IDEAS home Printed from https://ideas.repec.org/a/eee/joecag/v23y2022ics2212828x22000378.html
   My bibliography  Save this article

Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment

Author

Listed:
  • Lin, Zhuoer
  • Chen, Xi

Abstract

Rapid population aging elevates burden of chronic and non-communicable diseases among older adults. Despite the critical role of self-management in disease prevention and control, effective management of diseases can be cognitively demanding and may require additional supports from family and social services. Using nationally representative data from China, this paper reveals great challenges in disease management and characterizes the differential effects of long-term care services and supports (LTSS) on disease management among older adults in different stages of cognitive impairment (CI). In specific, we use preventive care utilization and hypertension management as key indicators to assess the performance of disease management. We show that while access to LTSS from spouse or home-based services significantly facilitate active disease management behaviors, the effects are only evident among older adults with no CI. By contrast, access to LTSS has very modest effect for cognitively impaired individuals. In addition, older adults in more severe stages of CI perform worse in disease prevention, hypertension awareness and management. These findings reveal the vulnerability of older adults with CI in disease management and point to the importance of promoting targeted interventions to reduce barriers of accessing LTSS, especially among cognitively impaired population.

Suggested Citation

  • Lin, Zhuoer & Chen, Xi, 2022. "Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    • Handle: RePEc:eee:joecag:v:23:y:2022:i:c:s2212828x22000378
    DOI: 10.1016/j.jeoa.2022.100405
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S2212828X22000378
    Download Restriction: no
    File URL: https://libkey.io/10.1016/j.jeoa.2022.100405?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Chi Zhang, 2017. "Population in China," Europe-Asia Studies, Taylor & Francis Journals, vol. 69(8), pages 1333-1334, September.
    2. Andrea Wysocki & Mary Butler & Robert L. Kane & Rosalie A. Kane & Tetyana Shippee & François Sainfort, 2015. "Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care," Mathematica Policy Research Reports 30503869a2a744d387ea9ac13, Mathematica Policy Research.
    3. Xiao Xu & Jersey Liang & Joan M. Bennett & Anda Botoseneanu & Heather G. Allore, 2015. "Editor's choice Socioeconomic Stratification and Multidimensional Health Trajectories: Evidence of Convergence in Later Old Age," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(4), pages 661-671.
    4. Sohn, Minsung & O'Campo, Patricia & Muntaner, Carles & Chung, Haejoo & Choi, Mankyu, 2020. "Has the long-term care insurance resolved disparities in mortality for older Koreans? examination of service type and income level," Social Science & Medicine, Elsevier, vol. 247(C).
    5. Yaohui Zhao & Eileen M. Crimmins & Peifeng Hu & Yang Shen & James P. Smith & John Strauss & Yafeng Wang & Yuan Zhang, 2016. "Prevalence, diagnosis, and management of diabetes mellitus among older Chinese: results from the China Health and Retirement Longitudinal Study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 347-356, April.
    6. Lin, Zhuoer & Chen, Xi, 2021. "Adverse Childhood Circumstances and Cognitive Function in Middle-Aged and Older Chinese Adults: Lower Level or Faster Decline?," IZA Discussion Papers 14161, Institute of Labor Economics (IZA).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ding, Hui & Chen, Yiwei & Yu, Min & Zhong, Jieming & Hu, Ruying & Chen, Xiangyu & Wang, Chunmei & Xie, Kaixu & Eggleston, Karen, 2021. "The Effects of Chronic Disease Management in Primary Health Care: Evidence from Rural China," Journal of Health Economics, Elsevier, vol. 80(C).
    2. Chen, Xi, 2022. "Early Life Circumstances and the Health of Older Adults: A Research Note," GLO Discussion Paper Series 1158, Global Labor Organization (GLO).
    3. Jia Zhang & Xiaoshu Chen & Shiwei Huang & Yi Wang & Wei Lin & Rui Zhou & He Zou, 2018. "Two-minute walk test: Reference equations for healthy adults in China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-10, August.
    4. Zhongqiang Bai & Juanle Wang & Mingming Wang & Mengxu Gao & Jiulin Sun, 2018. "Accuracy Assessment of Multi-Source Gridded Population Distribution Datasets in China," Sustainability, MDPI, vol. 10(5), pages 1-15, April.
