Factors Associated With Intended Utilization of Home-Based Long-Term Care Among Older Adults in China: The Moderating Effect of Community Support.

IF 4.8 2区医学 Q1 GERIATRICS & GERONTOLOGY

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2024-11-01 DOI:10.1093/geronb/gbae146

Run-Ping Che, Mei-Chun Cheung

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引用次数: 0

Abstract

Objectives: Guided by Andersen's behavioral model, the objectives of this study were to (a) examine the associations between individual factors and the intended utilization of home-based long-term care (LTC) services among older adults in China and (b) explore the influence of community support, if any, on these associations.

Methods: Using a multistage random sampling approach, we recruited 1,064 older adults in Chengdu, China. Hierarchical regression was employed to investigate the direct effects of individual predictors and community support on the intended use of home-based LTC services. The moderating effect of community support was examined using the Hayes Process.

Results: Two predisposing (i.e., being old and unmarried), 4 enabling (i.e., living alone, having fewer children, and receiving less family and peer support), and 6 need factors (i.e., having more chronic illnesses; decreased performance in instrumental activities of daily living; higher levels of depression, anxiety, loneliness; and a lower self-image of aging), and low community support were significantly associated with increased intended utilization of home-based LTC. In addition, community support moderated the effects of family support (B = -0.20, p < .001), peer support (B = -0.20, p < .001), self-image of aging (B = -0.39, p < .001), depression (B = -0.34, p < .001), and loneliness (B = -0.48, p < .001) on the intended utilization of home-based LTC services.

Discussion: Policy-makers and practitioners should consider delivering tailored services for older adults and involve the community in the context of enhancing home-based LTC services.

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中国老年人使用居家长期护理服务的相关因素：社区支持的调节作用

研究目的在安徒生行为模型的指导下，本研究的目的是：（1）研究中国老年人中个人因素与打算利用居家长期护理（LTC）服务之间的关联；（2）探讨社区支持（如果有的话）对这些关联的影响：我们采用多阶段随机抽样方法，在中国成都招募了 1,064 名老年人。方法：我们采用多阶段随机抽样的方法，在中国成都招募了 1064 名老年人，并采用层次回归法调查了个人预测因素和社区支持对预期使用居家长护服务的直接影响。使用 Hayes Process 检验了社区支持的调节作用：结果表明：两个诱发因素（即年老和未婚）、四个促成因素（即独居、子女较少、获得的家庭和同伴支持较少）、六个需求因素（即慢性病较多；日常生活工具性活动能力下降；抑郁、焦虑和孤独程度较高；以及对衰老的自我形象较低）和低社区支持与打算使用居家长护服务的人数增加有显著相关性。此外，社区支持调节了家庭支持（B = -.20，p < .001）、同伴支持（B = -.20，p < .001）、老龄化自我形象（B = -.39，p < .001）、抑郁（B = -.34，p < .001）和孤独（B = -.48，p < .001）对打算使用居家长护服务的影响：讨论：政策制定者和从业人员应考虑为老年人提供量身定制的服务，并让社区参与到加强居家长护服务中来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journals of Gerontology Series B-Psychological Sciences and Social Sciences 医学-老年医学

CiteScore

11.60

自引率

8.10%

发文量

178

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.