Determinants of Patterns of Need for Home and Community-Based Care Services Among Community-Dwelling Older People in Urban China: The Role of Living Arrangement and Filial Piety.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
Yuan Yuan Fu, Ernest Wing Tak Chui

Abstract

This study aims to identify older people's home- and community-based care (HCBC) service need patterns and explore the role of living arrangement and filial piety in affecting such patterns. A total of 556 older people were selected in Beijing, China. Latent class analysis and multinomial logistic regression were adopted to identify the service need patterns and the influencing factors. A three-class model of service need patterns was explored (high-needs group, moderate-needs group, and low-needs group). Living arrangement was related to HCBC service need patterns. Compared with the high-needs group, those living with at least two family members were more likely to express low needs or moderate needs. Living arrangement was a moderator for the effect of filial piety on HCBC needs. Greater recognition of the effects of living arrangement and filial piety should enrich the Andersen model and provide a robust stimulus for long-term care policy development and for service delivery and social work.

References

Dec 14, 2002·Health Services Research·Elizabeth H BradleyRonald Andersen
Aug 19, 2011·Home Health Care Services Quarterly·Ernest Wing-tak Chui
Feb 5, 2013·Journal of Aging and Health·Amanda J LehningRuth E Dunkle
Sep 23, 2014·Journal of the American Geriatrics Society·Shiou-Liang WeeAngelique Chan
Dec 18, 2014·Journal of the American Geriatrics Society·Shiou-Liang WeeYing-Xian Chua
Feb 1, 2013·Neurology. Clinical Practice
Nov 27, 2018·International Journal of Aging & Human Development·Yuan Yuan FuErnest Wing Tak Chui

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Statistical Package for the Social Sciences ( SPSS )
Mplus

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