Perceptions of Eldercare Service Needs: A Chinese-Canadian Community Survey
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Abstract
Ethnic minority immigrants, especially those who resettle in a foreign country in the later stages of life, face many challenges as they age. A community survey using a representative sample of Chinese-Canadians aged 18 or above was undertaken to explore perceptions towards eldercare service needs among Chinese seniors. Telephone interviews were conducted with 336 Chinese-Canadians residing in a western Canadian city (Calgary, Alberta) by trained, bilingual interviewers using a structured questionnaire on topics such as perceived eldercare needs of Chinese seniors, household composition, and socio-demographic information. Multiple ordinary least-squares regression analysis demonstrated that age, country of origin, perceived service needs, health of seniors in household, length of residence in Canada, and sense of filial responsibility are significantly related to respondents’ support for ethnic eldercare services. The findings underscore the importance of culturally and linguistically sensitive eldercare services and programs in the Chinese community.
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References
• Bond, M.H. (1993). The handbook of Chinese psychology. Hong Kong: Oxford University Press.
• Burnette, D., & Mui, A. (1995). In-home and community-based service utilization by three groups of elderly Hispanics: A national perspective. Social Work Research, 19(4), 197-206.
• Caldwell, L., Low, L., & Brodaty, H. (2014). Caregivers' experience of the decision-making process for placing a person with dementia into a nursing home: Comparing caregivers from Chinese ethnic minority with those from English-speaking backgrounds. International Psychogeriatrics, 26(3), 413-424.
• Cartwright, J.C., Archbold, R.G., Stewart, B.J., & Limandri, B. (1994). Enrichment processes in family caregiving to frail elders. Advances in Nursing Science, 17(1), 31-43.
• Chang, Y.P., Schneider, J., & Sessanna, L. (2011). Decisional conflict among Chinese family caregivers regarding nursing home placement of older adults with dementia. Journal of Aging Studies, 25(4), 436-444.
• Chang, Y.P., & Schneider, J.K. (2010). Decision-making process of nursing home placement among Chinese family caregivers. Perspectives in Psychiatric Care, 46, 108-118.
• Chang, Y.P., & Schneider, J.K. (2010). Decision-making process of nursing home placement among Chinese family caregivers. Perspectives in Psychiatric Care, 46(2), 108-119.
• Chappell, N., & Lai, D. (1998). Health care service use by Chinese seniors in British Columbia, Canada. Journal of Cross-cultural Gerontology, 13, 21-37.
• Chappell, N.L., & Dujela, C. (2008). Caregiving: predicting at-risk status. Canadian Journal of Aging, 27(2), 169-179.
• Chen, Y.J. (2008). Strength perspective: An analysis of ageing in place care model in Taiwan based on traditional filial piety. Ageing International, 32, 183-204.
• Cheng, S.T., & Chan, A.C.M. (2006). Filial piety and psychological well-being in well older Chinese. Journal of Gerontology: Psychological Sciences, 61B (5), 262-269.
• Cheung, C.K., Kwan, A.Y.H., & Ng, S.H. (2006), Impacts of filial piety on preference for kinship versus public care. Journal of Community Psychology, 34, 617–634.
• Chow, H.P.H. (2012). Health care service needs and correlates of quality of life: A case study of elderly Chinese immigrants in Canada. Social Indicators Research, 106, 347-358.
• Chow, H.P.H. (2010). Growing old in Canada: Physical and psychological well-being among elderly Chinese immigrants. Ethnicity & Health, 15(1), 61-72.
• Chow, H.P.H. (2007). Growing old in regina: A survey of the elderly Chinese-Canadians. Regina: University of Regina.
• Chow, H.P.H. (2000). The health care needs of the Chinese seniors in calgary: A community survey. Calgary, AB: Chinese Christian Wing Kei Nursing Home Association.
• Chow, N. (2006). The practice of filial piety and its impact on long-term care policies for elderly people in Asian Chinese communities. Asian Journal of Gerontology and Geriatrics, 1(1), 31-35.
