Abstract:
INTRODUCTION:Institutional care has been strongly promoted in China to meet seniors' long-term care needs. Empty-nest elderly, in comparison with their counterparts, have less social support and fewer caring networks. This study aimed to compare the utilisation willingness for institutional care and its predictors between empty-nest and non-empty-nest seniors. METHODS:A total of 3923 seniors were included in the analysis. Binary logistic regression models were used to understand the association between the living arrangements of the elderly households and willingness for institutional care and to identify the predictors of the utilisation willingness for institutional care among empty nesters and non-empty nesters. RESULTS:Our study found that approximately 8.5% of the seniors had a willingness for institutional care in Shandong, China. Empty-nest singles (OR 5.301; 95% CI 2.838 to 9.904) and empty-nest couples (OR 1.547; 95% CI 1.135 to 2.107) were found to be more willing to receive institutional care. Our results also showed that residence was a key determinant for institutionalisation willingness in empty-nest and non-empty-nest elderly. Among empty-nest singles, psychological stress was a positive determinant for institutional care. Factors, including education attainment, relationship with adult children, household income and per capita living space, were determinants for empty-nest couple willingness for institutionalisation. Age, number of children and self-reported health status were found to be associated factors for willingness among non-empty nesters. CONCLUSIONS:The government should pay more attention to institutional care in rural areas where there is still a gap in elder care compared with that in urban areas. Targeted policies should be made for different types of seniors to offer appropriate institutional care.
journal_name
BMJ Openjournal_title
BMJ openauthors
Qian Y,Qin W,Zhou C,Ge D,Zhang L,Sun Ldoi
10.1136/bmjopen-2018-022324subject
Has Abstractpub_date
2018-08-17 00:00:00pages
e022324issue
8issn
2044-6055pii
bmjopen-2018-022324journal_volume
8pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:Accreditation in France relies on a mandatory 4-year cycle of self-assessment and a peer review of 82 standards, among which 14 focus priority standards (FPS). Hospitals are also required to measure yearly quality indicators (QIs-5 in 2010). On advice given by the accreditation committee of HAS (Haute Autori...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003289
更新日期:2013-08-30 00:00:00
abstract:OBJECTIVES:Current strategies to prevent adult pneumococcal disease have been recently reviewed in Italy. We did a postlicensure study to estimate the direct vaccine effectiveness (VE) of the 13-valent pneumococcal conjugate vaccine (PCV13) against adult pneumococcal community-acquired pneumonia (pCAP). STUDY DESIGN:B...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019034
更新日期:2018-03-25 00:00:00
abstract:OBJECTIVES:French authorities are considering the implementation of a simplified nutrition labelling system on food products to help consumers make healthier food choices. One of the most documented candidates (Five-Colour Nutrition Label/Nutri-score) is based on the British Food Standards Agency Nutrient Profiling Sys...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013718
更新日期:2017-06-08 00:00:00
abstract:OBJECTIVES:To investigate the impact of gender on multimorbidity in northern Iran. DESIGN:A cross-sectional analysis of the Golestan cohort data. SETTING:Golestan Province, Iran. STUDY POPULATION:49 946 residents (age 40-75 years) of Golestan Province, Iran. MAIN OUTCOME MEASURES:Researchers collected data related ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013548
更新日期:2017-05-09 00:00:00
abstract:OBJECTIVE:Few studies have comprehensively examined changes in smoking status and related factors after a disaster. We examined these factors among residents of an evacuation area in Fukushima after the Great East Japan Earthquake. METHODS:The study participants included 58 755 men and women aged ≥20 years who partici...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018943
更新日期:2018-06-30 00:00:00
abstract:BACKGROUND:The Baby Friendly Hospital Initiative (BFHI) is a practice guideline for healthcare providers to promote breastfeeding and increase breastfeeding rates. OBJECTIVE:This study aimed to examine reported experiences and views on breastfeeding of women using prenatal and postnatal services, and opinions of staff...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012890
更新日期:2016-12-16 00:00:00
