ArticleBMC health services research2024
Factors influencing senior care and living preferences among older adults in Jiangsu, China: a cross-sectional survey study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Trends in informal and formal care utilisation and unmet care needs among older adults in Korea: evidence from repeated national surveys.European journal of ageing · 2026Article
- Measurement of the coupling coordination level and influencing factors of community healthcare services and older adults care services in China.BMC geriatrics · 2026Article
- Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.BMC geriatrics · 2026Article
- The impact of depression and associated anxiety symptoms on clinical outcomes in elderly inpatients with digestive system diseases in Southwest China: a retrospective cohort study.BMC psychiatry · 2025Article
- Examining the matching of care preferences and care modalities for older dependents, and its association with satisfaction and wellbeing.BMC geriatrics · 2025Article
- Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study.BMC nursing · 2025Article
- Assessing the accessibility of care facilities for older adults with integration of their choice preferences: a case study of Fuzhou's main urban area, China.Frontiers in public health · 2025Article
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Abstract
backgroundAs the population ages, senior care for older adults in China has become increasingly important and has attracted the attention of both government and society. This study aimed to explore preferences and influencing factors related to senior care among older Chinese adults and thus propose effective and targeted strategies for the development of a comprehensive care system for older adults in the aging Chinese population.
methodsData were obtained from a cross-sectional survey conducted in sixteen communities or villages in Jiangsu Province, China, from July to September 2021. Guided by the Andersen Behavioral Model, multivariate logistic regression was conducted to identify factors associated with preferences for senior care arrangements.
resultsA total of 870 respondents were included in the study, 60.11% of whom preferred receiving care in their own homes, while only 13.68% chose residential care facilities (RCFs). For predisposing factors, rural respondents preferred receiving care in their own homes compared to urban respondents (children's home: OR = 0.55, P < 0.01; RCF: OR = 0.58, P < 0.01). Concerning enabling factors, respondents who were not employed (OR = 2.30, P < 0.01) and those without financial support (OR = 2.73, P < 0.05) preferred RCFs to their own homes. Respondents receiving life assistance (sometimes: OR = 2.76, P < 0.001; regularly: OR = 2.57, P < 0.01; every day: OR = 3.57, P < 0.001) preferred their children's homes to their own homes. In terms of need factors, respondents with noncommunicable diseases (NCDs, OR > 1, P < 0.05), those who knew about RCFs (some: OR = 0.53, P < 0.005; no: OR = 0.10, P < 0.001) and those with a good impression of RCFs (fair: OR = 3.72, P < 0.05; good: OR = 11.91, P < 0.001) preferred receiving care in RCFs compared to their counterparts.
conclusionsOlder Chinese adults' senior care preferences were affected by predisposing factors, enabling factors, and need factors. Policy-makers should consider targeted measures to identify more precise senior care services and thus address aging challenges in China.
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