IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0182219.html
   My bibliography  Save this article

The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study

Author

Listed:
  • Liangwen Zhang
  • Yanbing Zeng
  • Ya Fang

Abstract

Background: Currently, there are many studies focusing on the influencing factors of the elderly people’s living arrangements or health status, but little is known about the relationship between living arrangements or health status and long-term care models for the old-age, especially the joint effects. Objective: We aimed to assess the effects of health status and living arrangements on long-term care models (LTCM) among the elderly of Xiamen, China, especially their cumulative joint effects. Methods: A total of 14,373 participants aged ≥ 60 years by multistage sampling in Xiamen of China were enrolled. Multinomial logistic regression was used to estimate the Odds ratios (ORs) regressing LTCM on health status and living arrangements using the Anderson model as theoretical framework. Results: Totally, 14,292 valid questionnaires were obtained, of which 86.37% selected home care. With the increase of disability degree, older people are more likely to choose institutional care, compared to living alone (ORs = 1.75, 2.06, 4.00, 4.01 for the “relatively independent’, “mild disability’, “moderate disability’, and “total disability’, respectively, in comparison with “completely independent’). The elderly living with children and other family members preferred to choose home care. (ORs = 0.50, 0.39, 0.40, and 0.43 for the “living with children’, “living with spouse’, “living with children and spouse’, and “living with others’, respectively, in comparison with “alone’). Additionally, residence, number of children, education level, and feelings of loneliness were the determinants of the choice of social pension. Conclusion: A multitude of older people are trended to choose home care in Xiamen of China. There was an interaction and joint effect between the degree of disability and the living arrangements on LTCM. Therefore, policymakers should pay close attention to care for those living alone, childless, and disabled elders to meet their care needs, especially in home care. In addition, the social construction of facilities for elders in rural areas should be strengthened.

Suggested Citation

  • Liangwen Zhang & Yanbing Zeng & Ya Fang, 2017. "The effect of health status and living arrangements on long term care models among older Chinese: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.
    • Handle: RePEc:plo:pone00:0182219
    DOI: 10.1371/journal.pone.0182219
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0182219
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182219&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0182219?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
    ---><---

    References listed on IDEAS

    as
    1. Thomas Lefèvre & Claire Rondet & Isabelle Parizot & Pierre Chauvin, 2014. "Applying Multivariate Clustering Techniques to Health Data: The 4 Types of Healthcare Utilization in the Paris Metropolitan Area," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-20, December.
    2. Wei Chen & Ya Fang & Fanzhen Mao & Shichao Hao & Junze Chen & Manqiong Yuan & Yaofeng Han & Y Alicia Hong, 2015. "Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
    3. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    4. Hui Wang & Kun Chen & Yifeng Pan & Fangyuan Jing & He Liu, 2013. "Associations and Impact Factors between Living Arrangements and Functional Disability among Older Chinese Adults," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
    5. Liming Lu & Guanyang Zou & Zhi Zeng & Lu Han & Yan Guo & Li Ling, 2014. "Health-Related Quality of Life and Its Correlates among Chinese Migrants in Small- and Medium-Sized Enterprises in Two Cities of Guangdong," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Liangwen Zhang & Yanbing Zeng & Lixia Wang & Ya Fang, 2020. "Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China," IJERPH, MDPI, vol. 17(5), pages 1-18, March.
    2. Tongbo Deng & Yafan Fan & Mengdi Wu & Min Li, 2022. "Older People’s Long-Term Care Preferences in China: The Impact of Living with Grandchildren on Older People’s Willingness and Family Decisions," IJERPH, MDPI, vol. 19(19), pages 1-18, September.
    3. Hao Zhu, 2022. "Spatial Matching and Policy-Planning Evaluation of Urban Elderly Care Facilities Based on Multi-Agent Simulation: Evidence from Shanghai, China," Sustainability, MDPI, vol. 14(23), pages 1-20, December.
    4. Kun Wang & Yongjian Ke & Shankar Sankaran & Bo Xia, 2021. "Problems in the home and community‐based long‐term care for the elderly in China: A content analysis of news coverage," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1727-1741, September.
    5. Liangwen Zhang & Sijia Fu & Ya Fang, 2020. "Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050: A Comparison between Urban and Rural Areas in China," Sustainability, MDPI, vol. 12(7), pages 1-13, March.
    6. Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    7. Yong Wei & Liangwen Zhang, 2020. "Analysis of the Influencing Factors on the Preferences of the Elderly for the Combination of Medical Care and Pension in Long-Term Care Facilities Based on the Andersen Model," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    8. Hongjuan Liu & Lingzhong Xu & Hailing Yang & Yan Zhao & Xiaorong Luan, 2022. "Preferences in long-term care models and related factors among older adults: a cross-sectional study from Shandong Province, China," European Journal of Ageing, Springer, vol. 19(1), pages 27-35, March.
    9. Wang, Qun & Abiiro, Gilbert Abotisem & Yang, Jin & Li, Peng & De Allegri, Manuela, 2021. "Preferences for long-term care insurance in China: Results from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 281(C).
    10. Lea de Jong & Jan Zeidler & Kathrin Damm, 2022. "A systematic review to identify the use of stated preference research in the field of older adult care," European Journal of Ageing, Springer, vol. 19(4), pages 1005-1056, December.

