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Willingness to live in eldercare institutions among older adults in urban and rural China: a nationwide study
- Author:
- CHOU Rita Jing-Ann
- Journal article citation:
- Ageing and Society, 30(4), May 2010, pp.583-608.
- Publisher:
- Cambridge University Press
An ageing population and the demands economic development and socio-cultural changes have made on some Chinese families’ ability to care for their elders traditionally at home, has led to institutional care being promoted. This study based on a survey of 20,255 older adults (aged 60 plus), from the nationwide Sample Survey of the Aged Population in Urban/Rural China (SSAPUR) looks at their willingness to live in long term care institutions. Only 20% and 17% of older people questioned in SSAPUR, from urban and rural areas, respectively, were willing to live in residential care, perhaps explaining why unfilled beds are reported within China’s existing institutional care capacity. The authors used an integrated theoretical model and logistic regression analysis to illustrate key predictors associated with older peoples’ attitudes to care homes of various types. The following are discussed, gender, perceived family harmony and filial piety, socio-cultural beliefs and practices about raising children and eldercare, knowledge and attitudes about institutionalised care, and self-assessed economic status. Parameters of need for residential care were listed as needing help with eating, dressing, toileting, bathing, getting in and out of bed and walking indoors. The authors showed that older people from rural areas had less favourable attitudes towards residential care and that the majority of both urban and rural dwelling older people in China were averse to living in care homes.