Urban–Rural Disparities in the Association Between Home- and Community-Based Service Utilization and Levels of Disability Among Chinese Older Adults With Disabilities

Mar 30, 2024Journal of applied gerontology : the official journal of the Southern Gerontological Society

How Home and Community Services Relate to Disability Levels Differ Between Urban and Rural Older Adults in China

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Abstract

Disability levels among older adults with disabilities are significantly correlated with home- and community-based services (HCBS) utilization in urban areas but not in rural areas.

  • Only 11.2% of older adults with disabilities in rural areas utilized HCBS compared to 22.7% in urban areas.
  • The relationship between disability levels and HCBS utilization highlights urban-rural disparities.
  • Bivariate analysis and multivariate regression models were used to analyze data from 843 older adults with disabilities.
  • Findings suggest that low utilization of HCBS in rural areas may impact the long-term care needs of older adults.

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