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Elserly people′s pension willingness and influencing factors of choosing home-based care of population aged 60 and above |
Cai Min,Zhang Yaoguang,Xie Xueqin,Wu Shiyong |
Center for Health Statistics and Information, National Health Commission, Beijing 100810, China |
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Abstract Objective To learn about the pension willingness and factors affecting the choice of home care willingness of the elderly population, and to provide the evidence for improving life status of the elderly population, better providing full cycle services, and promoting healthy aging. Methods Data of the Sixth National Health Service Statistical Survey were used to analyze the nursing situation and pension willingness of the elderly population in different regions, different family conditions, different social demographic characteristics and different disability status, and logistic regression was used to analyze the influencing factors of the elderly population′s choice of homebased care. Results Eleven point eight percent of the elderly needed to be taken care of for their daily life, and daily care was provided 52.5% by spouses and 42.9% by children. And 90.7% of the elderly were inclined to home-based care, urban and rural areas, sex, age, marital status, educational level, family economic status, disability degree, the number of chronic diseases, family size were all influencing factors of elderly pension willingness. The probability of wanting home care was lower in urban areas than in rural areas (OR=0.625, 95%CI: 0.589-0.663); it was higher for men than for wornen(OR=1.122,95%CI:1.062-1.187); and it was higher for 70-79 years old (OR=1.219, 95%CI:1.147-1.296) and 80 years old and above (OR=1.598, 95%CI: 1.433-1.782) than for 60-69 years old; it was lower for unmarried (OR=0.476) and divorce (OR=0.600) than for married; it was lower for the elderly with educational levels of primary school (OR=0.742), junior middle school (OR=0.437), and senior high school or above(OR=0.352)than for those without literacy (P<0.01); it was higher for elderly people not living alone than for those living alone (P<0.01). Conclusion The elderly with older age, lower educational level, poor family economic status and large family size are more likely to hope for care at home.Combined with the elderly′s pension willingness, in view of the health status, nursing and care needs, it is necessary to establish and improve a service system based on family care, to explore the design of long-term care system, and to protect the health rights and interests of the elderly.
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Received: 14 April 2021
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