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Article

The Role of Contextual Factors in Shaping Urban Older Adults’ Intention of Institutional Care in China: A Mixed-Methods Study

by
Yuekang Li
1,*,†,
Jinbao Zhang
2,†,
Hao Luo
2,
Xiaomei Pei
3,
Tao Wu
4 and
Jun Jing
3
1
Brown School, Washington University in St. Louis, Saint Louis, MA 63130, USA
2
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong 999077, China
3
Department of Sociology, Tsinghua University, Beijing 100084, China
4
Gallup China, Beijing 100022, China
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2023, 20(6), 4731; https://doi.org/10.3390/ijerph20064731
Submission received: 19 January 2023 / Revised: 4 March 2023 / Accepted: 6 March 2023 / Published: 8 March 2023
(This article belongs to the Special Issue Age-Friendly Health System: Determinants, Needs and Services)
Versions Notes

Abstract

Background: This mixed-methods study explores older people’s intention of institutional care and its contributing contextual factors, and the meaning given to their intention by older adults in the transitioning Chinese society. Methods: Guided by the extended Anderson model and frameworks of the ecological theory of aging, survey data collected from 1937 Chinese older adults were used. Transcripts from six focus group interviews were analyzed to incorporate the voices of the participants. Results: Community environment and services, health services, financial services, and regional service organizations were related to the institutional care intention of older people. The qualitative analysis showed that the reported conflicting feelings about institutional care was driven by the lack of supporting resources and age-friendly environment. The findings of this study suggested that the reported intention of Chinese older adults for institutional care may not be an ideal choice but a compromise or, in some cases, a forced choice. Conclusions: Rather than treating the stated institutional intention as a simple expression of older Chinese people’s likes or desires, the intention of institutional care should be understood within a framework that fully considers the influence of psycho-social factors and contextual organizations.
Keywords: residential and care intentions; institutional care; living arrangement; aging-friendly community; mixed-methods residential and care intentions; institutional care; living arrangement; aging-friendly community; mixed-methods

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MDPI and ACS Style

Li, Y.; Zhang, J.; Luo, H.; Pei, X.; Wu, T.; Jing, J. The Role of Contextual Factors in Shaping Urban Older Adults’ Intention of Institutional Care in China: A Mixed-Methods Study. Int. J. Environ. Res. Public Health 2023, 20, 4731. https://doi.org/10.3390/ijerph20064731

AMA Style

Li Y, Zhang J, Luo H, Pei X, Wu T, Jing J. The Role of Contextual Factors in Shaping Urban Older Adults’ Intention of Institutional Care in China: A Mixed-Methods Study. International Journal of Environmental Research and Public Health. 2023; 20(6):4731. https://doi.org/10.3390/ijerph20064731

Chicago/Turabian Style

Li, Yuekang, Jinbao Zhang, Hao Luo, Xiaomei Pei, Tao Wu, and Jun Jing. 2023. "The Role of Contextual Factors in Shaping Urban Older Adults’ Intention of Institutional Care in China: A Mixed-Methods Study" International Journal of Environmental Research and Public Health 20, no. 6: 4731. https://doi.org/10.3390/ijerph20064731

APA Style

Li, Y., Zhang, J., Luo, H., Pei, X., Wu, T., & Jing, J. (2023). The Role of Contextual Factors in Shaping Urban Older Adults’ Intention of Institutional Care in China: A Mixed-Methods Study. International Journal of Environmental Research and Public Health, 20(6), 4731. https://doi.org/10.3390/ijerph20064731

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