School of Marxism, Soochow University, Suzhou, China.
Soochow University Base, Jiangsu Research Centre for Socialist Theory System With Chinese Characteristics, Suzhou, China.
Front Public Health. 2022 Sep 6;10:954035. doi: 10.3389/fpubh.2022.954035. eCollection 2022.
For the past few decades, studies of care types choice have been restricted to the scope of individual characteristics and health status. Meanwhile, the historiography of the research largely ignores the role of filial culture within China. This study sets out to examine the influence of the factors in the cultural context of filial piety on the choice of care types for older people with disability in China. According to the characteristics of filial culture, the factors influencing the choice of care type for the older people in China are summarized as family endowment and support. The study concludes that gender, residence, living alone or not, family income, real estate, pension and community service have momentous effects on the choice of care type of older people with disability; informal care has a substitutive effect on formal care. The research was based on cross-sectional data of CLHLS 2018 and utilized binary logistic regression analysis to compare the factors influencing the choice of old disabled people between formal and informal care. The study implies that in the context of filial culture, the older people's choice of care types is affected by family endowment and community service supply for the older people in China. In the background of filial culture, the government should give informal care official support such as cash and services, so as to change its attribute of private domain of it and enhance the quality of long-term care.
几十年来,对护理类型选择的研究一直局限于个体特征和健康状况的范围。与此同时,该研究的历史在很大程度上忽略了中国孝道文化的作用。本研究旨在考察孝道文化背景下的因素对中国失能老年人护理类型选择的影响。根据孝道文化的特点,总结了影响中国老年人护理类型选择的因素有家庭赡养和支持。研究得出结论,性别、居住地点、是否独居、家庭收入、房地产、养老金和社区服务对失能老年人护理类型的选择有重大影响;非正式护理对正式护理具有替代性。本研究基于 CLHLS 2018 的横断面数据,利用二项逻辑回归分析比较了正式和非正式护理对失能老年人选择的影响因素。研究表明,在孝道文化背景下,中国老年人的护理类型选择受到家庭赡养和社区为老年人提供服务的影响。在孝道文化背景下,政府应该为非正式护理提供现金和服务等正式支持,以改变其私人领域的属性,提高长期护理的质量。