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Factors Associated with Preventive Care Utilisation among Chinese Older Adults: Evidence from the 2018 Chinese Longitudinal Healthy Longevity Survey

Published online by Cambridge University Press:  11 April 2022

Yen-Han Lee Open the ORCID record for Yen-Han Lee [Opens in a new window] ,
Yen-Chang Chang ,
Mack Shelley Open the ORCID record for Mack Shelley [Opens in a new window]  and
Ching-Ti Liu
Yen-Han Lee*
Affiliation:
Missouri State University, Springfield, MO, U.S.A. E-mail: yil5050@bu.edu
Yen-Chang Chang
Affiliation:
National Tsing Hua University, Hsinchu City, Taiwan. E-mail: yenchang@mx.nthu.edu.tw
Mack Shelley
Affiliation:
Iowa State University, Ames, IA, U.S.A. E-mail: mshelley@iastate.edu
Ching-Ti Liu
Affiliation:
Boston University, Boston, MA, U.S.A. E-mail: ctliu@bu.edu
*
Corresponding author: Yen-Han Lee, E-mail: yil5050@bu.edu.
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Abstract

This research examined the sociodemographic factors associated with preventive care utilisation among Chinese older adults. Using the latest 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), preventive care utilisation was defined as an annual physical examination. In the final study sample, approximately 69 per cent of the older adults had a physical examination annually. Older adults who had received a high level of formal education (eleven years or above) were more likely to use preventive care (all p < 0.01). Participants with a rural social health scheme and residing in rural areas were also more likely to use preventive care (all p < 0.05). For the interaction effect, rural older adults who could not afford healthcare expenses were less likely to use preventive care (AOR = 0.37, 95 per cent CI: 0.16, 0.84). More reforms should be directed toward reducing social disparities regarding preventive care utilisation.

Keywords

Chinapreventive care utilisationolder adultssocial disparityhealthcare
Type
Article
Information
Social Policy and Society , First View , pp. 1 - 16
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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