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The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Author

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  • Fanlei Kong

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Lingzhong Xu

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China
    Collaborative Innovation Center of Social Risks Governance in Health, School of Public health, Fudan University, Shanghai 200032, China)

  • Mei Kong

    (Research Center of Economics and Resource Management, Beijing Normal University, Beijing 100875, China)

  • Shixue Li

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Chengchao Zhou

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Jiajia Li

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Long Sun

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

  • Wenzhe Qin

    (Key Lab of Health Economics and Policy Research, School of Public Health, Shandong University, 44 Wenhuaxi Road, Jinan 250012, China)

Abstract

This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.

Suggested Citation

  • Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jiajia Li & Long Sun & Wenzhe Qin, 2019. "The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study," IJERPH, MDPI, vol. 16(4), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:4:p:526-:d:205382
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    References listed on IDEAS

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    3. Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jianghua Zhang & Bin Ai, 2019. "Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly," IJERPH, MDPI, vol. 16(12), pages 1-19, June.

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