Abstract
With the rapidly increasing number of older adults, dealing with long-term care (LTC) needs becomes an emerging issue in South Korea. This study aims to examine factors affecting the intention to use longtermcare facilities with two groups of young-old adults: (1) Korean pre-elderly (KPE) and (2) Korean babyboomers (KBB). Guided by Andersen’s behavioral model of health service use and prior research, predisposing characters, enabling resources, need factors, availabilities of informal care and self-care activities were used as predictors. In the final analyses, 803 KPE and 966 KBB were included. The results of logistic regression analyses showed different findings in two groups. Age, education, spouse's physicalhealth, and self-care activities for relationship with family and friends are significantly associated with intention to use LTC facilities among KPE. However, income, physical health of respondents, and relationship satisfaction with children are significantly related to intention of use LTC facilities in the group of KBB. This study suggests different LTC needs between KPE and KBB. Health care professionals and policy makers need to consider such differences to provide quality LTC care for them.
Similar content being viewed by others
References
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.
Babitsch, B., Gohl, D., & von Lengerke, T. (2012). Re-visiting Anderson’s behavioral model of health services use: A systematic review of studies from 1998 to 2011, GMS Psycho-Social- Medicine 9, Doc. 11, Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488807/.
Bai, Y., Chiou, C., & Chang, Y. (2009). Self-care behaviour and related factors in older people with type 2 diabetes. Journal of Clinical Nursing, 18, 3308–3315.
Borg, C., Hallberg, I. R., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health, and financial aspects. Journal of Clinical Nursing, 15, 607–618.
Buhr, G. T., Kuchibhatla, M., & Clipp, E. C. (2006). Caregivers' reasons for nursing home placement: clues for improving discussions with families prior to the transition. The Gerontologist, 46, 52–61.
Chung Y. (2013). Analysis of complex chronic diseases of the elderly: Focusing on using outpatient clinic, Issue and Focus 196: 1–8. Retrieved from http://www.kihasa.re.kr/html/jsp/publication/periodical/focus/list.jsp. [In Korean]
Gupta, R. (2002). Consideration of nursing home care placement for the elderly in South Asian families. Journal of Immigrant Health, 4, 47–56.
Han, G., Choe, H., Eun, K. ., Lee, J., Joo, S., & Kim, J. (2011). Korean baby boomers in transition: Major findings from the MetLife study on the boomer population in Korea. South Korea: MetLife Korea Foundation and Seoul National University.
Hartman-Stein, P., & Potkanowicz, E. (2003). Behavioral determinants of healthy aging: Good news for the baby boomer generation. Online Journal of Issues in Nursing, 8, 127–146.
Hébert, R., Dubois, M. F., Wolfson, C., Chambers, L., & Cohen, C. (2001). Factors associated with long-term institutionalization of older people with dementia Data from the Canadian Study of Health and Aging. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56, M693–M699.
Hong, M. (2012). Factors affecting use of home and community based services among Asian elderly. Journal of Future Social Work Research, 3, 53–70.
Jung, S., & Gu, M. (2011). Factors influencing depression: A comparison among baby boomers, the pre-elderly and the elderly. Journal of Welfare for the Aged, 52, 305–324.
Jung, S., & Kim, S. (2013). Factors influencing physical preparation for later life of baby boomers and the pre-elderly: An application of Anderson and Newman model. Journal of Welfare for the Aged, 59, 237–256.
Kim, M. (2011). Countermeasure according to arriving at the old age of baby boomer and pre- elderly. National Research Foundation of Korea Grant (NRF-2010-327-B00137)
Kim, S. (2013). A Study on the discriminating factors of old-age and baby boom generations: Focusing upon cultural activities. Journal of the Korean Official Statistics, 18, 16–33.
Kim, E., & Kim, C. (2004). Who wants to enter a long-term care facility in a rapidly aging non-western society? Attitudes of older Koreans toward long-term care facilities, Journal of the American Geriatrics Society, 52, 2114–2119.
Kim, M., Moon, J., & Shin, E. (2012). A study on the effects of conjugal relations of baby-boomers on the preparation for old age: Focus on the comparison with the pre-elderly. Journal of Family Relations, 17, 211–239 [In Korean].
Koh, E., & Koh, C. (2008). Caring for older adults the parables in Confucian texts. Nursing Science Quarterly, 21, 365–368.
