1. Intention to use respite services among informal care-givers of frail older adults in China: the role of care needs change.
- Author
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Sun, Qian, Lu, Nan, Jiang, Nan, and Lou, Vivian W. Q.
- Subjects
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RESPITE care , *CAREGIVERS , *FUNCTIONAL status , *BURDEN of care , *FAMILY roles , *DESCRIPTIVE statistics , *LOGISTIC regression analysis , *ODDS ratio , *LONGITUDINAL method - Abstract
Population ageing in China calls for evidence-based solutions, especially in terms of fulfilling long-term care needs among frail older adults. Respite services are identified as effective resources for alleviating care-giver burden and promoting the wellbeing of both older adults and their family care-givers. However, respite care is often under-used in China. This research aimed to examine factors associated with intention to use respite services among informal care-givers in Shanghai, mainland China. This study was part of the Longitudinal Study on Family Caregivers for Frail Older Adults in Shanghai. Pairs of older adults and their care-givers (N = 583) who successfully completed the 2013 and 2016 waves were included in the data analysis. Two logistic regression models were conducted, one with time-invariant and one with time-variant factors. The model with time-variant factors had greater explanatory power than the original Andersen model with time-invariant factors influencing intention to use respite services among care-givers. Care-givers had higher odds of intending to use respite services if they had higher care-giving burden, were caring elderly people who experienced care-giver transitions, or were caring for elderly people with increased function of ambulation or decreased function of feeding. The findings imply that change in functional health was a significant determinant of intention to use respite care. Relevant policy and service implications will be discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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