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Older People’s Long-Term Care Preferences in China: The Impact of Living with Grandchildren on Older People’s Willingness and Family Decisions

Tongbo Deng (), Yafan Fan, Mengdi Wu and Min Li
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Tongbo Deng: School of Public Administration, South China University of Technology, Guangzhou 510641, China
Yafan Fan: School of Public Administration, South China University of Technology, Guangzhou 510641, China
Mengdi Wu: College of Economy and Trade, Zhongkai University of Agriculture and Engineering, Guangzhou 510220, China
Min Li: School of Public Administration, South China University of Technology, Guangzhou 510641, China

IJERPH, 2022, vol. 19, issue 19, 1-18

Abstract: The purpose of this paper was to better understand the long-term care preferences of older people based on intergenerational demonstration effects and social exchange theory, derived from the literature on intergenerational family relationships. The authors relied on the 2014 China Longitudinal Ageing Social Survey database to test the study hypotheses. The results indicated that living with grandchildren was negatively related to the institutional care preferences of older people. Family members’ attitudes and older people’s life satisfaction significantly mediated the relationship between living with grandchildren and their institutional care preferences. Gender and marital status had potentially diverse effects on institutional care preferences. Therefore, in the context of China’s culture of filial piety, social exchange, and intergenerational demonstration, motivation may help foster intergenerational exchange and reciprocity in eldercare arrangements.

Keywords: older people; institutional care preference; family members’ attitudes; gender; social exchange theory; the demonstration effect (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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