    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. Liangwen Zhang & Yanbing Zeng & Lixia Wang & Ya Fang, 2020. "Urban–Rural Differences in Long-Term Care Service Status and Needs Among Home-Based Elderly People in China," IJERPH, MDPI, vol. 17(5), pages 1-18, March.
    2. Chi-Tsun Chiu, 2019. "Living arrangements and disability-free life expectancy in the United States," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    3. Maruyama, Shiko, 2015. "The effect of coresidence on parental health in Japan," Journal of the Japanese and International Economies, Elsevier, vol. 35(C), pages 1-22.
    4. Wei Chen & Ya Fang & Fanzhen Mao & Shichao Hao & Junze Chen & Manqiong Yuan & Yaofeng Han & Y Alicia Hong, 2015. "Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
    5. Zheng Xie & Adrienne N Poon & Zhijun Wu & Weiyan Jian & Kit Yee Chan, 2015. "Is Occupation a Good Predictor of Self-Rated Health in China?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-18, May.
    6. Nicola Mucci & Veronica Traversini & Gabriele Giorgi & Giacomo Garzaro & Javier Fiz-Perez & Marcello Campagna & Venerando Rapisarda & Eleonora Tommasi & Manfredi Montalti & Giulio Arcangeli, 2019. "Migrant Workers and Physical Health: An Umbrella Review," Sustainability, MDPI, vol. 11(1), pages 1-22, January.
    7. Feng, Zhixin & Jones, Kelvyn & Wang, Wenfei Winnie, 2015. "An exploratory discrete-time multilevel analysis of the effect of social support on the survival of elderly people in China," Social Science & Medicine, Elsevier, vol. 130(C), pages 181-189.
    8. Chia-Mei Shih & Yu-Hua Wang & Li-Fan Liu & Jung-Hua Wu, 2020. "Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    9. Turner, Alex J. & Nikolova, Silviya & Sutton, Matt, 2016. "The effect of living alone on the costs and benefits of surgery amongst older people," Social Science & Medicine, Elsevier, vol. 150(C), pages 95-103.
    10. Xiaotong Wen & Huilie Zheng & Zhenyi Feng & Winter Tucker & Yuanan Lu & Zhaokang Yuan, 2019. "Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors—A Five-Time Data Collection and Analysis," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    11. Zhaoyong Huang & Yuzhu Chen & Weiwen Zhou & Xiaopeng Li & Qiulan Qin & Yunqing Fei & Xinqi Dong & Fang Yu, 2020. "Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 639-647, September.
    12. Min Gao & Yanyu Li & Shengfa Zhang & Linni Gu & Jinsui Zhang & Zhuojun Li & Weijun Zhang & Donghua Tian, 2017. "Does an Empty Nest Affect Elders’ Health? Empirical Evidence from China," IJERPH, MDPI, vol. 14(5), pages 1-20, April.
    13. Moisés H. Sandoval & Marcela E. Alvear Portaccio, 2022. "Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004–2016," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    14. Jiaan Zhang & Liyun Wu, 2015. "Cigarette Smoking and Alcohol Consumption among Chinese Older Adults: Do Living Arrangements Matter?," IJERPH, MDPI, vol. 12(3), pages 1-26, February.
    15. Achilleas Anastasiou & Peter Hatzopoulos & Alex Karagrigoriou & George Mavridoglou, 2021. "Causality Distance Measures for Multivariate Time Series with Applications," Mathematics, MDPI, vol. 9(21), pages 1-15, October.
    16. Meliyanni Johar & Shiko Maruyama, 2014. "Does Coresidence Improve An Elderly Parent'S Health?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(6), pages 965-983, September.
    17. Liu, Chang & Yi, Fujin & Xu, Zhigang & Tian, Xu, 2021. "Do living arrangements matter?—Evidence from eating behaviors of the elderly in rural China," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    18. Lingguo Cheng & Hong Liu & Ye Zhang & Zhong Zhao, 2018. "The heterogeneous impact of pension income on elderly living arrangements: evidence from China’s new rural pension scheme," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(1), pages 155-192, January.
    19. Feinian Chen & Hui Liu & Kriti Vikram & Yu Guo, 2015. "For Better or Worse: The Health Implications of Marriage Separation Due to Migration in Rural China," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1321-1343, August.
    20. Qi Xu & Jinshui Wang & Jingjing Qi, 2019. "Intergenerational coresidence and subjective well-being of older adults in China: The moderating effect of living arrangement preference and intergenerational contacts," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(48), pages 1347-1372.

    More about this item

    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:plo:pone00:0182219. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.