The 130th Annual Meeting of APHA

3035.0: Monday, November 11, 2002 - Board 7

Abstract #43521

An Inquiry into the Inclinations of Elderly People and Primary Caregivers Concerning the Arrangement of Long-term Care

Yun-chang Wang1, Min-Huey Chung2, Senyeong Kao, PhD1, and Roger L. Amidon, PhD3. (1) School of Public Health , National Defense Medical Center, P.O. Box 90048-509 , Nei-Hu , 114, Taipei, Taiwan, 886-2-87923100 ex 18454, ycwang@ndmctsgh.edu.tw, (2) School of Nursing . National Defense Medical Center ., P.O. Box 90048-508, Nei-Hu, Taipei, Taiwan, (3) School of Public Health, University of South Carolina, SC 29208, Columbia, SC 29208

This study examines the preferences of elderly people and their primary family caregivers concerning the choice of long-term care arrangements. By multi-stage sampling, a total of 1200 subjects, including of 600 elderly people and 600 caregivers from seven counties/cities in Taiwan, were interviewed by local public health nurses. The results show that home care is first choice for both elderly people and their primary caregivers: nearly 60% of both groups combined consistently expressed the view that, when an elderly person needs long-term care, the preferred arrangement is to make use of home care. Institutional care is considered to be the second choice; nearly 10% consistently expressed a desire to accept it. Those who consistently selected community-based care showed the lowest percentage, only 4.2%. With the use of multinomial logistic regression analysis, and after adjusting the effect of other variables, elderly people born in Mainland China, those living in urban areas, and those not having received financial subsidy from the government, would be more inclined to accept institutional care. All other elderly people between 70 and 74 would be more likely to choose community-based care. Concerning the primary caregivers, those with the following characteristics would be more inclined to accept community and institutional care: those who born in Mainland China, those with a higher level of education, and those who have had unpleasant experiences while caring for the elderly.

Learning Objectives:

Keywords: Caregivers, Long-Term Care

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Innovations in Long-term Care

The 130th Annual Meeting of APHA