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Intention to use respite services among informal care-givers of frail older adults in China: the role of care needs change

Published online by Cambridge University Press:  22 May 2020

Qian Sun Open the ORCID record for Qian Sun [Opens in a new window] ,
Nan Lu Open the ORCID record for Nan Lu [Opens in a new window] ,
Nan Jiang  and
Vivian W. Q. Lou
Qian Sun
Affiliation:
Department of Social Security, School of Public Administration, Hebei University of Economics and Business, Shijiazhuang, China
Nan Lu
Affiliation:
Department of Social Work, School of Sociology and Population Studies, Renmin University of China, Beijing, China
Nan Jiang
Affiliation:
Department of Social Work, Faculty of Arts and Social Sciences, National University of Singapore, Singapore
Vivian W. Q. Lou*
Affiliation:
Department of Social Work and Social Administration, Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong
*
*Corresponding author. Email: wlou@hku.hk
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Abstract

Population ageing in China calls for evidence-based solutions, especially in terms of fulfilling long-term care needs among frail older adults. Respite services are identified as effective resources for alleviating care-giver burden and promoting the wellbeing of both older adults and their family care-givers. However, respite care is often under-used in China. This research aimed to examine factors associated with intention to use respite services among informal care-givers in Shanghai, mainland China. This study was part of the Longitudinal Study on Family Caregivers for Frail Older Adults in Shanghai. Pairs of older adults and their care-givers (N = 583) who successfully completed the 2013 and 2016 waves were included in the data analysis. Two logistic regression models were conducted, one with time-invariant and one with time-variant factors. The model with time-variant factors had greater explanatory power than the original Andersen model with time-invariant factors influencing intention to use respite services among care-givers. Care-givers had higher odds of intending to use respite services if they had higher care-giving burden, were caring elderly people who experienced care-giver transitions, or were caring for elderly people with increased function of ambulation or decreased function of feeding. The findings imply that change in functional health was a significant determinant of intention to use respite care. Relevant policy and service implications will be discussed.

Keywords

respite caretime-variant factorsAndersen model
Type
Article
Information
Ageing & Society , Volume 41 , Issue 1 , January 2021 , pp. 101 - 120
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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