Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/66014
Title: | Factors associated with older people’s long-term care needs : a case study adopting the expanded version of the Anderson Model in China | Authors: | Fu, YY Guo, Y Bai, X Chui, EWT |
Issue Date: | 2017 | Source: | BMC geriatrics, 2017, v. 17, 38, p. 1-13 | Abstract: | Background: Alongside changes in society and the economy, the family’s function of taking care of older people is weakening and the formal care mode is becoming more accepted. Older Chinese people are facing diverse choices of long-term care (LTC) modes. Acknowledging this situation, to optimize older people’s arrangements for LTC services and improve quality of later life, this study sets out to explore and make theoretical sense of older people’s LTC needs and to identify the factors influencing their LTC needs. Methods: Questionnaire data were collected from 1090 participants in four Chinese cities in 2014. A conceptual framework was established based on the Anderson Model (i.e., predisposing factors, enabling factors, and need factors), and further strengthened by adding several psychosocial factors (i.e. intergenerational relationships, unmet care service needs, and self-image). Multinomial logistic regression was adopted to explore the influencing factors of LTC needs. Participants choosing home-and-community-based care were regarded as the reference group. Results: After controlling for predisposing, enabling, and need factors, those with better self-image (OR = 1.027, p = 0.021) and fewer unmet care service needs (OR = 0.936, p = 0.009) were identified as being more likely to choose family care; those with less close intergenerational relationships (OR = 0.676, p = 0.019), fewer unmet care service needs (OR = 0.912, p = 0.027), and better self-image (OR = 1.044, p = 0.026) were more likely to choose institutional care. Gender- and age-related differences in the determinants of LTC needs were observed. Conclusions: The findings of this study suggest that professionals and service providers should pay more attention to the important role of psychosocial factors in affecting older people’s LTC needs and be more sensitive to gender- and age-related differences. Effective efforts to improve intergenerational relationships, to further develop care services for older people, and to foster a more positive image of aging should be emphasized. |
Keywords: | Anderson model Influencing factors Long-term care needs Older people Psychosocial factors |
Publisher: | BioMed Central | Journal: | BMC geriatrics | EISSN: | 1471-2318 | DOI: | 10.1186/s12877-017-0436-1 | Rights: | © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The following publication Fu, Y. Y., Guo, Y., Bai, X., & Chui, E. W. T. (2017). Factors associated with older people’s long-term care needs : a case study adopting the expanded version of the Anderson Model in China. BMC Geriatrics, 17, 38, 1-13 is available at https://dx.doi.org/10.1186/s12877-017-0436-1 |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Fu_Older_Long-Term_Care.pdf | 462.56 kB | Adobe PDF | View/Open |
Page views
180
Last Week
0
0
Last month
Citations as of Sep 22, 2024
Downloads
98
Citations as of Sep 22, 2024
SCOPUSTM
Citations
48
Last Week
2
2
Last month
Citations as of Sep 26, 2024
WEB OF SCIENCETM
Citations
44
Last Week
1
1
Last month
Citations as of Sep 26, 2024
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.