gerontological practitioners with respect to long-term care services and supports for disabled older adults as a potential for enhancing their healthy aging, and that unmet needs could be a basis for risk assessment and a means for determining the efficacy of long-term care interventions on maintaining health. Frontiers Media S.A. 2022-07-20 /pmc/articles/PMC9350852/ /pubmed/35937242 http://dx.doi.org/10.3389/fpubh.2022.914313 Text en Copyright © 2022 Cao, Feng and Luo. 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 Cao, Yang Feng, Yuxin Luo, Yaling Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title | Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title_full | Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title_fullStr | Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title_full_unstemmed | Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title_short | Relationship between unmet needs for assistance and healthy aging among disabled older adults in China |
title_sort | relationship between unmet needs for assistance and healthy aging among disabled older adults in china |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350852/ https://www.ncbi.nlm.nih.gov/pubmed/35937242 http://dx.doi.org/10.3389/fpubh.2022.914313 |
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