ArticleBMC geriatrics2024
What determines informal care need among community-dwelling older adults in China? Results from a longitudinal study.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Burnout and Its Associated Factors Among Long-Term Care Workers: A Mixed-Methods Study Based on the Social-Ecological Framework.Behavioral sciences (Basel, Switzerland) · 2026Article
- Unmet community care needs and older adults' well-being: the moderating role of childlessness in China.BMC geriatrics · 2026Article
- Future care preparation profiles and self-support ability among rural Chinese older adults: a cross-sectional study.Frontiers in public health · 2026Article
- Impact of Long-Term Care Insurance on health out-of-pocket expenditure ratios for older adults.Frontiers in public health · 2025Article
- Construction of community home-based older adult care service model based on modular design concept.Frontiers in public health · 2025Article
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4 authors.
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Abstract
backgroundWith an intensified aging population and an associated upsurge of informal care need in China, there is an ongoing discussion around what factors influence this need among older adults. Most existing studies are cross-sectional and do not focus on older people living in the community. Conversely, this study empirically explores the factors that affect informal care need of Chinese community-dwelling older individuals based on longitudinal data.
methodsThis study constructed panel data using the China Health and Retirement Longitudinal Research Study (CHARLS) from 2011 to 2018 for analysis. Generalized linear mixed models were used to analyze the factors affecting reception of informal care, and linear mixed models were used to analyze the factors affecting informal care sources and intensity.
resultsDuring the follow-up period, 7542, 6386, 5087, and 4052 older adults were included in 2011-2018, respectively. The proportion receiving informal care increased from 19.92 to 30.78%, and the proportion receiving high-intensity care increased from 6.42 to 8.42% during this period. Disability (estimate = 4.27, P < 0.001) and living arrangement (estimate = 0.42, P < 0.001) were the critical determinants of informal care need. The rural older adults reported a greater tendency to receive informal care (estimate = 0.14, P < 0.001). However, financial support from children did not affect informal care need (P > 0.05).
conclusionsAt present, there is a great demand for the manpower and intensity of informal care, and the cost of informal care is on the rise. There are differences in informal care needs of special older groups, such as the oldest-old, living alone and severely disabled. In the future, the region should promote the balance of urban and rural care service resources, rationally tilt economic support resources to rural areas, reduce the inequality of long-term care resources, improve the informal care support system, and provide a strong community guarantee for the local aging of the older adults.
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