Yi Zeng and Zhenzhen Zheng Longitudinal survey and interdisciplinary research on healthy aging
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00051-9
Zhenzhen Zheng Twenty years’ follow-up on elder people’s health and quality of life
Abstract With a brief overview on changes of elderly people and related socio-economic and policy changes during the last two decades in China, this review introduces the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The review also tracks follow-up survey waves that came after the initial CLHLS and the evolution of CLHLS questionnaire design over this 20 year period. The CLHLS database contains approximately 130 thousand records of surviving and deceased elderly people aged 65 and above. There is information on the demographics of the elderly population, as well as information on health status, the cognitive abilities of the elderly, their lifestyles, their ability to perform daily activities, and self-assessments of the elderly. There is also information on elderly care providers and family members. The review introduces the sampling design used by CLHLS, lists core information collected by the survey, and identifies major items added to follow-up surveys, including to the 2018 survey. It summarizes how CLHLS data is used and related publications.
Keywords Elderly population· Health ·Survey· CLHLS
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00045-7
Lei Wang and Lin He Living arrangements and support resources for China’s elderly: findings from CLHLS 2018
Abstract The 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) presents information on both individual characteristics and family characteristics of China’s elderly population. It shows that only 1% of elderly men and 0.1% of elderly women never married. Older elderly people had more children than younger elderly people on average. Younger elderly had more years of schooling on average than did the older elderly population. Elderly women were more likely than elderly men to rely on their children as the main source of their income. Eighty-four point six percent of elderly people lived with household members, 13.5% lived alone and 1.9% lived in institutions. Younger elderly people preferred to live alone (or with spouse only) more than did older elderly people. Family members offered the elderly the most in the way of emotional support and comfort, while people other than friends or neighbors play a very limited role.
Keywords Living arrangement ·Family living environment ·Support resources ·CLHLS 2018
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00047-5
Ting Feng The health status of China’s elderly and their demand for healthcare services
Abstract This paper, based on data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), reports on the health status of China’s elderly, and their needs for care and use of medical services. The proportion of the elderly in 2018 who reported being satisfied with their current lives was 67.1%, a proportion significantly higher than that reported by CLHLS 2002. Some 73.1% of the elderly self-rated their health as good or fair. There were ten types of chronic diseases with prevalence rates higher than 5%, among which hypertension was the most common, with 46.2% of survey respondents self-reporting suffering from it. The daily lives of some people suffering from chronic diseases were seriously affected. Most elderly people (93.2%) were able to complete without assistance all of the ADL items surveyed by CLHLS 2018, while 63.6% were able to do so with IADL items. Only 19.1% of the elderly reported that they were unable to perform at least one IADL item. Family members were still the main source of primary care. The satisfaction of the elderly with primary caregiver and helps they received was quite high. The data shows that the average weekly cost of care was RMB 651.1 yuan, with a median of RMB 180.0 yuan. The median hours children or grandchildren helped their elderly parents (grandparents) in the week prior to being interviewed was 0, and the mean value was 10.3 h. Because 86.5% of elderly survey respondents were covered by some type of medical insurance, more than half of the elderly had their medical expenses covered by insurance, and most elderly people had access to adequate medical services.
Keywords Self-reported health ·Prevalence rates of chronic diseases ·ADL/IADL ·Demand for care ·Medical services
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00052-8
Xiaoyan Lei and Chen Bai Cognitive function and mental health of elderly people in China: findings from 2018 CLHLS survey
Abstract This paper uses the latest data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) of 2018 to report that the cognitive function and mental health status of elderly people in China. Elderly women and the oldest-old (age over 80 years) tended to have higher risks of cognitive impairment and depressive symptoms than elderly men and younger elderly people. Respondents who continued to live at home in their communities (i.e. were not institutionalized in elderly care facilities, and were educated, married, without ADL disability and engaged in physical activities regularly appeared to have better cognitive function and mental health. Therefore, healthy lifestyles should be advocated and healthy interventions should focus more on the vulnerable elderly such as the oldest-old and women.
Keywords CLHLS · Cognitive function · Mental health · Healthy lifestyles
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00054-6
Cuicui Xia Community-based elderly care services in China: an analysis based on the 2018 wave of the CLHLS Survey
Abstract Community-based elderly care services play an important role in dealing with population aging. Based data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey, we found that overall there was high demand for community-based elderly care services, but insufficient supply, resulting in unmet needs. The greatest demand was for medical care and nursing services and these were generally more accessible compared to other services. The imbalance between available supply and elderly demand was greatest for personal care and psychological consulting services. Additionally, there were obvious imbalances of supply and demand for particular groups of the elderly population. In terms of demand, the young-old living in eastern and western China or urban areas had stronger demand for community-based elderly care services. Elderly people with serious disabilities or low income, or living in rural areas and towns had more demand for home visit medical services, while the elderly with the ability to care for themselves or high incomes needed more social and entertainment services. With respect to inadequate supply, the demands for community-based elderly care services of the low-income elderly living in rural areas and towns or in western China were more likely to be unmet. Our results indicated that appropriate services should be provided by government agencies and institutions to meet the needs of various groups. It is also important to increase accessibility to community-based elderly care services as well as to guarantee an equitable distribution of supply.
Keywords Community-based elderly care services ·Demand ·Supply ·Imbalance
Website of the paper https://link.springer.com/article/10.1007/s42379-020-00050-w