abstract:OBJECTIVE:To test the association between use of medicines with anticholinergic or sedative properties and physical function, cognitive function, appetite and frailty. DESIGN, SETTING AND PARTICIPANTS:This cross-sectional study analysed baseline data collected as part of the Australian Longitudinal Study of Ageing, a ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029221
更新日期:2019-09-04 00:00:00
abstract:OBJECTIVES:In England, many hypertensives are not detected by primary medical care. Higher detection is associated with lower premature mortality. We aimed to summarise recent evidence on detection and interventions to improve detection in order to inform policies to improve care. DESIGN:Data sources: systematic revie...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-019965
更新日期:2018-03-22 00:00:00
abstract:INTRODUCTION:For over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwarrh Health Services (A...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-014262
更新日期:2017-03-07 00:00:00
abstract:INTRODUCTION:Commonly used clinical tests for posterior cruciate ligament (PCL) rupture detection exhibit several limitations, thus requiring more precise clinical PCL tests. The lateral-anterior drawer (LAD) test has been proposed as a manually applied testing alternative but not yet been evaluated in vivo. METHODS A...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020999
更新日期:2018-05-29 00:00:00
abstract:INTRODUCTION:In the context of a population that is growing older, and a number of high-profile scandals about care standards in hospital and community settings, having a skilled and knowledgeable workforce caring for older people is an ethical and policy imperative. Support workers make up the majority of the workforc...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-005356
更新日期:2014-05-30 00:00:00
abstract:OBJECTIVE:To determine if improvements in cognitive outcome detected at 18 months' corrected age (CA) in infants born <33 weeks' gestation receiving a high-docosahexaenoic acid (DHA) compared with standard-DHA diet were sustained in early childhood. DESIGN:Follow-up of a multicentre randomised controlled trial. Random...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-007314
更新日期:2015-03-18 00:00:00
abstract:INTRODUCTION:High-flow nasal oxygen (HFNO) use in adults hospitalised with acute respiratory failure (ARF) is increasing. However, evidence to support widespread use of HFNO compared with non-invasive ventilation (NIV) and conventional oxygen therapy (COT) is unclear. This protocol describes the methods for a systemati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034956
更新日期:2020-02-12 00:00:00
abstract:INTRODUCTION:Multimorbidity is a major challenge for current healthcare systems and professionals. From the different approaches that have been proposed to analyse this issue, the hypothesis of the existence of association patterns of different chronic conditions is gaining visibility. In addition, multimorbidity can b...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-033322
更新日期:2020-01-26 00:00:00
abstract:OBJECTIVE:To assess whether the obesity paradox persists in the long term and to study the effect of optimal medical treatment on this phenomenon. DESIGN:A retrospective cohort study. SETTING:A tertiary care centre in Rotterdam. PARTICIPANTS:From January 2000 to December 2005, 6332 patients undergoing percutaneous c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000535
更新日期:2012-02-09 00:00:00
abstract:PURPOSE:Despite the growing evidence that physical activity and familial factors play a role in low back pain (LBP), there is a lack of robust longitudinal studies that (1) investigate the types and dosages of physical activity that are protective or harmful for LBP, (2) employ objective measures of physical activity a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036301
更新日期:2020-07-28 00:00:00
abstract:OBJECTIVES:Key challenges for mental health healthcare professionals to implement research alongside clinical activity have been highlighted, such as insufficient time to apply research skills and lack of support and resources. We examined the impact of employing dedicated staff to promote research in community mental ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016107
更新日期:2017-09-11 00:00:00
abstract:OBJECTIVES:Few studies have investigated the prevalence of adverse drug reactions (ADRs) leading to hospitalisation in Japan. The aim of this study was to determine the prevalence of ADRs leading to hospitalisation and to evaluate the preventability of these ADRs in Japan. DESIGN:A single-centre cross-sectional study ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030515
更新日期:2019-08-05 00:00:00
