The Impact of Disability on Intergenerational Care Needs of the Elderly in China

Bai, Lan; Gu, Shi-Jian; Gu, Hongtao; Xu, Xinpeng; Cui, Nan; Li, Decheng; Wu, Di

doi:10.1177/00469580211018283

Cited by 14 publications

(12 citation statements)

References 25 publications

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“…Aging has become a serious social problem in China, which has the largest elderly population in the world. 1 According to the Communiqué of the Seventh National Population Census, the proportion of elderly people aged 60 or above reached 18.70% in 2020, and Liaoning Province ranked first among all provinces in China in terms of the proportion of people aged 60 (25.72%) and over 65 (17.42%). As a common mental disorder in elderly individuals, geriatric depression may even become the second leading cause of disability in the world.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Zhao¹,

Wang²,

Deng³

et al. 2022

CIA

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Purpose This study aimed to assess the prevalence of depressive symptoms and ADL/IADL disabilities and explore their correlation and associated factors for depressive symptoms among community-dwelling older adults from low-income families in Dalian, Liaoning Province, China. Methods This cross-sectional study included 522 participants aged 60 years and older from low-income families in Dalian. The 30-Item Geriatric Depression Scale was employed to measure depressive symptoms. The Katz ADL Scale and IADL Scale were used to evaluate the performance of activities necessary for independent life. SPSS 22.0 was employed to analyze the data. Logistic regression was used to estimate the relationship between depressive symptoms and ADL/IADL disabilities in five models. Results The prevalence of depressive symptoms among older people from low-income families in Dalian was 57.3%. A total of 19.0% had difficulties performing ADLs, and 40.2% had difficulties performing IADLs. Logistic regression analysis revealed that ADL/IADL disabilities were associated with depressive symptoms even after controlling for people’s sociodemographic characteristics, welfare, health conditions and informal care. The following factors were associated with depressive symptoms: education, self-reported health, number of chronic diseases, and emotional support from families. Conclusion Given that older people from low-income families in Dalian have a notable prevalence rate of depressive symptoms, and ADL/IADL disabilities were independently associated with these symptoms, it is crucial to give priority to this particular group in geriatric health services due to economic and health disparities.

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Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Zhao¹,

Wang²,

Deng³

et al. 2022

CIA

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“…There are approximate 42 million people with disabilities in China, and most are living in rural areas (Ansah et al, 2021 ). A large number of healthcare professionals are needed for the identification of high‐risk groups, disability evaluation and nursing care (Bai et al, 2021 ). However, the limited nursing staff and medical resources in some poverty‐stricken areas prevent people with disability from being assessed and cared for (Qiao et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

et al. 2022

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Background: Numerous instruments to evaluate the functional independence and disability are available for healthcare professionals, making it di cult for patients and their families to evaluate and explain the results. Longshi Scale is the rst pictorial-based disability assessment tool and it may allow a much simply and inclusive assessment across all population. The objective of this study was to test the reliability of the Longshi Scale for informal caregivers to assess functional independence and disability.Methods: This study was conducted at the inpatient rehabilitation departments from 24 hospitals in 11 cities across China. The patients who were more than 18 years old and diagnosed with cerebral infarction, cerebral hemorrhage, brain trauma, spinal cord injury, postoperative brain tumors, and other disorders causing physical functional disabilities were recruited. Then the Longshi Scale was used to assess the functional independence and disability of patients by both healthcare professionals and informal caregivers. Descriptive statistics (i.e., frequency, percentage, mean, and standard deviation) were calculated. The Kolmogorov-Smirnov test was used to examine the normal distribution of the data. The chi-square test or McNemar-Bowker test was used to compare the nominal variables of the three groups.T-tests were used to compare the mean of the quantitative variables of the two groups. The agreement between the scores was assessed using Cohen's kappa statistic and the marginal homogeneity test.Results: In total of 947 patients were included. Of these, 419 were in the "bedridden group", 298 in the "domestic group", and 230 in the "community group". The mean scores were 5.00±1.936, 5.37±1.656 and 7.18±2.055 in the bedridden, domestic, and community groups, respectively. The mean score of each item was compared, and there were no signi cant differences between healthcare professionals and informal caregivers (p > 0.05). The Longshi Scale items and the sum score had fair or better agreement (weighted kappa > 0.50) between healthcare professionals and informal caregivers' scores. The reliability of Longshi Scale was found to be acceptable.Conclusions: This study demonstrated fair or better agreement between healthcare professionals' and informal caregivers' scores on Longshi Scale items and their sum scores. The Longshi Scale for the assessment of the functional independence and disability by informal caregivers, is reliable.Trail registration: ChiCTR2000040556. BackgroundApproximately 15% of the world's population suffers from some kind of disability, and every year this number is increasing [1]. Disability is a various condition, owing to many varieties of trauma, aging and acute or chronic diseases [2]. Many medical conditions related to disability expand the healthcare needs and cause loss of working ability, whereas others do not [3]. Functional independence and disability assessment are needed for multiple purposes, including design of rehabilitation plans, eligibility for rehabilitation services, disabil...

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“…The scores were summed, and total scores ranged from 6 to 18. According to classification criteria in previous studies [ 52 , 53 ], the degree of disability of the spouse being cared for was classified as no disability (Note: The reason why some older adults being cared for in the sample are non-disabled is that CHARLS have some samples with unlimited ADLs but limited instrumental activities of daily living (IADLs), including doing household chores, cooking, shopping, taking medications, and money management.) (ADL = 6), mild disability (ADL = 7–10), moderate disability (ADL = 11–14), and severe disability (ADL = 15–18).…”

Section: Methodsmentioning

confidence: 99%

Spousal Care Intensity, Socioeconomic Status, and Depression among the Older Caregivers in China: A Study on 2011–2018 CHARLS Panel Data

Yang

et al. 2022

Healthcare

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Using the stress process model and data from the 2011–2018 China Health and Retirement Longitudinal Study (CHARLS), this study examined the effect of spousal caregiving intensity on the depression level of older caregivers in China. The moderating role that socioeconomic status plays in the relationship between spouses was explored by constructing multilevel growth models (MGMs). The care intensity for a spouse was found to relate to significantly increased depression levels in older caregivers, while the degree of disability of the spouse being cared for (B = 0.200, p < 0.001) having a greater effect on depression than the duration of care (B = 0.007, p < 0.01). There was a threshold effect where the provision of more than 10 h of care per week for a spouse (B = 0.931, p< 0.001; B = 0.970; p < 0.01) or caring for a disabled spouse with limited ADLs (B = 0.709, p < 0.01; B = 1.326; p < 0.001; B = 1.469, p < 0.01) increased depression in older caregivers. There were moderating influences, including higher professional prestige before retirement (B = −0.006, p < 0.05) and higher annual family income (B = −0.037, p < 0.10), that increased depression related to the spouse’s degree of disability. It was considered that active familism measures should be formulated for older spousal caregivers, especially those with lower socioeconomic status.

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The Impact of Disability on Intergenerational Care Needs of the Elderly in China

Cited by 14 publications

References 25 publications

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Reliability of pictorial Longshi Scale for informal caregivers to evaluate the functional independence and disability

Spousal Care Intensity, Socioeconomic Status, and Depression among the Older Caregivers in China: A Study on 2011–2018 CHARLS Panel Data

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