Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, China.
School of Humanities and Management, Yunnan University of Chinese Medicine, Kunming, China.
BMC Health Serv Res. 2022 Jan 21;22(1):93. doi: 10.1186/s12913-022-07478-5.
China is the country with the largest elderly population. To actively respond to this ageing population, China has proposed the Community Aged Care Service Centre (CACSC) network as the major elderly care development policy. However, many residents resisted the development of the CACSC network, which affected its smooth implementation. Based on the theory of "Not in My Backyard" (NIMBY), this paper proposes a model of the influencing factors of community residents on the opposition to the construction of CACSCs.
Residents living in urban communities over the age of 20 in China are the target of this study. The questionnaires were collected in the form of electronic questionnaires created on a professional website, and hyperlinks to the questionnaires were distributed through social media. The descriptive statistical analysis, T-tests, ANOVA and structural equation modelling were performed on cross-sectional survey data from 509 questionnaires.
The research results show that superstition, the NIMBY attitude, and perceived risk have a significant positive impact on the opposition to the construction of CACSCs, while the negative impact of perceived benefit on the opposition intention is not significant. Moreover, perceived knowledge has a significant positive impact on perceived benefit and a significant negative impact on superstition and perceived risk.
Strengthen policy advocacy on ageing, clarify the service content of CACSC and encourage young people to participate in public welfare activities for the elderly can reduce the opposition of community residents to the construction of a CACSC.
中国是老年人口最多的国家。为积极应对人口老龄化,中国提出了社区养老服务中心(CACSC)网络作为主要的养老发展政策。然而,许多居民反对 CACSC 网络的发展,这影响了其顺利实施。基于“不要在我后院”(NIMBY)理论,本文提出了一个社区居民对反对建设 CACSCs 的影响因素模型。
本研究的目标人群是居住在中国城市社区、年龄在 20 岁以上的居民。通过专业网站上创建的电子问卷以电子问卷的形式收集问卷,并通过社交媒体分发问卷链接。对 509 份问卷的横断面调查数据进行了描述性统计分析、T 检验、方差分析和结构方程建模。
研究结果表明,迷信、NIMBY 态度和感知风险对反对建设 CACSCs 有显著的正向影响,而感知收益对反对意愿的负面影响不显著。此外,感知知识对感知收益有显著的正向影响,对迷信和感知风险有显著的负向影响。
加强对老龄化的政策宣传,明确 CACSC 的服务内容,鼓励年轻人参与为老年人服务的公益活动,可以减少社区居民对建设 CACSC 的反对。