• Chow, N.W.S. (2001). The practice of filial piety among the Chinese in Hong Kong. In Chi, I., Chappell, N. L., & Lubben, J. (Eds.). Elderly Chinese in Pacific Rim Countries: Social Support and Integration (pp. 125-136). Hong Kong: Hong Kong University Press.
• Chu, C.Y.C., Xie, Y., & Yu, R.R. (2011). Co-residence with elderly parents: A comparative study of Southeast China and Taiwan. Journal of Marriage & Family, 73(1), 120-135.
• Gustafson, K., & Baofeng, H. (2014). Elderly care and the one-child policy: concerns, expectations and preparations for elderly life in a rural Chinese township. Journal of Cross-Cultural Gerontology, 29, 25-36.
• Gee, E.M. (2000). Living arrangements and quality of life among Chinese Canadian elders. Social Indicators Research, 51, 309-329.
• Gu, S., & Liang, J. (2000). China: Population aging and old age support. In V. L. Bengtson, V.L., Kim, D. D. & Eun, K. S. (Eds.). Aging in East and West: Families, States, and Elderly. (pp. 59-94). New York: Springer.
• Hsu, H.C., Lew-Ting, C.Y., & Wu, S.C. (2001). Age, period, and cohort effects on the attitude toward supporting parents in Taiwan. The Gerontologist, 41(6), 742-750.
• Hsu, H.C., & Shyu, Y.I.L. (2003). Implicit exchanges in family caregiving for frail elders in Taiwan. Qualitative Health Research, 13(8), 1078-1093.
• Hwang, E. (2008). Exploring aging-in-place among Chinese and Korean seniors in British Columbia, Canada. Ageing International, 32, 205-218.
• Iecovich, E. (2008). Caregiving burden, community services, and quality of life of primary caregivers of frail elderly persons. Journal of Applied Gerontology, 27(3), 309-330.
• Immigration, Refugees and Citizenship Canada. (2015). Facts & figures 2015: Immigration overview - permanent residents. Retrieved from http://open.canada.ca/data/en/dataset/2fbb56bd-eae7-4582-af7d-a197d185fc93 (Retrieved March 11, 2017).
• Jensen, C.J., Ferrari, M., & Cavanaugh, J.C. (2004). Building on the benefits: Assessing satisfaction and well-being in elder care. Ageing International, 29(1), 88-110.
• Kong, X., Yang, Y., Gao, J., Guan, J., Liu, Y., Wang, R., Xing, B., Li, Y., & Ma, W. (2015). Overview of the health care system in Hong Kong and its referential significance to mainland China. Journal of the Chinese Medical Association, 78(10), 569-573.
• Lai, D.W.L., Tsang, K.T., Chappell, N.L., Lai, D.C.Y., & Chau, S.B.Y. (2003). Health and well-being of older Chinese in Canada. Faculty of Social Work, University of Calgary.
• Lai, D.W.L., Luk, P.K.F., & Andruske, C.L. (2007). Gender differences in caregiving: A case in Chinese Canadian caregivers. Journal of Women and Aging, 19(3/4), 161-178.
• Lan, P.C. (2002). Subcontracting filial piety: Elder care in ethnic Chinese immigrant families in California. Journal of Family Issues, 23(7), 812–35.
• Lee, C. (1999). Health, stress and coping among women caregivers: A review. Journal of Health Psychology, 4(1), 27-40.
• Lee, D.T.F. (2001) Perceptions of Hong Kong Chinese elders on adjustment to residential care. Journal of Interprofessional Care, 15(3), 235-244.
• Lee, W.K.M., & Kwok, H.K. (2005). Differences in expectations and patterns of informal support for older persons in Hong Kong: modification to filial piety. Ageing International, 30(2), 188-206.
• Li, M. (2013). Acculturation, filial responsibilities and living arrangements: An empirical study of the acculturative experiences of elderly Chinese immigrants in New Zealand. Journal of Intercultural Communication Studies, 12(1), 301-322.
