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Impact of Home-based Care and Institutionbased Care on Older Adults’ Health in China: A Comparative Analysis

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Objective: This study compares between two types of care for older adults′ health, viz., home -based care and. Institution-based care in the context of China, and further explored the impact of each care type on their health. Methods: A fully aligned polygonal graphical indexing method, t-tests, logistic binary regression analysis were performed using SPSS for data analysis. Results: In both care types, females had higher incidence of one or more chronic disease than males, as well as anxiety. However, hypertension was the chronic disease with the highest incidence, higher in males than females. Care types had significant impact on variables like self-reported health (OR=0.329, [CI95%=0.107-1.010], p<0.05) and mental health (OR=0.567, [CI95%=0.364-0.881], p<0.05), but had no significant impact on the objective physical health (OR=1.010, [CI95%=0.577-1.767], p>0.05). Conclusion: Both the types of care of older adults showed a significant impact on the self-reported and mental health, but only a significant difference was made on their mental health. Information exchange and emotional communication through smart facilities and the Internet useability, such as eHealth training, intelligent old-age care may be good interventions to improve older adults′ health.

Keywords: CARE TYPES; HEALTH; HOME CARE; INSTITUTION CARE; OLDER ADULTS

Document Type: Research Article

Affiliations: 1: College of Life Science, Xinyang Normal University, No.237 Nanhu Road, Xinyang, China 2: School of Marxism, Xinyang Normal University, No.237 Nanhu Road, Xinyang, China

Publication date: November 1, 2023

This article was made available online on November 11, 2023 as a Fast Track article with title: "Impact of Home-based Care and Institutionbased Care on Older Adults’ Health in China: A Comparative Analysis".

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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