abstract:OBJECTIVES:There is a controversy about the impact of economic crisis on suicide rates in Greece. We analysed recent suicide data to identify who has been most affected and the relationships to economic and labour market indicators. SETTING:Greece. PRIMARY AND SECONDARY OUTCOME MEASURES:Age-specific and sex-specific ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007295
更新日期:2015-03-25 00:00:00
abstract:INTRODUCTION:Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040765
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVES:To estimate the prevalence of sleepiness on duty among day workers and watchkeepers on board. DESIGN:Cross-sectional survey in a maritime field study. SETTING:10 shipping companies with container vessels under German management. PARTICIPANTS:The whole crew (75 day workers and 123 watchkeepers) during 18 v...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028449
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVE:Financial incentives may encourage private for-profit providers to perform more caesarean section (CS) than non-profit hospitals. We therefore sought to determine the association of for-profit status of hospital and odds of CS. DESIGN:Systematic review and meta-analysis. DATA SOURCES:MEDLINE, EMBASE and the...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-013670
更新日期:2017-02-17 00:00:00
abstract:OBJECTIVES:To assess the effectiveness of a combined classroom curriculum and parental intervention (the Steps Towards Alcohol Misuse Prevention Programme (STAMPP)), compared with alcohol education as normal (EAN), in reducing self-reported heavy episodic drinking (HED) and alcohol-related harms (ARHs) in adolescents. ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-019722
更新日期:2018-03-09 00:00:00
abstract:INTRODUCTION:The first-line recommended treatment for patients with intermittent claudication (IC) is a supervised exercise programme (SEP), which includes a minimum of 2-hours of exercise per week over a 12-week period. However, provision, uptake and adherence rates for these SEP programmes are poor, with time constra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038825
更新日期:2020-07-06 00:00:00
abstract:OBJECTIVES:Identifying the issues and concerns that matter most to burns survivors can be challenging. For a number of reasons, but mainly relating to patient empowerment, some of the most pressing concerns patients may have during a clinical encounter may not naturally be the focal point of that encounter. The Patient...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032785
更新日期:2019-12-30 00:00:00
abstract:OBJECTIVE/DESIGN:It remains unclear as to the efficacy of readiness for change measurements in child and adolescent obesity intervention programmes. This observational study aimed to determine whether the caregiver's stage of change could predict outcome and adherence to treatment in an intensive intervention programme...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-023195
更新日期:2019-03-27 00:00:00
abstract:OBJECTIVES:To investigate whether gestational age modifies the association of airway infections that result in hospital admission during the first year after birth, with subsequent asthma risk after age 5 years. SETTING:Hospital inpatients and a general population comparison group in Sweden followed for subsequent dia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004034
更新日期:2013-10-29 00:00:00
abstract:BACKGROUND:X linked intellectual disability (XLID) syndromes account for a substantial number of males with ID. Much progress has been made in identifying the genetic cause in many of the syndromes described 20-40 years ago. Next generation sequencing (NGS) has contributed to the rapid discovery of XLID genes and ident...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009537
更新日期:2016-04-29 00:00:00
abstract:BACKGROUND:The last two decades have seen an increase in literature reporting an increase in knowledge and use of contraceptives among individuals and couples in Kenya, as in the rest of Africa, but there is a dearth of information regarding knowledge about benefits of family planning (FP) in Kenya. OBJECTIVES:To asse...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004643
更新日期:2014-03-18 00:00:00
abstract:OBJECTIVE:To describe visits and visit rates of adults presenting to emergency departments (EDs) with a diagnosis of traumatic brain injury (TBI). TBI is a major cause of death and disability in the USA; yet, current literature is limited because few studies examine longer-term ED revisits and hospital readmission patt...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022297
更新日期:2018-12-14 00:00:00