Influencing Factors of Undermet Care Needs of the Chinese Disabled Oldest Old People When Their Children Are Both Caregivers and Older People: A Cross-Sectional Study
Open Access
- 25 September 2020
- journal article
- research article
- Published by MDPI AG in Healthcare
- Vol. 8 (4), 365
- https://doi.org/10.3390/healthcare8040365
Abstract
We examined the influencing factors of the undermet care needs of the Chinese disabled oldest old people when their children are both caregivers and are themselves older people. Data were obtained from a cross-sectional survey: the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018. The study participants included 1617 disabled oldest old people whose primary caregiver were their children or children-in-law and were aged 60 years and over. The results showed that the prevalence of undermet needs remained high, with 49.6% disabled oldest old people reporting undermet care needs. Binary logistic regression analysis revealed that living in a rural area (OR = 1.309, 95% CI = 1.133–1.513) and a higher frailty index (OR = 1.103, 95% CI = 1.075–1.131) were significantly positively associated with higher odds for undermet care needs, while a higher annual household income (OR = 0.856, 95% CI = 0.795–0.923), more financial support from children (OR = 0.969, 95% CI = 0.941–0.997), higher care expenditures (OR = 1.044, 95% CI = 1.002–1.088), better caregiver’s performance (OR = 0.282, 95% CI = 0.196–0.407) and sufficient income to pay for daily expenses (OR = 0.710, 95% CI = 0.519–0.973) were significantly inversely associated with higher odds for undermet care needs. This evidence suggests the importance of policies to establish a community-based socialized long-term care system and supporting family caregivers of the disabled oldest old people.Funding Information
- National Natural Science Foundation of China (Grant No. 71973154)
This publication has 50 references indexed in Scilit:
- The frailty index in Europeans: association with age and mortalityAge and Ageing, 2012
- Unmet Need for Assistance to Perform Activities of Daily Living and Psychological Distress in Community-Dwelling Elderly WomenCanadian Journal on Aging / La Revue canadienne du vieillissement, 2011
- Age and intergenerational exchange among older parents in rural ChinaInternational Journal of Social Welfare, 2011
- Transitions in Marital Status and Functional Health and Patterns of Intergenerational Coresidence Among China's Elderly PopulationThe Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2011
- Financial support and practical help between older parents and their middle-aged children in EuropeAgeing and Society, 2010
- Family life course transitions and rural Household economy during China’s market reformDemography, 2010
- A standard procedure for creating a frailty indexBMC Geriatrics, 2008
- The Prevalence and Consequences of Unmet NeedMedical Care, 1997
- Unmet Long-Term Care Needs of Elderly People in the Community; A Review of the LiteratureHome Health Care Services Quarterly, 1997
- Studies of Illness in the AgedJAMA, 1963