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Conference Paper: The role of psychosocial factors in long-term care utilization among elderly Chinese

TitleThe role of psychosocial factors in long-term care utilization among elderly Chinese
Authors
KeywordsGerontology and geriatrics
Issue Date2009
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
The 62nd Annual Scientific Meeting of the Gerontological Society of America (GSA 2009), Atlanta, GA., 18-22 November 2009. In The Gerontologist, 2009, v. 49 suppl. 2, p. 302 How to Cite?
AbstractAIMS: This study aims to examine the role of psychosocial factors associated with the choices of community-based long-term care services for elderly Chinese people in Hong Kong. METHOD: The survey method was adopted using multi-stage sampling. A standardized questionnaire was designed based on Anderson’s Health Behavioral Model. A total of 435 elderly people were interviewed successfully. Among them, about 37% were male; close to 45% did not have formal education, and about 56% were not married. 23% were cared for by spouses; about half were cared for by children. RESULTS: The study tested the expanded Anderson model empirically on its enhanced power to explain long-term care utilization by including psychosocial factors. As hypothesized, psychosocial factors contributed the largest explained variance (changedR2 = 0.1663) to the differentiated utilization of long-term care services, followed by needs characteristics (changedR2 = 0.1590) and enabling characteristics (changedR2 = 0.1028). On top of needs factors (i.e. level of impairment in daily living and cognitive functioning), and enabling factors (i.e. financial considerations), older adults who chose to stay in the community were more likely to have positive attitudes towards community-based services, higher levels of family solidarity (i.e. the availability of caregivers in the same household and the primary caregivers being economically inactive), and preferences for staying in the community. CONCLUSION: To achieve ‘Aging in place’ in a Chinese context such as Hong Kong, psychosocial factors in regards to attitude, family solidarity, and service preference need to be taken into consideration in program planning and policy development.
DescriptionSession 1225 (Poster) - Home and Community Based Care: no. 98
This journal suppl. entitled: 2009 GSA Annual Scientific Meeting Abstracts
Persistent Identifierhttp://hdl.handle.net/10722/124267
ISSN
2014 Impact Factor: 3.231
2013 SCImago Journal Rankings: 1.703

 

DC FieldValueLanguage
dc.contributor.authorLou, VWen_HK
dc.contributor.authorChui, Een_HK
dc.contributor.authorLeung, Aen_HK
dc.contributor.authorKwan, CWen_HK
dc.contributor.authorChi, Ien_HK
dc.contributor.authorLeung, E-
dc.date.accessioned2010-10-31T10:24:50Z-
dc.date.available2010-10-31T10:24:50Z-
dc.date.issued2009en_HK
dc.identifier.citationThe 62nd Annual Scientific Meeting of the Gerontological Society of America (GSA 2009), Atlanta, GA., 18-22 November 2009. In The Gerontologist, 2009, v. 49 suppl. 2, p. 302en_HK
dc.identifier.issn0016-9013-
dc.identifier.urihttp://hdl.handle.net/10722/124267-
dc.descriptionSession 1225 (Poster) - Home and Community Based Care: no. 98-
dc.descriptionThis journal suppl. entitled: 2009 GSA Annual Scientific Meeting Abstracts-
dc.description.abstractAIMS: This study aims to examine the role of psychosocial factors associated with the choices of community-based long-term care services for elderly Chinese people in Hong Kong. METHOD: The survey method was adopted using multi-stage sampling. A standardized questionnaire was designed based on Anderson’s Health Behavioral Model. A total of 435 elderly people were interviewed successfully. Among them, about 37% were male; close to 45% did not have formal education, and about 56% were not married. 23% were cared for by spouses; about half were cared for by children. RESULTS: The study tested the expanded Anderson model empirically on its enhanced power to explain long-term care utilization by including psychosocial factors. As hypothesized, psychosocial factors contributed the largest explained variance (changedR2 = 0.1663) to the differentiated utilization of long-term care services, followed by needs characteristics (changedR2 = 0.1590) and enabling characteristics (changedR2 = 0.1028). On top of needs factors (i.e. level of impairment in daily living and cognitive functioning), and enabling factors (i.e. financial considerations), older adults who chose to stay in the community were more likely to have positive attitudes towards community-based services, higher levels of family solidarity (i.e. the availability of caregivers in the same household and the primary caregivers being economically inactive), and preferences for staying in the community. CONCLUSION: To achieve ‘Aging in place’ in a Chinese context such as Hong Kong, psychosocial factors in regards to attitude, family solidarity, and service preference need to be taken into consideration in program planning and policy development.-
dc.languageengen_HK
dc.publisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.orgen_HK
dc.relation.ispartofThe Gerontologisten_HK
dc.subjectGerontology and geriatrics-
dc.titleThe role of psychosocial factors in long-term care utilization among elderly Chineseen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailLou, VW: wlou@hku.hken_HK
dc.identifier.emailChui, E: ernest@hku.hken_HK
dc.identifier.emailLeung, A: angleung@hku.hken_HK
dc.identifier.emailKwan, CW: cwkwan@hku.hken_HK
dc.identifier.emailChi, I: irischi@hku.hk-
dc.identifier.doi10.1093/geront/gnp148-
dc.identifier.hkuros171221en_HK
dc.identifier.hkuros171222-
dc.identifier.volume49-
dc.identifier.issuesuppl. 2-
dc.identifier.spage302-
dc.identifier.epage302-
dc.publisher.placeUnited States-

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