What factors influence older people’s intention to enrol in nursing homes? A cross-sectional observational study in Shanghai, China

Luo, Mengyun; Xue, Yajiong; Zhang, Shunxing; Dong, Yuanyuan; Mo, Dandan; Dong, Wei; Qian, Kun; Fang, Yue; Liang, Huigang; Zhang, Zhiruo

doi:10.1136/bmjopen-2018-021741

Cited by 28 publications

(38 citation statements)

References 32 publications

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“… 6 A survey showed that only 11.2% of elderly residents in Shanghai were willing to live in a nursing home. 7 Fortunately, the Chinese government has focused on these problems. A lot of policies have been applied to solve problems of old age care.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

Zhao

Zhou

Jing-ci

2021

INQUIRY

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The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

Zhao

Zhou

Jing-ci

2021

INQUIRY

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“…Previous studies investigated the factors influencing the willingness to receive eldercare among the elderly in Chinese population [5, 10, 11]. Socioeconomic and demographic factors, including age, sex, sociocultural beliefs, and economic status, are associated with the willingness to receive eldercare [5, 12].…”

Section: Introductionmentioning

confidence: 99%

“…Socioeconomic and demographic factors, including age, sex, sociocultural beliefs, and economic status, are associated with the willingness to receive eldercare [5, 12]. A study conducted in 641 elderly living in Shanghai City showed that loneliness and stigma reduces elderly’s intention to enroll in an eldercare institution, but self-efficacy is positively associated with this intention [10]. The influencing factors differ between urban and rural elderly.…”

Section: Introductionmentioning

confidence: 99%

Willingness to receive institutional and community-based eldercare among the rural elderly in China

Liu

Fang

et al. 2019

PLoS ONE

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Studies on the willingness to receive institutional eldercare among the rural elderly are scarce. This study aims to explore factors associated with the willingness to receive institutional eldercare and community-based eldercare among the rural elderly. A cross-sectional study was conducted in three rural villages of Changde City, Hunan Province, China. A total of 517 elderly were recruited through multistage sampling from these villages. The dependent variable is the willingness to receive eldercare from family (as reference), institution, and community. The independent variables includes sociodemographic characteristics: having physical disease, depression, anxiety, and daily living activities, and concerns toward home-based, institutional, and community-based care, respectively. Results show that 78.3% of the elderly are willing to receive home-based eldercare, 10.8% institutional eldercare, and 8.5% community-based eldercare. The factors associated with the willingness to receive institutional eldercare are having concerns toward home-based (OR = 4.85, P<0.001) and institutional eldercare (OR = 5.51, P<0.001). The factors associated with community-based care is living alone (OR = 2.18, P = 0.034). Finally, the major concerns toward home-based eldercare are lack of care ability and separation of family members, whereas those toward institutional eldercare are unaffordable services and fear of being abandoned by the children. The major concerns toward community-based eldercare includes affordability and lack of necessary services. In summary, elderly having concerns toward home-based care and having no concerns about institutional care are willing to accept institutional eldercare. Elderly who are living alone is tend to accept community-based care. Unaffordable services and loss of contact with family members are the major concerns of institutional eldercare. Aside from the cost, the lack of necessary care services is also a serious concern of community-based eldercare.

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“…Older people who perceive higher life satisfaction enjoy living closely with their family, and their family would oppose the idea for them to live in nursing homes (Luo et al, 2018). As a result, older people who are satisfied with life are unlikely to intend to live in nursing homes.…”

Section: Psychosocial Status Dimension Of Self-efficacy Of the Elderlymentioning

confidence: 99%

“…They further stated that attitude has a significant influence on the intention to adopt and continue using an innovation. In another study that employed the TRA to understand the intention to utilise formal care services, Luo et al (2018) developed and tested a model based on the TRA, in order to understand the processes people undergo to reach a decision to enrol for care services. A cross-sectional design was used to test the model, using a self-administered questionnaire completed by a sample of 641 while excluding subjects who had hearing, cognition or communication problems.…”

Section: Theory Of Reasoned Action (Tra)mentioning

confidence: 99%

The Nexus between Public Perception of the Elderly Person’s Self-Efficacy and the Uptake of Institutionalised Care for the Elderly in Nakuru County, Kenya

Kay¹

2019

Editon Cons. J. Arts., Humanit. S. Stud.

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This study sought to determine the public perception of self-efficacy of the older people to take care of themselves. It was also intended to determine the factors influencing the uptake of formal care services in Kenya. The study engaged 400 respondents from Nakuru County, who were selected through purposive and stratified random sampling. Data was collected using questionnaires and in-depth interviews. The results reveal that indeed the level of awareness of the existence of the formal care services in Kenya is very low and that majority of the interviewed respondents were reluctant to enrol their relatives to the formal care homes. The result further indicates that health and the psychosocial status of the older people influence the decision of the members of the community interviewed to enrol the older relatives in formal care homes. It emerged from the results that the majority of the people declined the use of the services despite agreeing that their older relatives faced challenges that would warrant their enrolment for the services. We, therefore, recommend that a marketing plan for the services to be designed with an inherent system societal perception re-engineering so that a positive attitude towards services be formed. Psychosocial therapy provision should also be a key service of the care services since it emerged that older people suffering neglect and abuse were the most likely to be enrolled where there’s the availability of services.

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What factors influence older people’s intention to enrol in nursing homes? A cross-sectional observational study in Shanghai, China

Cited by 28 publications

References 32 publications

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

Willingness to receive institutional and community-based eldercare among the rural elderly in China

The Nexus between Public Perception of the Elderly Person’s Self-Efficacy and the Uptake of Institutionalised Care for the Elderly in Nakuru County, Kenya

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