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The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study

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  • Liangwen Zhang
  • Yanbing Zeng
  • Ya Fang

Abstract

Background: Currently, there are many studies focusing on the influencing factors of the elderly people’s living arrangements or health status, but little is known about the relationship between living arrangements or health status and long-term care models for the old-age, especially the joint effects. Objective: We aimed to assess the effects of health status and living arrangements on long-term care models (LTCM) among the elderly of Xiamen, China, especially their cumulative joint effects. Methods: A total of 14,373 participants aged ≥ 60 years by multistage sampling in Xiamen of China were enrolled. Multinomial logistic regression was used to estimate the Odds ratios (ORs) regressing LTCM on health status and living arrangements using the Anderson model as theoretical framework. Results: Totally, 14,292 valid questionnaires were obtained, of which 86.37% selected home care. With the increase of disability degree, older people are more likely to choose institutional care, compared to living alone (ORs = 1.75, 2.06, 4.00, 4.01 for the “relatively independent’, “mild disability’, “moderate disability’, and “total disability’, respectively, in comparison with “completely independent’). The elderly living with children and other family members preferred to choose home care. (ORs = 0.50, 0.39, 0.40, and 0.43 for the “living with children’, “living with spouse’, “living with children and spouse’, and “living with others’, respectively, in comparison with “alone’). Additionally, residence, number of children, education level, and feelings of loneliness were the determinants of the choice of social pension. Conclusion: A multitude of older people are trended to choose home care in Xiamen of China. There was an interaction and joint effect between the degree of disability and the living arrangements on LTCM. Therefore, policymakers should pay close attention to care for those living alone, childless, and disabled elders to meet their care needs, especially in home care. In addition, the social construction of facilities for elders in rural areas should be strengthened.

Suggested Citation

  • Liangwen Zhang & Yanbing Zeng & Ya Fang, 2017. "The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.
    • Handle: RePEc:plo:pone00:0182219
    DOI: 10.1371/journal.pone.0182219
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    2. Liangwen Zhang & Sijia Fu & Ya Fang, 2020. "Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050: A Comparison between Urban and Rural Areas in China," Sustainability, MDPI, vol. 12(7), pages 1-13, March.
    3. Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    4. Liangwen Zhang & Yanbing Zeng & Lixia Wang & Ya Fang, 2020. "Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China," IJERPH, MDPI, vol. 17(5), pages 1-18, March.
    5. Tongbo Deng & Yafan Fan & Mengdi Wu & Min Li, 2022. "Older People’s Long-Term Care Preferences in China: The Impact of Living with Grandchildren on Older People’s Willingness and Family Decisions," IJERPH, MDPI, vol. 19(19), pages 1-18, September.
    6. Hao Zhu, 2022. "Spatial Matching and Policy-Planning Evaluation of Urban Elderly Care Facilities Based on Multi-Agent Simulation: Evidence from Shanghai, China," Sustainability, MDPI, vol. 14(23), pages 1-20, December.
    7. Yong Wei & Liangwen Zhang, 2020. "Analysis of the Influencing Factors on the Preferences of the Elderly for the Combination of Medical Care and Pension in Long-Term Care Facilities Based on the Andersen Model," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    8. Hongjuan Liu & Lingzhong Xu & Hailing Yang & Yan Zhao & Xiaorong Luan, 2022. "Preferences in long-term care models and related factors among older adults: a cross-sectional study from Shandong Province, China," European Journal of Ageing, Springer, vol. 19(1), pages 27-35, March.
    9. Wang, Qun & Abiiro, Gilbert Abotisem & Yang, Jin & Li, Peng & De Allegri, Manuela, 2021. "Preferences for long-term care insurance in China: Results from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 281(C).
    10. Lea de Jong & Jan Zeidler & Kathrin Damm, 2022. "A systematic review to identify the use of stated preference research in the field of older adult care," European Journal of Ageing, Springer, vol. 19(4), pages 1005-1056, December.

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