Correlates of Physician Visits Among Older Adults in China: The Effects of Family Support

被引:27
作者
Li, Yawen [1 ]
Chi, Iris [2 ]
机构
[1] San Diego State Univ, Sch Social Work, San Diego, CA 92182 USA
[2] Univ So Calif, Los Angeles, CA USA
关键词
family support; physician visits; older Chinese adults; HEALTH-SERVICES UTILIZATION; POOR RURAL CHINA; SOCIAL SUPPORT; LIVING ARRANGEMENTS; DEPRESSIVE SYMPTOMS; BEHAVIORAL-MODEL; FILIAL PIETY; MEDICAL-CARE; URBAN CHINA; ELDER ABUSE;
D O I
10.1177/0898264311401390
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
Objective: We examined how family support influenced the use of health services among older Chinese adults. Method: Data came from a national representative survey including 20,255 respondents aged 60 and older. The dependent variable was the number of physician visits in the past 12 months. Family support variables include living arrangement, family size, financial support, instrumental support, and filial piety. Results: Providing or receiving financial support increased the likelihood as well as number of physician visits. By contrast, living with children and regarding children as filial decreased physician visits. Discussion: Financial sufficiency as indicated by the exchange of financial resources within families indicates the importance of money in predicting older adults' physician visits. Living with children may indicate a higher level of support, which substitutes some of physician services. Perceiving children as being filial may render psychological protective effects to older adults which results in less health service use.
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页码:933 / 953
页数:21
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