ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1692816
This article is part of the Research TopicAddressing End-of-Life Challenges: Advancing Person-Centered Care Through Public Health FrameworksView all articles
Determinants of institutional care willingness among Chinese elderly: An Andersen's model-based analysis in Jiangning District, Nanjing
Provisionally accepted
- 1Jiangsu Vocational Institute of Commerce, Nanjing, China
- 2National Research Center for Resettlement, Nanjing, China
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Introduction: By comprehensively examining the acceptance and preferences of elderly people toward institutional elderly care, and conducting an in-depth analysis of the various factors that influence these attitudes, we can gain a clearer understanding of their care needs. This insight will help deliver more appropriate and personalized elderly care services and provide a scientific foundation for governments and social organizations to develop relevant policies and service programs. Methods: A sample of elderly individuals from Jiangning District, Nanjing, was selected as the research subjects. The questionnaire was designed based on the Andersen's Model, and a multi-stage mixed sampling method was adopted to investigate the elderly's willingness toward institutional elderly care. Additionally, a binary logistic regression model was employed to analyze the factors influencing their willingness. Results: A total of 415 valid survey data were collected, among which 44% of the surveyed elderly expressed willingness to choose institutional elderly care. Correlation analysis revealed that there are key influencing factors within predisposing factors, enabling factors, and need factors, all of which exert an impact on the willingness toward institutional elderly care. Further logistic regression analysis indicated that factors such as stigma associated with institutional elderly care, participation in endowment insurance, purchase of medical insurance, perceived attitudes of children toward elderly care institutions, accessibility of resources in elderly care institutions, self-rated physical health status, and presence of chronic diseases may be influencing factors of the elderly's willingness toward institutional elderly care. Conclusion: Compared with other regions in China, the elderly in Jiangning currently have a relatively high willingness toward institutional elderly care, which is influenced by multiple factors. Specifically, after incorporating predisposing factors, enabling factors, and need factors simultaneously into the model, elderly individuals who held an open attitude toward institutional elderly care, had endowment insurance and medical insurance, perceived their children's positive attitudes toward elderly care institutions, had easier access to institutional elderly care resources, reported relatively good self-rated
Keywords: Elderly, institutional elder care, willingness for elder care, Influencing factors, Andersen's model
Received: 26 Aug 2025; Accepted: 22 Sep 2025.
Copyright: © 2025 Zong and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhengfang Chen, czf@hhu.edu.cn
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