Long-Term Care Pratt JR Choi M. et al ADL IADL % 65 7% % %

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1 Vol. 41 No. 4 July Population Research * 2014 CLHLS Determinants of Long-Term Care Services among Disabled Older Adults in China A Quantitative Study based on Andersen's Behavioral Model Peng Xizhe Song Liangjun Huang Jiankun Abstract This paper employs the Andersen's Behavioral Model as the theoretical framework to analyze the determinants of utilization of formal long-term care service including the home /communitybased LTC and institution-based LTC using the dataset of CLHLS 2014 in China. The logistic regressions show that the enabling and need but not the predisposing factors are significant determinants of formal LTC use in China. The Paper further argues that the long-term care service utilization in the Chinese context is subject to the social-culture environment the importance of which is highlighted. In addition we have modified the Andersen's Model for LTC use by adding the willingness of family caregivers as the cultural factors based on the Chinese socioeconomic situation. The paper concludes with discussions on the assessment of LTC the capability development of family and the future trends of community-based service. Keywords Disabled Older Adults Long-term Care Andersen's Behavioral Model Ageing Authors Peng Xizhe is Professor Center for Population and Development Policy Studies Fudan University xzpeng@ fudan. edu. cn Song Liangjun is PhD School of Social Development and Public Policy Fudan University Huang Jiankun is Master Student School of Social Development and Public Policy Fudan University. *

2 Long-Term Care Pratt JR Choi M. et al ADL IADL % 65 7% % % %

3 48 41 Wallace S. P. et al Crist J. D Andersen's Behavioral Model CLHLS ADL

4 4 49 Multinomial Model Van Campen C Van Gameren E 2005 Ordered Response Model de Meijer et al Chen-Yi Wu et al CLHLS 3 1 a 65 ~ b c 3 d 2 a b c d e f g h i 3 a 24 b % %

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6 4 51 % % % 2. 4 Logistic 0 1 p p / 1 - p odds p 1 logit f p = ln ( 1 - p) f p = α + βx + ε X ε f 1 p = α 1 + β 1 1X + ε 1 2 f 2 p = α 2 + β 2 1X + β 2 2X + ε 2 3 f 3 p = α 3 + β 3 1X + β 3 2X + β 3 3X + ε 3 3 Logistic 2 *

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8 R 3 70% R AIC BIC 2 R Table 3 3 Measures of Fit for Logit Models R Adj R AIC AIC* n BIC BIC' Figure 1 1 Predictive Margins of Education U

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13 58 41 WHO 70 3 /References Peng Xizhe and Hu Zhan China's Population Aging from the Perspective of Public Policy. Social Sciences in China Pratt J. R Long-Term Care Managing Across the Continuum. London Jones and Bartlett Publishers Liu Nairui and Yu Xinxun Institutionalization of Chinese Long Term Care and the Piety Tradition. Journal of Southwest University Social Sciences Edition Zhang Wenjuan and Wei Meng A Study on the Factors Associated with Preferences for Institutional Care of the Elderly in Urban China Evidences from Xicheng District of Beijing. Population and Economics Chu Wei Hu Dongmei Song Guirong Kong Xiangjin and Wu Yunhong Survey and Analysis of the Old People's Demand on Aged Care and Its Influential Factors. Chinese Health Service Management Choi M. Crist J. D. McCarthy M. and Woo S. H Predictors ofhome Health Care Service Use by Anglo American Mexican American and South Korean Eders. International Journal of Research in Nursing Wallace S. P. Levy-storms L. Kington R. S. and Andersen R. M The Persistence of Race and Ethnicity in the Use of Long-term care. The Journals of Gerontology Series B Psychological Sciences and Social Sciences 2 S104- S Su Qun Peng Binxia and Chen Jie An Analysis on Long-term Care and Influencing Factors of the Disabled Elderly Based on Rural-Urban Difference. Population and Economics Wang Lili Review of Home-based Care Service on Elderly. The Chinese Journal of Gerontology Crist J. D Mexican American Elders' Use of Skilled Home Care Nursing Services. Public Health Nursing Crist J. D The Meaning for Elders of Receiving Family Care. Journal of Advanced Nursing Zhang Zhengyan and Wang Huabo Analysis of the Desire on Old-age Support and Its Affecting Factors in Zhuhai City. Population Journal

14 4 59 Wei Yubo Analysis of the Desire on Old-age Support and Its Affecting Factors in Guiyang City. Journal of Nanjing College for Population Programme Management Jiao Yabo Analysis of the Desire on Old-age Support and Its Affecting Factors in Shanghai. The Chinese Journal of Gerontology Ye Bingqing A Study of the Desire for Community-based Care Based on Haidian District of Beijing. Economic Vision Wang Jing and Wu Ming Analysis of Influencing Factors of Disabled Elders Using Home Care Services in Beijing. Chinese General Practice Zhang Guoping Factors Affecting the Choice for Home Care Service for Rural Elderly Residents The Case of Jiangsu Province. Population and Development Li Min The Influential Factors of Home and Community-based Care Service The Case of Beijing. Population and Development Wang Qiong Demands and Determinants of Home and Community-based Care Services for Urban Elderly Based on the 2010 National Elderly Survey in China. Population Research Jiang Xiangqun and Liu Ni'na The Influential Factors of Long-term Care Service for Elderly. Population Journal Van Campen C. and Van Gameren E Eligibility for Long-term Care in The Netherlands Development of a Decision Support System. Health & Social Care in the Community de Meijer C. A. Koopmanschap M. A. Koolman X. H. and van Doorslaer E. K The Role of Disability in Explaining Long-term Care Utilization. Medical Care Wu C. Y. Hu H. Y. Huang N. Fang Y. T. Chou Y. J. and Li C. P Determinants of Long-term Care Services among the Elderly a Population-based Study in Taiwan. Plos One 2 e The Research Group of CLHLS The Dataset of Chinese Longitudinal Healthy Longevity Survey Peking University Press Peng Xizhe New Perspective on Coping with the Challenge of Population Aging. Population and Family Planning Zeng Ziang The Report of Old-age Support in Wuhan City. The Journal of Technology and Entrepreneurship

those four kinds of factors are significantly associated with the intention to institutional care of the elderly without ADL disability. However for t

those four kinds of factors are significantly associated with the intention to institutional care of the elderly without ADL disability. However for t 2014 6 207 POPULATION & ECONOMICS No. 6 2014 Tot. No. 207 100872 Logistic C913. 6 A 1000-4149 2014 06-0022 - 13 DOI 10. 3969 /j. issn. 1000-4149. 2014. 06. 003 A Study on the Factors Associated with Preferences