Rural-urban differences in home-based care willingness among older adults: A cross-sectional study in Shandong, China

被引：18
作者：
Xia, Yu [1 ,2 ,3 ]
Xu, Lingzhong [1 ,2 ,3 ]
Sun, Long [1 ,2 ,3 ]
Li, Jiajia [1 ,2 ,3 ]
Qin, Wenzhe [1 ,2 ,3 ]
Zhang, Jiao [1 ,2 ,3 ]
Wang, Yali [1 ,2 ,3 ]
Jing, Xiang [1 ,2 ,3 ]
Lu, Lu [1 ,2 ,3 ]
Li, Yaozu [1 ,2 ,3 ]
Jiao, Anan [1 ,2 ,3 ]
机构：
[1] Shandong Univ, Sch Publ Hlth, Mailbox 110,44 Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China
[2] Shandong Univ, Ctr Hlth Econ Expt & Publ Policy Res, Jinan 250012, Peoples R China
[3] Shandong Univ, NHC Key Lab Hlth Econ & Policy Res, Jinan 250012, Peoples R China
来源：
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | 2020年 / 32卷 / 02期
基金：
中国国家自然科学基金;
关键词：
rural-urban difference; home-based care willingness; older adults;
D O I：
10.1093/intqhc/mzz132
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objective: To examine the rural-urban disparities of home-based care willingness among older adults and identify the influencing factors. Design: A cross-sectional study. Setting: The data used in this cross-sectional study were conducted in Shandong province. Study participants: 7070 older adults (60 years and older) with complete data were included in this analysis from the 2017 Survey of the Shandong Elderly Family Health Service. Intervention: N/A. Main outcome measure: The data were analyzed using logistic regression models to examine whether sociodemographic characteristic, physical health, loneliness score and other factors were associated with home-based care willingness in rural and urban older adults. After exploring the factors, we compared the difference. Results: Of 7070 participants, 66.9% were rural older adults and 33.1% were urban. The urban older adults less likely chose home-based care than the rural (OR = 0.667; P < 0.05). Binary logistic regression analysis showed that age (P < 0.05), income (P < 0.05), current employment (P < 0.05) and loneliness (P < 0.05) were significantly associated with the home-based care willingness both in rural and urban residence. Besides, the number of family members (P = 0.010), education years (P = 0.026) and financial support from children (P = 0.017) were associated factors of rural respondents' home-based care willingness. The bad self-reported-health-status-urban-older adults (P = 0.026) were more willing for home-based care. Conclusions: The research we have done suggests that there is a residence difference toward home-based care willingness among older adults. Targeted policies and an age-friendly environment should be made for different subgroups of older adults.
引用
收藏
页码：126 / 134
页数：9
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