Abstract
We examined the influencing factors of the undermet care needs of the Chinese disabled oldest old people when their children are both caregivers and are themselves older people. Data were obtained from a cross-sectional survey: the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018. The study participants included 1617 disabled oldest old people whose primary caregiver were their children or children-in-law and were aged 60 years and over. The results showed that the prevalence of undermet needs remained high, with 49.6% disabled oldest old people reporting undermet care needs. Binary logistic regression analysis revealed that living in a rural area (OR = 1.309, 95% CI = 1.133–1.513) and a higher frailty index (OR = 1.103, 95% CI = 1.075–1.131) were significantly positively associated with higher odds for undermet care needs, while a higher annual household income (OR = 0.856, 95% CI = 0.795–0.923), more financial support from children (OR = 0.969, 95% CI = 0.941–0.997), higher care expenditures (OR = 1.044, 95% CI = 1.002–1.088), better caregiver’s performance (OR = 0.282, 95% CI = 0.196–0.407) and sufficient income to pay for daily expenses (OR = 0.710, 95% CI = 0.519–0.973) were significantly inversely associated with higher odds for undermet care needs. This evidence suggests the importance of policies to establish a community-based socialized long-term care system and supporting family caregivers of the disabled oldest old people.
Highlights
Population aging is rapidly accelerating worldwide, especially in China
Mean frailty index was higher for the undermet care needs group (t = −9.165, p < 0.001)
There were no significant differences between groups in terms of sex, age or marital status
Summary
Population aging is rapidly accelerating worldwide, especially in China. By 2019, the number of Chinese older people over the age of 60 years had reached 254 million, accounting for 18.1% of the total population [1]. It is estimated that by 2050, the number of older people over the age of 60 years will increase to a peak of 488 million in China, representing 35.6% of the total population [2]. Due to the increase in life expectancy, the trend of aging is more obvious in the oldest old people. In 2013, the number of Chinese older people over the age Healthcare 2020, 8, 365; doi:10.3390/healthcare8040365 www.mdpi.com/journal/healthcare
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