Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective

doi:10.3390/ijerph18020389

	Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective
	Wu, Danxian 1,2; Gao, Xiaolu 1,2; Xie, Zhifei 2,3; Xu, Zening 4
刊名	INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
	2021
卷号	18 期号:2 页码:15
关键词	unmet needs linkage disabled older people elderly care enabling environment community-based care inequality
DOI	10.3390/ijerph18020389
通讯作者	Wu, Danxian(wudanxian15@mails.ucas.ac.cn) ; Gao, Xiaolu(gaoxl@igsnrr.ac.cn)
英文摘要	One of the challenges in response to population aging is to meet needs for elderly care among older people especially for those who want to age in their homes or communities. However, disabled older people have more challenges due to their restricted mobility to access care resources than non-disabled ones. We propose a new framework based on the changing relationship between older people and their environment, in which resource linkage in elderly care utilization is emphasized. We conducted a survey with 139 participants (i.e., older people age 60 years or over with different level of disabilities) in three types of neighborhoods in Beijing, China. By conducting a decision tree analysis under the Person-Environment Link (P-E Link) model, we (1) characterized unmet needs for elderly care (activities of daily living (ADL) and instrumental activities of daily living (IADL) assistance) among community-dwelling disabled older people; (2) found disabled older people had more unmet needs for both ADL and IADL assistance because of a lack in linkages to care resources than non-disabled ones; and (3) characterized the linkages to care resources for better supporting disabled older people to age in place, including family support, social connection, and spatial environment. Our findings help improve the Anderson behavioral model by characterizing enabling environments, which highlights that not only the availability of enabling resources but also linkages to these enabling resources play an important role in meeting needs for care among disabled older people. Our findings can also inform improvements in policy design that are targeted to reduce elderly care inequalities.
资助项目	National Natural Science Foundation of China (NSFC)[41871171]
WOS研究方向	Environmental Sciences & Ecology ; Public, Environmental & Occupational Health
语种	英语
出版者	MDPI
WOS记录号	WOS:000611272200001
资助机构	National Natural Science Foundation of China (NSFC)
内容类型	期刊论文
源URL	[http://ir.ihns.ac.cn/handle/311051/7486]
专题	中国科学院自然科学史研究所
作者单位	1.ChineseAcadSci,InstGeogSci&NatResourcesRes,KeyLabRegSustainableDevModeling,Beijing100101,PeoplesRChina; 2.ChineseAcadSci,InstGeogSci&NatResourcesRes,Beijing100190,PeoplesRChina; 3.ChineseAcadSci,InstHistNatSci,Beijing100101,PeoplesRChina; 4.ShanghaiJiaoTongUniv,ChinaInstUrbanGovernance,Shanghai200030,PeoplesRChina
推荐引用方式 GB/T 7714	Wu, Danxian,Gao, Xiaolu,Xie, Zhifei,et al. Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2021,18(2):15.
APA	Wu, Danxian,Gao, Xiaolu,Xie, Zhifei,&Xu, Zening.(2021).Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,18(2),15.
MLA	Wu, Danxian,et al."Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 18.2(2021):15.