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Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China

1
School of Public Administration, East China Normal University, 3663 Zhongshan Road, Shanghai 200062, China
2
Institute of Health Policy, Management and Evaluation, University of Toronto, Health Science Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6, Canada
3
Toronto General Hospital Research Institute, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada
4
Canadian Centre for Health Economics, 155 College Street, Toronto, ON M5T 3M6, Canada
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(6), 1184; https://doi.org/10.3390/ijerph15061184
Received: 30 March 2018 / Revised: 19 May 2018 / Accepted: 2 June 2018 / Published: 6 June 2018
(This article belongs to the Special Issue Social, Cultural and Economic Context of Health and Social Care)
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Abstract

Community-based day care centres play an important role in service delivery for Chinese seniors. Little research has examined how community living infrastructure has influenced the establishment of these day care centres in rural communities. The purposes of this study were: (1) explore regional differences in community living infrastructure; and (2) to examine the impact of such infrastructure on the establishment of day care centres for Chinese seniors in rural communities. The data were derived from “The Fourth Sample Survey on the Living Conditions of Elderly People in Urban and Rural China (2015)”. The establishment of at least one day care centre was the outcome of interest, which was dichotomized at the community level into the establishment of at least one day care centre or the absence of any day care centres. Logistic regression analysis was employed to examine the impact of various community living infrastructural characteristics on the establishment of day care centres. The results showed that of the 4522 rural communities surveyed in 2015, only 10.1% had established at least one day care centre. Community living infrastructural characteristics that were significantly associated with the establishment of day care centres were the availability of cement/asphalt roads, natural gas, tap drinking water, sewage systems, and centralized garbage disposal. Our findings suggest that the significant association between community-level characteristics, especially community living infrastructure, and the establishment of rural day care centre for seniors may inform policy decision making. View Full-Text
Keywords: Chinese rural community; infrastructure access; day care centres for seniors Chinese rural community; infrastructure access; day care centres for seniors
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Li, M.; Zhong, R.; Zhu, S.; Ramsay, L.C.; Li, F.; Coyte, P.C. Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China. Int. J. Environ. Res. Public Health 2018, 15, 1184.

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