ArticleBMC geriatrics2022
Do older adults with multimorbidity prefer institutional care than those without multimorbidity? The role of functional limitation.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 15 citations in OpenAlex.
- Real-world medical and long-term care service utilization patterns among older adults with complex needs in China: a latent class analysis.BMC geriatrics · 2026Article
- The impact of social support on quality of life among older adults in times of COVID-19 pandemic in Dongguan, China: a cross-sectional study.BMC public health · 2026Article
- Informal care and cognitive frailty among Chinese older adults: the mediating role of social participation.BMC geriatrics · 2025Article
- Article
- Potential effectiveness of an ICOPE-based long-term care intervention program for old patients with disabilities in nursing homes: protocol for a mixed methods study.Frontiers in public health · 2025Article
- Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study.BMC primary care · 2024Article
- Healthcare system navigation difficulties among informal caregivers of older adults: a logistic regression analysis of social capital, caregiving support and utilization factors.BMC health services research · 2024Article
- The mediating effect of sleep quality on solid cooking fuel use and psychological distress among rural older adults: evidence from Shandong, China.BMC geriatrics · 2024Article
- The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?BMC primary care · 2024Article
- Activities of daily living limitations and the use of physical examination among older adults with informal care in China: do gender and residence make differences?BMC geriatrics · 2024Article
- Relationship between left-behind status and cognitive function in older Chinese adults: a prospective 3-year cohort study.General psychiatry · 2023Article
- Association of Sensory Impairment With Institutional Care Willingness Among Older Adults in Urban and Rural China: An Observational Study.Innovation in aging · 2023Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation ageing and social transformation present tremendous challenges to the informal support system of older adults, which engendered institutional care in China. This study aimed to examine the association between multimorbidity and institutional care willingness, and investigate whether there is an interaction effects between multimorbidity and functional limitations on institutional care willingness among Chinese older adults.
methodsData were obtained from the sixth National Health Service Survey of Shandong province, China. The sample included 8583 older adults (age ≥ 60 years; 51.7% women), 44.8% without chronic diseases, 34.8% and 20.4% with one chronic condition and multimorbidity, respectively. Multivariable logistic regression models and marginal effects analysis were used to the interaction effects analysis.
resultsA total of 666 (7.8%) participants had institutional care willingness in Shandong, China. Participants with multimorbidity were more likely to have institutional care willingness than their peers without chronic condition (OR = 1.25, 95% CI = 1.06, 1.55) after adjusted for confounders. Marginal effect analysis showed that under the condition that other variables remain unchanged, the probability of them with multimorbidity choosing institutional care for older adults with functional limitations was 6.9% lower than those without multimorbidity (95% CI = -0.128, -0.010, P = 0.023). The interaction effect between chronic health conditions and functional limitation for older adults to choose institutional care was statistically significant, and the average interaction effect was 4.83% (Z = -2.70, [Formula: see text] = 0.0189, P < 0.05).
conclusionsThis relationship between multimorbidity and institutional care willingness varied by functional limitations. To better meet the care needs among older adults with multimorbidity and functional limitations, more resources and incentives should be provided to encourage the building-up of eldercare institutions. The governments should also establish long-term care system and to provide better home-based care for older adults, as older adults who prefer home care remain the majority.
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