Characteristics of the institutionalized and community-residing oldest-old in China
Characteristics of the institutionalized and community-residing oldest-old in China
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DOI：
10.1016/j.socscimed.2006.10.026
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发表时间：
2007-02-01
影响因子：
5.4
通讯作者：
Liu, Guangya
中科院分区：
文献类型：
--
作者：
Gu, Danan;Dupre, Matthew E.;Liu, Guangya
现有的研究机构的老年人人口主要限于西方国家。本研究首次使用具有全国代表性的数据来研究中国最高龄老人（80岁以上）的机构和社区居住人口的差异。利用1998年、2000年和2002年中国健康长寿纵向调查（CLHLS）的三个阶段，我们研究了社会人口学特征、家庭收入、健康习惯、宗教活动、慢性病和死亡风险的差异。结果表明，机构的最老的老人是年轻的，男性，居住在城市地区，有较低的家庭护理资源，并表现出较差的健康相比，那些生活在社区。我们还发现，机构化的老年人的2年死亡风险是居住在社区的老年人的1.35倍。然而，一旦考虑到最年长者的社会人口、家庭组成和健康特点，死亡率差异就消除了。这些研究结果的影响进行了讨论。(c)2006爱思唯尔有限公司保留所有权利。
Existing research on the institutionalized population of older adults is primarily limited to Western countries. This study is the first to use nationally representative data to examine differences in the institutionalized and community-residing population of the oldest-old (ages 80+) in China. Using three waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) (1998, 2000, and 2002), we examine differences in sociodemographic characteristics, family caregiving resources, health practices, religious activity, chronic conditions, and mortality risk. The results indicate that the institutionalized oldest-old are younger, male, reside in urban areas, have lower family-care resources, and exhibit poorer health compared to those living in the community. We also find that the 2-year mortality risk for institutionalized elders is 1.35 times greater than for those residing in the community. However, the mortality differential is eliminated once the sociodemographic, family caregiving, and health characteristics of the oldest-old are taken into account. The implications of these findings are discussed. (c) 2006 Elsevier Ltd. All rights reserved.