School of Public Health, Shandong University, Jinan, 250012, China.
Shandong University Center for Health Economics Experiment and Public Policy Research, Ji'nan, 250012, P.R.China.
Int J Qual Health Care. 2020 Apr 27;32(2):126-134. doi: 10.1093/intqhc/mzz132.
To examine the rural-urban disparities of home-based care willingness among older adults and identify the influencing factors.
A cross-sectional study.
The data used in this cross-sectional study were conducted in Shandong province.
7070 older adults (60 years and older) with complete data were included in this analysis from the 2017 Survey of the Shandong Elderly Family Health Service.
N/A.
The data were analyzed using logistic regression models to examine whether socio-demographic characteristic, physical health, loneliness score and other factors were associated with home-based care willingness in rural and urban older adults. After exploring the factors, we compared the difference.
Of 7070 participants, 66.9% were rural older adults and 33.1% were urban. The urban older adults less likely chose home-based care than the rural (OR = 0.667; P < 0.05). Binary logistic regression analysis showed that age (P < 0.05), income (P < 0.05), current employment (P < 0.05) and loneliness (P < 0.05) were significantly associated with the home-based care willingness both in rural and urban residence. Besides, the number of family members (P = 0.010), education years (P = 0.026) and financial support from children (P = 0.017) were associated factors of rural respondents' home-based care willingness. The bad self-reported-health-status-urban-older adults (P = 0.026) were more willing for home-based care.
The research we have done suggests that there is a residence difference toward home-based care willingness among older adults. Targeted policies and an age-friendly environment should be made for different subgroups of older adults.
探讨老年人居家养老意愿的城乡差异，并分析其影响因素。
横断面研究。
本研究数据来自山东省 2017 年老年家庭健康服务调查。
共纳入 7070 名年龄≥ 60 岁的老年人，来自山东省老年家庭健康服务调查。
无。
采用 logistic 回归模型分析城乡老年人居家养老意愿的影响因素，并比较城乡老年人居家养老意愿的差异。
7070 名研究对象中，农村老年人占 66.9%，城市老年人占 33.1%。城市老年人选择居家养老的意愿低于农村老年人（OR=0.667，P<0.05）。二元 logistic 回归分析显示，年龄（P<0.05）、收入（P<0.05）、现职情况（P<0.05）和孤独感（P<0.05）均与城乡老年人的居家养老意愿显著相关。此外，家庭人数（P=0.010）、受教育年限（P=0.026）和子女经济支持（P=0.017）是农村老年人居家养老意愿的影响因素，自评健康状况较差的城市老年人（P=0.026）更愿意选择居家养老。
老年人居家养老意愿存在城乡差异，应针对不同老年人群体制定有针对性的政策和友好型环境。
