School of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China.
Johns Hopkins University School of Nursing, Baltimore, 21205, MD, USA.
Geriatr Nurs. 2021 May-Jun;42(3):740-747. doi: 10.1016/j.gerinurse.2021.03.013. Epub 2021 Apr 16.
The purpose of this study was to explore the perceived unmet needs for community-based long-term care services among older urban adults in China. We analyzed the cross-sectional data of 5,201 urban community respondents ≥65 years of age from the seventh wave of the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). The chi-squared automatic interaction detection technique was used to examine the variables associated with older adults' unmet needs for four common types of community-based services: personal care, grocery shopping, home visits, and psychological consulting. We found that the majority of the older adults perceived that they needed the four services, but only 9%-27.4% of the respondents reported that their perceived needs were met. There was a high prevalence of unmet community-based service needs (51.3%-55.5%) among urban older adults in China. Factors associated with unmet needs included depression status, ADL (activities of daily living) limitations, self-rated health, number of surviving children, educational attainment, and marital status. The results suggest that policy makers should develop services targeting specific segments of the older population, increasing the adequacy of services provided.
本研究旨在探讨中国城市老年人对社区长期护理服务的未满足需求。我们分析了来自 2018 年中国长寿纵向研究第七波的 5201 名≥65 岁城市社区受访者的横断面数据。卡方自动交互检测技术用于检验与老年人对四种常见社区服务（个人护理、购物、家访和心理咨询）的未满足需求相关的变量。我们发现，大多数老年人认为他们需要这四种服务，但只有 9%-27.4%的受访者表示他们的需求得到了满足。中国城市老年人的社区服务需求未得到满足的情况较为普遍（51.3%-55.5%）。与未满足需求相关的因素包括抑郁状况、日常生活活动能力受限、自我报告的健康状况、存活子女数量、受教育程度和婚姻状况。研究结果表明，政策制定者应针对老年人口的特定群体制定服务计划，提高服务的充分性。
