Abstract
Objectives: The older population’s rapid growth and a growing preference for aging in place have resulted in a global focus on using home-based long-term care (LTC) to meet the increased demand for older adults’ care. This study examines the factors associated with the intended utilization of home-based LTC among older adults.
Methods: Using a sample of 1,064 older adults 65 years and older in China, this study is based on Andersen’s behavioral model (i.e., predisposing, enabling, and need factors) and the moderating effects of community support on the relationship between these factors and the intended use of home-based LTC.
Results: Results showed that being old and currently unmarried were significantly associated with an increased intention to use home LTC. Living alone, having fewer children, and receiving less family and peer support were all found to be significant predictors of increased intention to use home-based LTC. Furthermore, all need factors examined in this study, including having more chronic diseases, decreased performance in instrumental activities of daily living, higher levels of depression, anxiety, loneliness, and a lower sense of self-image, showed significant associations with increased intention to use home-based LTC.
Discussion: Perceived community support boosted the effects of family support, peer support, and self-image on the intention to use home-based LTC. Meanwhile, community support mitigated the effects of depression and loneliness on older adults’ intentions to use home-based LTC. Policymakers and practitioners should consider the implications of developing tailored services for older adults and strengthening community resources.
Author Information
Run-ping Che, The Chinese University of Hong Kong, Hong Kong
Mei-chun Cheung, The Chinese University of Hong Kong, Hong Kong
Comments
Powered by WP LinkPress