Study On The Impact Of Living Pattern And Health Status On Long-term Care Needs Of The Elderly

The aging of the population in China occurs under the situation of "getting old before getting rich",imperfect social security system,more historical debts,unbalanced development of urban and rural areas and regions,and weakening of family pension function.Since China entered the aging of the population,it has directly stepped to the top of the aging of the population,the family structure changes make its pension function weaken constantly,so the demand for long-term care is increasing day by day.However,the family pension function is gradually weakened,and social pension service is obviously "absent".Modernity is changing the concept of the elderly,their living pattern has changed and presents diversity and complexity.At the same time,the life pressure of the next generation in modern society increases,which affects the pension conditions of the elderly.With the increasing of the phenomenon of "grandparenting",the living mode of the contemporary elderly gradually returns to the traditional living mode,which makes the living mode of the elderly diversified.Many factors,such as modernity,tradition and intergenerational exchange,are interwoven,which complicate the elderly's demand for old-age care.At the same time,the health status of the elderly has become more and more complex,and the number of disabled and mentally retarded elderly has increased.As a result,the health status of some elderly people has been declining with each passing day,especially the demand for self-care care.Therefore,on the premise of family structure and aging,and on the basis of the elderly themselves,it's particularly important to explore the development of long-term care and the elderly's demand for long-term care.The research focus of this study is to living patterns,and daily health care situation as an index,shows that different whether under the living pattern,the health of the elderly in long-term care needs,under the family intergenerational relationships,living in the existing mode will worry about life care,under the current own health demand whether worry about care.To explore which groups require long-term care and the types of long-term care,as well as the basic situation of elderly groups that do not require long-term care.In this paper,the data from China Health And Retirement Longitudinal Study Followup Questionnaire 2015.The research is focused on living pattern and health status as the independent variables,personal basic information and family information related to the elderly as auxiliary variables,such as the elderly care for daily life intention as the dependent variable,from the individual needs,the family relations and the social organization level under different fully understand the elderly living pattern and health status,and how the elderly's desire for long-term care needs is changing.The research object of this study is all the elderly,using quantitative analysis and qualitative research,and put forward three research hypotheses.Through the use of Stata 14.0 software to screen out data information related to living pattern,health status,long-term care needs intention,etc.,through the description of statistics and relevant relationships to preliminarily understand the basic situation of the data,using non-linear regression model to understand whether the elderly have needs for long-term care under different living pattern and health status,and what their needs are.The living pattern is divided into three categories based on the "who live with respectively" and the marital status and the intergenerational relationship: living alone,living together with husband or wife,living for two generations,living for three generations or more.The elderly explain the living mode,family relationship,education,etc.in turn,and combine ADL and ADL to determine the physical state by "whether there is a helper or not".Research shows that: in terms of the basic situation of the elderly,the aging trend is serious in China;In the sex ratio,the proportion of women in the elderly is higher than that of men;In terms of education level,the education level of the elderly is generally at the level of high school and below,some of them have received higher education,and the overall physical condition of the elderly is subhealthy.According to the correlation analysis between the elderly's living mode and care willingness,the elderly household situation is gradually rising,and the family type is mainly reflected in "separate households do not live together",and the elderly health no matter in what condition does not affect it based on own needs care,but will have a huge impact on the elderly's care need what has changed is the different living patterns of the elderly.The elderly living alone are worried about future neglect,so their care needs are "diversified".Compared with the elderly living alone,the elderly living in two and three generations or more do not worry about being left unattended in the future.Under different living modes,the intention to care for the elderly mainly involves the two aspects of basic living support and care services,so the intention to care for the aged is also a balance between family care,community home care and institutional care,most of which prefer community home care.According to the empirical analysis results of this study,based on the family relationship and the elderly care needs and intentions of the situation,this study makes a tentative plan for long-term care: First,focus on the development of social care services.On the one hand,focus on the advantages of the community,and combining community and family to develop community home care.For the elderly with ordinary family conditions,the community can adopt "nursing home".On the other hand,we should pay attention to institutional pension,relatively improve the standard of institutional care,and fully consider the actual needs of the elderly.Secondly,to strengthen the effective connection between social pension service and family pension.Thirdly,to improve the long-term care of the elderly to ensure long-term care has a long-term and effective role of "support",and pay attention to the comprehensive content of long-term care.Finally,the equity and guarantee of long-term care should be regulated on the whole.The choice of long-term care for the elderly should be considered comprehensively according to their own living pattern and health status,on the premise of ensuring the bottom line equity and basic security,and meeting the basic needs of long-term care for the elderly in basic services.