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Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China

Author

Listed:
  • Man Li

    (School of Public Administration, East China Normal University, 3663 Zhongshan Road, Shanghai 200062, China
    Institute of Health Policy, Management and Evaluation, University of Toronto, Health Science Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6, Canada)

  • Renyao Zhong

    (School of Public Administration, East China Normal University, 3663 Zhongshan Road, Shanghai 200062, China)

  • Shanwen Zhu

    (School of Public Administration, East China Normal University, 3663 Zhongshan Road, Shanghai 200062, China)

  • Lauren C. Ramsay

    (Institute of Health Policy, Management and Evaluation, University of Toronto, Health Science Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6, Canada
    Toronto General Hospital Research Institute, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada)

  • Fen Li

    (School of Public Administration, East China Normal University, 3663 Zhongshan Road, Shanghai 200062, China)

  • Peter C. Coyte

    (Institute of Health Policy, Management and Evaluation, University of Toronto, Health Science Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6, Canada
    Canadian Centre for Health Economics, 155 College Street, Toronto, ON M5T 3M6, Canada)

Abstract

Community-based day care centres play an important role in service delivery for Chinese seniors. Little research has examined how community living infrastructure has influenced the establishment of these day care centres in rural communities. The purposes of this study were: (1) explore regional differences in community living infrastructure; and (2) to examine the impact of such infrastructure on the establishment of day care centres for Chinese seniors in rural communities. The data were derived from “The Fourth Sample Survey on the Living Conditions of Elderly People in Urban and Rural China (2015)”. The establishment of at least one day care centre was the outcome of interest, which was dichotomized at the community level into the establishment of at least one day care centre or the absence of any day care centres. Logistic regression analysis was employed to examine the impact of various community living infrastructural characteristics on the establishment of day care centres. The results showed that of the 4522 rural communities surveyed in 2015, only 10.1% had established at least one day care centre. Community living infrastructural characteristics that were significantly associated with the establishment of day care centres were the availability of cement/asphalt roads, natural gas, tap drinking water, sewage systems, and centralized garbage disposal. Our findings suggest that the significant association between community-level characteristics, especially community living infrastructure, and the establishment of rural day care centre for seniors may inform policy decision making.

Suggested Citation

  • Man Li & Renyao Zhong & Shanwen Zhu & Lauren C. Ramsay & Fen Li & Peter C. Coyte, 2018. "Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China," IJERPH, MDPI, vol. 15(6), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1184-:d:150943
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    References listed on IDEAS

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    1. Weinhold, Ines & Gurtner, Sebastian, 2014. "Understanding shortages of sufficient health care in rural areas," Health Policy, Elsevier, vol. 118(2), pages 201-214.
    2. Yaohui Zhao, 1999. "Leaving the Countryside: Rural-to-Urban Migration Decisions in China," American Economic Review, American Economic Association, vol. 89(2), pages 281-286, May.
    3. Jing Wang & Bingqin Li, 2018. "Governance and Finance: Availability of Community and Social Development Infrastructures in Rural China," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 5(1), pages 4-17, January.
    4. Meng, Xin & Zhang, Junsen, 2001. "The Two-Tier Labor Market in Urban China: Occupational Segregation and Wage Differentials between Urban Residents and Rural Migrants in Shanghai," Journal of Comparative Economics, Elsevier, vol. 29(3), pages 485-504, September.
    5. Jiaoli Cai & Hongzhong Zhao & Peter C. Coyte, 2017. "Socioeconomic Differences and Trends in the Place of Death among Elderly People in China," IJERPH, MDPI, vol. 14(10), pages 1-16, October.
    6. Jing Wang and Bingqin Li, 2018. "Governance and Finance: Availability of Community and Social Development Infrastructures in Rural China," Asia and the Pacific Policy Studies 201801, Crawford School of Public Policy, The Australian National University.
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