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Background: China is the country with the largest population of elderly, accounting for more than 17.3% of the total population. The arrival of the so-called "silver wave" has generally reduced the abilities of daily life of the elderly and has continued to increase endowment pressures. Assisting the elderly in China to age successfully is an urgent problem., Purpose: To understand the living arrangement intentions of the elderly in Western China and to provide a reference for the reformation of the social endowment service system., Methods: A self-designed questionnaire and Barthel self-care ability scale were conducted on 2,078 elderly people living in Guangxi and Ningxia Provinces in China., Results: A total of 1,634 participants (78.6%) chose home-based care, 187 (9.0%) chose community care, and 257 (12.3%) chose institutional care. Differences in age, ethnic group, household registration, education level, family monthly income, family income and expenditure situation, and religion all significantly affected living arrangement intention (all p < .05). Logistic regression showed that age, ethnicity, household registration, religion, marital status, family monthly income, and length of hospital stay were all primary factors of influence on the home care intention of the elderly people (all p < .05)., Conclusions: A significant majority of the elderly in this study expressed an intention to choose home-based care. It will be necessary to build a home-based mode of care that incorporates medical-care functions. In addition, the health service functions of community and institutions should be improved and perfected, as the intention to live in these settings is also growing. Appropriate services should be provided to meet the living arrangement intentions of the elderly in order to start a new era of elderly care customization. Finally, the development and expansion of "Internet Plus" should be leveraged to build a social endowment service system that meets the comprehensive range of elderly-care needs.

Background: The prevalence of hypertension increases with aging. Medication non-adherence is an important reason for the failure to control hypertension effectively, which increases the risks of cardiovascular and cerebrovascular incidents and of mortality. Multimorbidity is common among the elderly and has become a WHO-supported priority of research worldwide. While recent research suggests an association between multimorbidity and medication non-adherence, the results are not yet conclusive., Purpose: The present study describes the condition of medication non-adherence and multimorbidity among a population of elderly with hypertension in western China and explores the extent of the association between multimorbidity and medication non-adherence., Methods: A cross-sectional design with multi-stage sampling was used to recruit 1,316 elderly with hypertension from nine community health centers in the cities of Chengdu, Chongqing, and Urumqi. Data were collected using the study questionnaire and analyzed using the mean, percentage, independent samples t test, Chi-square test, Kruskal-Wallis H test, and binary logistic regression., Results: The prevalence of medication non-adherence was 28.7%, and the prevalence of multimorbidity was 77.0%. Binary logistic regression analysis found the number of comorbidities to be a predictor of antihypertensive drug non-adherence, with those elderly with three (OR = 1.742, 95% CI [1.017, 2.984], four (OR = 2.601, 95% CI [1.489, 4.544] and more than five (OR = 3.262, 95% CI [1.839, 5.788] chronic conditions at significantly higher risk of non-adherence than their peers with no comorbidities. Other associated factors included poor health behaviors (OR = 1.715, 95% CI [1.263, 2.330] and region of residence., Conclusions: A positive association was found between medication non-adherence and the number of comorbidities in elderly with hypertension. This suggests the need for closer monitoring of the antihypertensive-drug prescription adherence of elderly with multiple chronic conditions and for further research to explore the measures that are necessary to improve medication adherence in this population.