    5. Yishu, Li, 2019. "A photovoltaic ecosystem: improving atmospheric environment and fighting regional poverty," Technological Forecasting and Social Change, Elsevier, vol. 140(C), pages 69-79.
    6. Luyao Wang & Hong Fan & Yankun Wang, 2018. "Estimation of consumption potentiality using VIIRS night-time light data," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-19, October.
    7. Bin Du & Ying Wang & Jiaxin He & Wai Li & Xiaohong Chen, 2021. "Spatio-Temporal Characteristics and Obstacle Factors of the Urban-Rural Integration of China’s Shrinking Cities in the Context of Sustainable Development," Sustainability, MDPI, vol. 13(8), pages 1-16, April.
    8. Dianxi Wang & Yufeng Zhao, 2021. "A potential new pattern of pathway to adulthood is emerging in China," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 44(42), pages 1023-1056.
    9. JIANG, Qijun & FLORKOWSKI, Wojciech Jan, 2021. "Factors Limiting Quality Assurance Program Implementation In Food Manufacturing Companies In Shanghai, China," Review of Agricultural and Applied Economics (RAAE), Faculty of Economics and Management, Slovak Agricultural University in Nitra, vol. 24(1), March.
    10. Jinjing Wu & Shelby Deaton & Boshen Jiao & Zohn Rosen & Peter A Muennig, 2018. "The cost-effectiveness analysis of the New Rural Cooperative Medical Scheme in China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.
    11. Xin Lao & Hengyu Gu, 2020. "Unveiling various spatial patterns of determinants of hukou transfer intentions in China: A multi‐scale geographically weighted regression approach," Growth and Change, Wiley Blackwell, vol. 51(4), pages 1860-1876, December.
    12. Zhishan Ma & Susu Zhang & Sidong Zhao, 2021. "Study on the Spatial Pattern of Migration Population in Egypt and Its Flow Field Characteristics from the Perspective of “Source-Flow-Sink”," Sustainability, MDPI, vol. 13(1), pages 1-27, January.
    13. Pauline Rossi & Yun Xiao, 2024. "Spillovers in Childbearing Decisions and Fertility Transitions: Evidence from China," Journal of the European Economic Association, European Economic Association, vol. 22(1), pages 161-199.
    14. Cai, Shu & Li, Wei, 2024. "On the origin of cognition: How childhood conditions shape cognitive function in old age," China Economic Review, Elsevier, vol. 83(C).
    15. Shi Liang & Chong Sun & Chanfang Liu & Lili Jiang & Yingjia Xie & Shaohong Yan & Zhenyu Jiang & Qingwen Qi & An Zhang, 2021. "The Influence of Air Pollutants and Meteorological Conditions on the Hospitalization for Respiratory Diseases in Shenzhen City, China," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    16. Le Shi & Zheng-An Lu & Jian-Yu Que & Xiao-Lin Huang & Qing-Dong Lu & Lin Liu & Yong-Bo Zheng & Wei-Jian Liu & Mao-Sheng Ran & Kai Yuan & Wei Yan & Yan-Kun Sun & Si-Wei Sun & Jie Shi & Thomas Kosten & , 2021. "Long-Term Impact of COVID-19 on Mental Health among the General Public: A Nationwide Longitudinal Study in China," IJERPH, MDPI, vol. 18(16), pages 1-18, August.
    17. Ching-Chih Chang & Yu-Wei Chang & Po-Chien Huang, 2022. "Effects of the INDC and GGRMA Regulations on the Impact of PM 2.5 Particle Emissions on Maritime Ports: A Study of Human Health and Environmental Costs," Sustainability, MDPI, vol. 14(10), pages 1-15, May.
    18. Xiaoxia Gong & Fanglei Zhong, 2021. "The Impact of Borrowing Size on the Economic Development of Small and Medium-Sized Cities in China," Land, MDPI, vol. 10(2), pages 1-18, January.
    19. Shuhan Liu & Guoping Lei & Dongyan Wang & Hong Li & Wenbo Li & Jia Gao, 2020. "Reoccupying Ecological Land for Excessively Expanded Rust Belt Cities in Traditional Grain Bases: An Eco-Economic Trade-Off Perspective," Land, MDPI, vol. 9(9), pages 1-16, August.
    20. Tavoos Hassan Bhat & Guo Jiawen & Hooman Farzaneh, 2021. "Air Pollution Health Risk Assessment (AP-HRA), Principles and Applications," IJERPH, MDPI, vol. 18(4), pages 1-22, February.

    More about this item

    Keywords

    Aging; Long-term Services and Supports; Chronic Disease Management; Cognitive Impairment; Preventive Care Utilization; Disease Awareness; Hypertension;
    All these keywords.

    JEL classification:

    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • D10 - Microeconomics - - Household Behavior - - - General
    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:joecag:v:23:y:2022:i:c:s2212828x22000378. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: https://www.journals.elsevier.com/the-journal-of-the-economics-of-ageing .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.