Factors associated with preferences for elderly care mode and choice of caregivers among parents who lost their only child in a central China city

Abstract

Aim: It is forecasted that the figure of families in China who lost their only child will reach 10 million by 2035. Traditional Chinese culture places these families in a particularly disadvantaged position for elderly care. It is quite important to understand the elderly care needs of the parents.Methods: The cluster sampling method was used to select the parents who lost their only child in Wuhu city, China. Univariate and multivariate logistic regression analysis models were carried out to analyze factors influencing the parents' preferences for elderly care mode and choice of caregivers.Results: The Geriatric Depression Scale score (P < 0.001) was significantly associated with the parents' preferences for elderly care mode. Parents with different sex, marital status and grandchildren status had different preferences for their choice of caregivers. The number of chronic diseases and Geriatric Depression Scale scores were significantly associated with preferences for choice of caregivers.Conclusions: These parents should have a preferential policy of check in to a nursing home and simplify the check-in procedure. The parents should receive prompt for depression and stay in the community for elderly care. The government should guarantee that spouseless parents have priority in enjoying nurse/nursing home worker services. The government should support the development of volunteer services. Geriatr Gerontol Int 2020; 20: 112-117.

A systematic review to identify the use of stated preference research in the field of older adult care

“…On average, 5 to 10% of the respondents preferred to use community services in case of a care dependency (Chung et al 2008 ; Liu et al 2019 ; Wei and Zhang 2020 ; Zhang et al 2017 ). In the remaining three studies, willingness to use community services was higher, documenting up to 38.7% (Laditka et al 2001 ; Rong et al 2019 ; Zeng et al 2019 ).…”

“…The majority of these studies were conducted in China ( n = 12) and the USA ( n = 7). The most preferred care option by almost all (60 to 85%) participants was home care, either provided by relatives or professionals (Chung et al 2008 ; Costa-Font et al 2009 ; Eckert et al 2004 ; Fernandez-Carro 2016 ; Fu et al 2017 ; Filipovič Hrast et al 2019 ; Hajek et al 2017 ; Imamoğlu and Imamoğlu 2006 ; Laditka et al 2001 ; Liu et al 2019 ; Rong et al 2019 ; Spangenberg et al 2012 ; Wei and Zhang 2020 ; Zeng et al 2019 ; Zhang et al 2017 ; Fisher 2003 ; Kim and Choi 2008 ; Wang et al 2004 ; Iwasaki et al 2016 ). Some studies further differentiated between receiving care and living in one’s own home or the relative’s home, of which the option of remaining in one’s own home was preferred by all except in the study by Fernández-Carro ( 2016 ).…”

“…When it comes to respondents’ willingness to use institutional care services, several studies found that poorer health status was positively associated with such willingness (Wei and Zhang 2020 ; Rong et al 2019 ; Zhang et al 2017 ; Jang et al 2008 ; Kim and Kim 2004 ; Hajek et al 2017 ). Marital status (unmarried or widowed) additionally positively influenced respondents’ willingness to enter a care home (Wei and Zhang 2020 ; Zeng et al 2019 ; Rong et al 2019 ; Qian et al 2018 ; Fernandez-Carro 2016 ). Income was found to have a statistically significant impact on respondents’ choice to receive institutional care in several studies.…”

Adverse Childhood Experiences, Resilience, and Emotional Problems in Young Chinese Children

“…This study used the baseline year data from the Wuhu Family Study. Wuhu is a prefecture-level city located in central China; the economy status of Wuhu is at a medium national level [ 23 ]. From October to December 2022, we randomly invited 11 kindergartens from seven districts in Wuhu City (including rural and urban areas), based on their socioeconomic level and the children population density of the region.…”

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

“…The development of medical-elderly care integrated institutions cannot be separated from the preferences of the elderly and their families. A study found that specialized medical and precise care services are essential factors in improving the satisfaction of elderly care institutions [ 32 – 33 ]. Another study showed that compared with low-end and high-end, mid-end elderly care institutions with moderate prices and complete facilities and services are more preferred by the elderly and their families, and the lower service costs and personalized service approach can meet the needs of most older people’s care services [ 34 ].…”