Research on End-of-Life Living Arrangements and Health Among Older Adults in Rural China: Evidence from the 1998-2014 CLHLS

doi:10.15936/j.cnki.1008-3758.2022.01.010

Abstract

Abstract: This paper uses data from the 1998-2014 waves of the Chinese Longitudinal Health Longevity Survey(CLHLS) and studies the association between living arrangements and health amang older adults in rural China at the end of their lives. It is found in the study that over three quarters of rural older adults live with their children/grandchildren or transfer to co-reside with their children/grandchildren at the end of their lives. Older adults without a spouse， and with activitis of daily living(ADL) impairment or cognitive impairment are more likely to move to live with their children/grandchildren before they die， while only some of those with a spouse move to live with their children/grandchildren. Older adults without a spouse in better physical conditions are more likely to live alone before they die， but the risk of death during the same period is greatly increased. The paper suggests that considering the impact of the living arrangements and health of older adults at the end of their lives， the rural areas should develop hospice care that emphasizes on family support， and at the same time pay attention to the development of formal hospice care such as hospice care provided by institutions.

Key words: end of life; older adult in rural area; living arrangement; health

CLC Number:

C913.6

LI Man. Research on End-of-Life Living Arrangements and Health Among Older Adults in Rural China: Evidence from the 1998-2014 CLHLS[J]. Journal of Northeastern University(Social Science), 2022, 24(1): 79-87.

References

[1]EIU. The 2015 Quality of Death Index: Ranking Palliative Care Across the World［R］. London: The Economist Intelligence Unit Publishing， 2015.
[2]张韵，陆杰华. 痛苦抑或安详:中国老年人临终状态及其影响因素的实证探究［J］. 人口与发展， 2017，23(2):80-91.
[3]张文娟，付敏. 长寿时代的挑战——对中国高龄老人临终照料者的分析［J］. 人口学刊， 2021，43(5):76-87.
[4]郑真真，周云. 中国老年人临终生活质量研究［J］. 人口与经济， 2019(2):44-54.
[5]Hays J. Living Arrangements and Health Status in Later Life: a Review of Recent Literature［J］. Public Health Nursing， 2002，19(2):136-151.
[6]Palloni A，de Vos S. Elderly's Residential Arrangements: a Comparative Analysis［R］. New York: United Nations， 2003.
[7]左冬梅，郭晓颖. 农村成年子女对老年父母的临终照料研究［J］. 西安交通大学学报(社会科学版)， 2014，34(4):54-60.
[8]Li M，Zhong R，Zhu S，et al. Access to Community Living Infrastructure and Its Impact on the Establishment of Community-based Day Care Centres for Seniors in Rural China［J］. International Journal of Environment Research and Public Health， 2018，15(6): 1184-1196.
[9]Zhu S，Li M，Zhong R，et al. The Effects of Co-residence on the Subjective Well-being of Older Chinese Parents［J］. Sustainability， 2019，11(7):2090-2102.
[10]王萍，连亚伟，李树茁. 居住安排对农村老人认知功能的影响——12年跟踪研究［J］. 人口学刊， 2016，38(5):92-101.
[11]任强，唐启明. 中国老年人的居住安排与情感健康研究［J］. 中国人口科学， 2014(4):82-91.
[12]刘金华，孙楠，杨帆. 农村老年人居住地类型偏好的影响因素研究——基于生命历程视角［J］. 农村经济， 2018(5):75-80.
[13]宁满秀，王小莲. 农村老人居住安排变迁的理论解释与政策内涵［J］. 武汉理工大学学报(社会科学版)， 2014，27(5):795-800.
[14]Zeng Y，Feng Q，Hesketh T，et al. Survival， Disabilities in Activities of Daily Living， and Physical and Cognitive Functioning Among the Oldest-old in China: a Cohort Study［J］. Lancet， 2017，389:1619-1629.
[15]Zimmer Z J. Health and Living Arrangement Transitions Among China's Oldest-old［J］. Research on Aging. 2005，27(5):526-555.
[16]曾毅. 中国老年健康影响因素跟踪调查(1998—2012)及相关政策研究综述:上［J］. 老龄科学研究， 2013，1(1):65-72.
[17]曾毅. 中国老年健康影响因素跟踪调查(1998—2012)及相关政策研究综述:下［J］. 老龄科学研究， 2013，1(2):63-71.
[18]Zhang Z，Gu D，Hayward M. Childhood Nutritional Deprivation and Cognitive Impairment Among Older Chinese People［J］. Social Science & Medicine， 2010，71(5):941-949.
[19]Zimmer Z，Korinek K. Shifting Coresidence near the End of Life: Comparing Decedents and Survivors of a Follow-up Study in China［J］. Demography， 2010，47(3):537-554.
[20]Batsch N，Mittelman M. World Alzheimer Report 2012: Overcoming the Stigma of Dementia［R］. London: Alzheimer's Disease International Publishing， 2012.
[21]储亚萍，何云飞. 政府购买居家养老服务满意度的影响因素研究——基于国内四市的调查［J］. 东北大学学报(社会科学版)， 2017，19(4):385-391.