Perceived Need for Home- and Community-Based Services: Experiences of Urban Chinese Older Adults With Functional Impairments |
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| Authors: | Hong Li Ling Xu Iris Chi |
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| Affiliation: | 1. Associate Professor, School of Social Work, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA;2. Associate Professor, School of Social Work, University of Texas at Arlington, Arlington, Texas, USA;3. Professor of Chinese American Association Francis Wu Chair for Chinese Elderly, School of Social Work, University of Southern California, Los Angeles, California, USA |
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| Abstract: | Guided by Cantor’s social care model, this study identified individual, family, and social support factors that influence urban older adults’ need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults’ need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant. Older adults’ need for instrumental care and support is related to their educational attainment, financial strain, instrumental activities of daily living, not living with children, and friend support networks. Finally, older adults’ need for psychosocial services is significantly related to educational attainment, depression, not being married, friend support networks, and having a confidant. Implications for social service development are discussed. |
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| Keywords: | Chinese older adults home- and community-based services perceived needs urban |
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