Urban-Rural Disparities in the Association Between Home- and Community-Based Service Utilization and Levels of Disability Among Chinese Older Adults With Disabilities

被引：2

作者：

Wang, Zixia ^{[1
]}

Huang, Zishuo ^{[2
]}

Zhang, Rujia ^{[2
]}

Wang, Xiaoyi ^{[2
]}

Yang, Qingren ^{[2
]}

Ye, Jun ^{[2
]}

Zhang, Xinxin ^{[2
]}

Xu, Tingke ^{[2
]}

Huang, Yunyun ^{[2
]}

Wang, Shanshan ^{[2
]}

Tang, Lei ^{[3
]}

Chen, Chun ^{[2
,4
]}

Zhang, Xiangyang ^{[5
,6
]}

机构：

[1] Macau Univ Sci & Technol, Business Sch, Taipa, Peoples R China

[2] Wenzhou Med Univ, Sch Publ Hlth & Management, Tongren Bldg 7B304,Chashan Campus, Wenzhou 325035, Peoples R China

[3] Southwest Univ Finance & Econ, Sch Int Business, Chengdu, Peoples R China

[4] Wenzhou Med Univ, Ctr Hlth China Res, Wenzhou, Peoples R China

[5] Wenzhou Med Univ, Affiliated Hosp 1, Purchasing Dept, Wenzhou, Peoples R China

[6] Wenzhou Med Univ, Affiliated Hosp 1, 1-4A13 Nambaixiang, Wenzhou 325035, Peoples R China

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2024年 / 43卷 / 09期

基金：

中国国家自然科学基金;

关键词：

urban-rural disparities; home- and community-based services utilization; levels of disability; older adults with disabilities; LONG-TERM-CARE; CHALLENGES; SUPPORT; MODEL; ADL;

D O I：

10.1177/07334648241236237

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Home- and community-based services (HCBS) are optimal ways to deal with disability problems among older adults. This study aims to analyze urban-rural disparities in the relationship between HCBS utilization and levels of disability among Chinese older adults with disabilities, so as to meet the long-term care needs of them. In applying the Andersen Behavioral Model, bivariate analysis and multivariate regression models were employed using data from 843 older adults with disabilities from the 2018 China Longitudinal Aging Social Survey (CLASS). After adjusting covariates, disability levels among Chinese older adults with disabilities were significantly correlated with HCBS utilization in urban areas but not in rural areas. The urban-rural disparities may be due to the low utilization of HCBS in rural areas (only 11.2%) among older adults with disabilities compared with their urban counterparts (22.7%).

引用

页码：1315 / 1325

页数：11

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