Attitudes and Intention Toward Old Age Home Placement: A Study of Young Adult, Middle-Aged, and Older Chinese

Abstract

This study explored age-cohort differences on attitudes and intention toward old age home placement among 186 young, 161 middle-aged, and 185 older Chinese in Hong Kong, who voluntarily participated in this questionnaire survey without monetary reward. Compared to young adults and middle-aged Chinese, older Chinese were more likely to view old age homes positively, to adhere to traditional filial obligations, and to endorse beliefs about individual independence. Middle-aged Chinese reported greater intention, as compared to young adult Chinese, to refer older people to old age homes. Favorable attitudes toward old age homes were the most significant predictor of acceptance of old age home placement in each cohort. Among young Chinese adults, beliefs about independence and positive attitudes toward older people also significantly accounted for intention to refer older family members to old age home care. The findings suggest that old Ageing Int (

Stated preferences for long-term care: a literature review

“…Nine analyses sampled all or most adult age groups, i.e. ⩾16 years (Callan and O'Shea 2015), ⩾18 years (Khalaila and Litwin 2011; Mahoney et al 2002, 2004; McCaffrey et al 2015; Tang et al 2009; Walsh and Callan 2011), 23–85 years (Denson, Winefield and Beilby 2013) and ⩾25 years (Brau and Lippi Bruni 2008). The share of females ranged from 41 per cent (Zsembik and Bonilla 2000) to 100 per cent (Kasper, Shore and Penninx 2000; Pope and Riley 2013; Wolff, Kasper and Shore 2008), with the great majority of analyses investigating samples where the share was >50 per cent.…”

“…The evidence from the psycho-social variables suggests that attitudes towards different LTC settings/services and related social norms influence LTC preferences. Not surprisingly, respondents thinking that the government is responsible for the provision of LTC services (Kim and Choi 2008), worried about or intending to avoid care-giving burden on family members (typically, children) (Khalaila and Litwin 2011; Kim and Choi 2008; Werner and Segel-Karpas 2014) or having a positive attitude towards NH (Bradley et al 2004; Min and Barrio 2009; Tang et al 2009; Werner and Segel-Karpas 2014; Wu, Tang and Yan 2004) were more likely to prefer residential LTC, whereas those who value independence highly (Tang et al 2009; Werner and Segel-Karpas 2014; Wu, Tang and Yan 2004) were more likely to prefer (informal) care at home. Not surprisingly, individuals who adhere to traditional cultural norms and values, such as filial piety, were more likely to prefer informal care (Bradley et al 2004; Chapleski, Sobeck and Fisher 2003; Khalaila and Litwin 2011; Min 2005; Min and Barrio 2009).…”

Determinants of Patterns of Need for Home and Community-Based Care Services Among Community-Dwelling Older People in Urban China: The Role of Living Arrangement and Filial Piety

“…This accorded social power guarantees supportive and close social ties between older people and their offspring. With the rapid social changes that are occurring in China, people now increasingly emphasize self-sufficiency and independence, but older people continue to hold high expectations of their children's filial practice (Tang, Wu, Yeung, & Yan, 2009). In countries with a more familial culture (e.g., China), patterns of older people's LTC have a long history of being influenced by filial piety, which requires adult children to take care of their aged parents (Yang, 1989;Zhou, 2008).…”

African American Grandparents Residing in a Nursing Facility: Perceptions of Influence With Their Grandchildren, Family, and Community

“…These decisions may be difficult for various reasons. Some reasons could include finding the perfect facility, lifestyle changes, involuntary admissions, or the negative stigmas surrounding nursing home care, to name a few (Pitkin, 2009;Schoenberg & Coward, 1997;Tang et al, 2009). …”