Objective To investigate the provision and influencing factors of long-term care among oldest old residents with disability in China for providing references to the optimization of elderly care service system in China in the future.
Methods The data on 1 561 disabled people aged ≥ 80 years were collected from the annual survey of Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted in 2018. The status of long-term care giving and its influencing factors in the disabled oldest old people were analyzed.
Results Of all the disabled oldest old people, 49.46% (772) were satisfied with the long-term care received. The results of unconditional multivariate logistic regression analysis show that the disabled oldest old people with a family annual income more than 60 000 yuan (RMB), having private estate, with sufficient source of living, with a caregiver providing patient care, communicating frequently with caregivers, having endowment insurance, and with community-based care service are more likely to have long-term care being met; while, those living in rural areas, having frail condition, and with a care-related expenditure of 300 yuan and above per week are more likely to have unmet long-term care need.
Conclusion In China, a low proportion of the disabled oldest old people were satisfied with their long-term care received; the fulfillment of the long-term care demand is mainly influenced by the disabled oldest old people′s residence, frail condition, average annual family income, private estate, living source, care expenditure, communication with caregiver, pension insurance, and community-based care service; caregivers' performance is also an impact factor for the fulfillment of the long-term care demand.
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