Aging population is growing rapidly in China. As the country faces increasing life expectancy and a shrinking household size, the living arrangement for older adults has gathered attention. This study explores the impact of provincial differences on the congruence between older adults' preferred and actual living arrangements at their end of life. This research conducts multilevel logistic regression analysis using secondary data from the Chinese Longitudinal Healthy Longevity Study (CLHLS), which includes information on individuals aged 65 and above. The study focuses on data from deceased individuals and examines both individual factors (e.g., marital status, household size, etc.) and provincial factors (e.g., aging rate, provincial health care resources, etc.). This research reveals significant provincial variation in the living arrangement congruence. Furthermore, individual factors such as marital status (widowed individuals) and household size were associated with the incongruence. This research highlights the significant role of both individual and provincial factors in shaping the living arrangements of older adults at the end of life. The findings underscore the need for targeted interventions to address provincial disparities in healthcare resources. Efforts to enhance home-based care, support for aging in place, and the development of healthcare infrastructure are essential to meet the needs of the aging population, particularly in rural or underdeveloped areas, and for super-aged individuals.

Authors:
Ruosu Liu, University of Tokyo, Japan
Kazuhiro Abe, Hokkaido University, Japan
Hirotaka Onishi, University of Tokyo, Japan

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Posted by James Alexander Gordon

Last updated: 2023-02-23 23:45:00

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