TY - JOUR
T1 - Changes of Health Status and Institutionalization among Older Adults in China
AU - Peng, Rong
AU - Wu, Bei
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Statistical Scientific Research Projects of China (Grant 2014LY110), the Humanity and Social Science Foundation of the Ministry of Education of China (Grant 12YJCZH164) and the special fund of Theoretical Issues Research of Guangdong Province of China (Grant LLYJ1302).
Publisher Copyright:
© The Author(s) 2015.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Objective: To examine rates of institutionalization of Chinese older adults aged 65+ and the impact of changes in health status on the likelihood of institutionalization. Method: Using data from the 2002, 2005, 2008, and 2011 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), admission rates for each 3-year interval between waves were calculated. Logistic regression models were used to assess the changes of five health status variables as risk factors. Results: Between the first (2002-2005) and third (2008-2011) intervals, the institutionalization rate increased from 0.5% to 0.8%. Risk of institutionalization increased 70% for respondents with declining ability to perform activities of daily living, 53% for those with declining cognitive function, and 44% for those with increasing number of chronic diseases. Discussion: Development of policies and programs to improve older adults' health status is essential to delay institutionalization. Quality of workforce is also critical in meeting the care needs.
AB - Objective: To examine rates of institutionalization of Chinese older adults aged 65+ and the impact of changes in health status on the likelihood of institutionalization. Method: Using data from the 2002, 2005, 2008, and 2011 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), admission rates for each 3-year interval between waves were calculated. Logistic regression models were used to assess the changes of five health status variables as risk factors. Results: Between the first (2002-2005) and third (2008-2011) intervals, the institutionalization rate increased from 0.5% to 0.8%. Risk of institutionalization increased 70% for respondents with declining ability to perform activities of daily living, 53% for those with declining cognitive function, and 44% for those with increasing number of chronic diseases. Discussion: Development of policies and programs to improve older adults' health status is essential to delay institutionalization. Quality of workforce is also critical in meeting the care needs.
KW - activities of daily living
KW - cognitive function
KW - health status changes
KW - institutionalization
KW - long-term care
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U2 - 10.1177/0898264315577779
DO - 10.1177/0898264315577779
M3 - Article
C2 - 25903975
AN - SCOPUS:84940483239
SN - 0898-2643
VL - 27
SP - 1223
EP - 1246
JO - Journal of Aging and Health
JF - Journal of Aging and Health
IS - 7
ER -