Objective: To understand the willingness to participate elderly care of elderly people who live alone and explore its influencing factors, with the purpose of providing basis for the establishment of a robust social system of elderly care service.Methods: The data of 1 208 elderly people who live alone from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) were collected, using Andersen's model as a framework and 2 test to analyze the difference in the choice of elderly care mode among the elderly with different characteristics. Propensity, enabling resources, and needs were analyzed with binary logistic regression analysis to determine the influencing factors of willingness to participate elderly care of elderly people who live alone. Results: Among the 1 208 elderly living alone, the 92.0 % of elderly people preferred community service for home care, and only 8.0 % of elderly people willing to be admitted to institutional care for elderly. Logistic regression analysis showed that older people with an education level of elementary school, general income level, or having more than one child who live alone had lower willingness to institutional care for elderly (OR＜1,P＜0.05). The elderly living alone who were routinely cared for by related institutions, with more loneliness and poor health status, and very restricted in their ability to perform daily living, were more likely to choose an institutional care for elderly value (OR＞1, P＜0.05). The determination coefficients R2 of models Ⅰ to Ⅲ increased stepwise, among which the enabling factors contributed to the most to the model. Conclusion: The willingness to participate elderly care of elderly people who live alone is mainly preferred to community service for home care. The willingness to participate elderly care of elderly people who live alone is affected by several factors, of which the enabling factors have the greatest influence. In addition to enhance community service for home care, a diverse and precise model of elderly care should be explored to meet the needs of elderly people who live alone.
ZHANG Yunqiu
,
ZHANG Xiangeng
,
CAO Bing
,
WANG Hongyan
,
LIU Yunqi
,
ZHOU Fan
,
WANG Yuting
. Study of willingness to participate elderly care and influencing factors on elderly people who live alone based on Andersen model[J]. Journal of Baotou Medical College, 2023
, 39(11)
: 64
-69
.
DOI: 10.16833/j.cnki.jbmc.2023.11.013
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