Korean Statistical Information Service (KSI) (2012). Population projections and summary indicators for Korea (Population items). February 23, 2012 Retrieved from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B35001&vw_cd=MT_ETITLE&list_id=&scrId=&seqNo=&language=en&obj_var_id=&itm_id=&conn_path=A6&path=%252Feng%252F#.
Kwak, I. (2013). Study on family strength and happiness of the pre-elderly and the elderly. Journal of the Korean Home and Economics Association, 51, 1–16.
Lee, J. (2009). The middle age’s perception of aging and physical, financial and social preparation for later life: Focus on gender differences. The Korean Journal of Community Living Science, 20, 275–289.
Lee, W., Chen, C., Chen, T., & Chen, C. (2010). The relationship between consumer orientation, service value, medical care service quality and patient satisfaction: The case of a medical center in Southern Taiwan. African Journal of Business Management, 4, 448–458.
Leenerts, M. H., Teel, C. S., & Pendleton, M. K. (2002). Building a model of self-care for health promotion behaviors in aging. Journal of Nursing Scholarship, 34, 355–361.
McCormick, W. C., Ohata, C. Y., Uomoto, J. U., Young, H. M., Graves, A. B., Kukull, W., Teri, L., Vitaliano, P., Mortimer, J. A., McCurry, S. M., Bowen, J. D., & Larson, E. B. (2002). Similarities and differences in attitudes toward long-term care between Japanese Americans and Caucasian Americans. Journal of the American Geriatrics Society, 50, 1149–1155.
Min, J. (2005). Preference for long-term care arrangement and its correlates for older Korean Americans. Journal of Aging and Health, 17, 363–395.
Ministry of Health and Welfare (2011). Long-term care facilities for the aged. Retrieved from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2766
Mo, P. K., & Winnie, W. M. (2010). The influence of health promoting practices on the quality of life of community adults in Hong Kong. Social Indicators Research, 95, 503–517.
Phang, H. (2008). Demographic dividend and labor force transformations in Asia: The case of the Republic of Korea. In S. Rajagopalan (Ed.), Demographic dividend: Concepts and experiences (pp. 59–90). Andhra Pradesh: The Icfai University Press.
Rosow, I. (1978). What is a cohort and why? Human Development, 21, 65–75.
Sandberg, J. C., Suerken, C. K., Quandt, S. A., Altizer, K. P., Bell, R. A., Lang, W., Nguyen, H. T., Grzywacz, J. G., & Arcury, T. A. (2013). Self-reported sleep difficulties and self-care strategies among rural older adults. Journal of Evidence-based Complementary & Alternative Medicine, 19, 36–42.
Statistics Korea (2012). 2012 Statistics on the aged. September 27, 2012, Retrieved from http://kostat.go.kr/portal/english/news/1/23/2/index.board?bmode=read&bSeq=&aSeq=273389&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=.
Stevens, J. (2002). Applied multivariate statistics for the social sciences (4th ed.). NJ: Lawrence Erlbaum Associates.
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York: Allyn and Bacon.
Tsutsui, T., & Muramatsu, N. (2005). Care-needs certification in the long-term care insurance system of Japan. Journal of the American Geriatrics Society, 53, 522–527.
Tsutsui, T., Muramatsu, N., & Higashino, S. (2014). Changes in perceived filial obligation norms among coresident family caregivers in Japan. Gerontologist, 54, 797–807.
Wu, C., Hu, H., Huang, N., Fang, Y., Chou, Y., & Li, C. (2014). Determinants of long-term care services among the elderly: A population-based study in Taiwan. PloS One, 9, e89213
Yoo, J., & Chun, J. (2005). Determining factors of intention to actual use of charged long-term care services for the aged. Journal of Preventive Medicine and Public Health, 38, 16–24.
Zhan, H. Y., Feng, Z., Chen, Z., & Feng, X. (2011). The Role of the family in institutional long-term care: Cultural management of filial piety in China. The International Journal of Social Welfare, 20, S121–S134.
Zhang, S. C., Tao, F. B., Ueda, A., Wei, C. N., & Fang, J. (2013). The influence of health-promoting lifestyles on the quality of life of retired workers in a medium-sized city of Northeastern China. Environmental Health and Preventive Medicine, 18, 458–465.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hong, M., Hong, S., Kim, M.H. et al. Intention to Use Long-Term Care Facilities: Differences beween Korean Pre-elderly and Korean Baby-boomers. J Cross Cult Gerontol 31, 357–368 (2016). https://doi.org/10.1007/s10823-016-9300-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10823-016-9300-6