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Characteristics of the institutionalized and community-residing oldest-old in China

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  • Gu, Danan
  • Dupre, Matthew E.
  • Liu, Guangya

Abstract

Existing research on the institutionalized population of older adults is primarily limited to Western countries. This study is the first to use nationally representative data to examine differences in the institutionalized and community-residing population of the oldest-old (ages 80+) in China. Using three waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) (1998, 2000, and 2002), we examine differences in sociodemographic characteristics, family caregiving resources, health practices, religious activity, chronic conditions, and mortality risk. The results indicate that the institutionalized oldest-old are younger, male, reside in urban areas, have lower family-care resources, and exhibit poorer health compared to those living in the community. We also find that the 2-year mortality risk for institutionalized elders is 1.35 times greater than for those residing in the community. However, the mortality differential is eliminated once the sociodemographic, family caregiving, and health characteristics of the oldest-old are taken into account. The implications of these findings are discussed.

Suggested Citation

  • Gu, Danan & Dupre, Matthew E. & Liu, Guangya, 2007. "Characteristics of the institutionalized and community-residing oldest-old in China," Social Science & Medicine, Elsevier, vol. 64(4), pages 871-883, February.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:4:p:871-883
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    5. Liu, Guangya & Dupre, Matthew E. & Gu, Danan & Mair, Christine A. & Chen, Feinian, 2012. "Psychological well-being of the institutionalized and community-residing oldest old in China: The role of children," Social Science & Medicine, Elsevier, vol. 75(10), pages 1874-1882.
    6. Lingguo Cheng & Hong Liu & Ye Zhang & Ke Shen & Yi Zeng, 2015. "The Impact of Health Insurance on Health Outcomes and Spending of the Elderly: Evidence from China's New Cooperative Medical Scheme," Health Economics, John Wiley & Sons, Ltd., vol. 24(6), pages 672-691, June.
    7. Bloom, D.E. & Luca, D.L., 2016. "The Global Demography of Aging," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 3-56, Elsevier.
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