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

Abstract

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.

<p>Current Status and Challenges of Community-Based Elderly Care Centers in Chongqing, China: A Cross-Sectional Study</p>

“…Qualified elderly care facilities and services are pressing concerns for policymakers. [18][19][20] A large number of studies highlight the importance of good-quality elderly care provided by CBECCs. [21][22][23] Unlike other studies to analyze human resource or user's characteristics, 20,24 the present study mainly focused on CBECC site selections, physical environment, facilities, and operation.…”

“…[18][19][20] A large number of studies highlight the importance of good-quality elderly care provided by CBECCs. [21][22][23] Unlike other studies to analyze human resource or user's characteristics, 20,24 the present study mainly focused on CBECC site selections, physical environment, facilities, and operation. After the investigation with 69 CBECCs in a district of Chongqing, China, this study provides a comprehensive understanding about the current status of the CBECCs, which would be essential to formulate effective elderly care strategies.…”

“…CBECCs differ from nursing homes, since the elderly who choose CBECCs could be taken care of in CBECCs during daytime and workdays but still live at home on weekend. 13 They can have their own social lives while younger family members can go to work or school without worrying about them being left alone at home. CBECCs are warmly welcomed by many old people since they can enable the elderly to live in a familiar environment and maintain their social network.…”

Factors Influencing the Utilization of Community Cultural and Leisure Services for the Older Adults From The Perspective of Supply and Demand: Based on the Case of Shaanxi Province

“…In recent years, along with the accelerated development of population aging in China, community older adults care services have received more and more attention from the government and the society. Under the guidance of government policies and market promotion, community older adults services in China have been developed rapidly, and some urban communities have even achieved full coverage of community older adults service sites [5]. Community older adults services include life care, medical care, cultural entertainment, spiritual comfort, active aging, and rights protection, which are all urgently needed to be satis ed for the older adults.…”

Factors Influencing The Mutual-Support Willingness and Needs Among The Rural Elderly in China: A Cross-Sectional Study

“…Studies have shown that in China, the major concerns toward family 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 eldercare include affordability and lack of necessary services [7]. The model of mutual-support eldercare was rst proposed by foreign countries.…”