• Li, W.W. (2011). Filial piety, parental piety and community piety: Changing cultural practices of elder support among Chinese migrant families in New Zealand. OMNES: The Journal of Multicultural Society, 2(1), 1-30.
• Lin, Y.Y., & Huang, C.S. (2016). Aging in Taiwan: Building a society for active aging and aging in place. The Gerontologist, 56(2), 176-183.
• Lin, X., Bryant, C., Boldero, J., & Dow, B. (2015). Older Chinese immigrants’ relationships with their children: A literature review from a solidarity–conflict perspective. Gerontologist, 55(6), 990-1005.
• Liu, J., & Bern-Klug, M. (2016). “I should be doing more for my parent:” Chinese adult children's worry about performance in providing care for their oldest-old parents. International Psychogeriatrics, 28(2), 303-315.
• Maloney, S.K., Finn, J., Bloom, D., & Andersen, J. (1996). Personal decision-making styles and long-term care choices. Health Care Financing Review, 18, 141-156.
• Mendez-Luck, C., Kennedy, D., & Wallace, S. (2008). Concepts of burden in giving care to older relatives: A study of female caregivers in a Mexico City neigh¬borhood. Journal of Cross-Cultural Gerontology, 23, 265-82.
• Moon, A., Lubben, J., & Villa, V. (1998). Awareness and utilization of community long-term care services by elderly Korean and non-Hispanic White American. The Gerontologist, 38(3), 309-316.
• Ng, A.C.Y., Phillips, D.R., & Lee, W.K.M. (2002). Persistence and challenges to filial piety and informal support of older persons in a modern Chinese society: A case study in Tuen Mun, Hong Kong. Journal of Aging Studies, 16, 1–20.
• Pinquart, M., Sörensen, S., & Davey, A. (2003). National and regional differences in preparation for future care needs: A comparison of the United States and Germany. Journal of Cross-Cultural Gerontology, 18, 53-78.
• Reinardy, J.R. (1992). Decisional control in moving to a nursing home: Postadmission adjustment and well-being. Gerontologist, 32(1), 96-103.
• Silverstein, M., Bengtson, V.L., & Litwak, E. (2003). Theoretical approaches to problems of families, aging, and social support in the context of modernization. In Biggs, S., Lowenstein, A., & Hendricks, J. (Eds). The Need for Theory: Critical Approaches to Social Gerontology (pp. 181-199). Amityville, NY: Baywood.
• Sorensen, S., & Pinquart, M. (2005). Racial and ethnic differences in the relationship of caregiving stressors, resources, and sociodemographic variables to caregiver depression and perceived physical health. Aging and Mental Health, 9(5), 482-495.
• Statistics Canada. (2013). 2011 National Household Survey: Immigration, place of birth, citizenship, ethnic origin, visible minorities, language and religion. The Daily, May 8.
• Sung, K. (2000). An Asian perspective on aging east and west: Filial piety and changing families. In V. Bengston, K. Kim, G. Myers, & K. Eun (Eds.), Aging in East and West: Families, States, and the Elderly (pp. 41-56). New York: Springer Publishing Company.
• Tse, M.Y. (2007). Nursing home placement: perspectives of community-dwelling older persons. Journal of Clinical Nursing, 16, 911–917.
• Wang, S.Y. (2011). Nursing home placement of older parents: An exploration of adult children’s role and responsibilities, Contemporary Nurse, 37(2), 197-203.
• Wang, H., Xiong, Q., Levkoff, S.E., & Yu, X. (2010). Social support, health service use and mental health among caregivers of the elderly in rural China. Ageing International, 35, 72-84.
• Wong, S.T., Yoo, G.J., & Stewart, A.L. (2006). The changing meaning of family support among older Chinese and Korean immigrants. Journal of Gerontology: Social Sciences, 61B (1), S4–S9
• Wong, O.M.H., & Chau, B.H.P. (2006). The evolving role of filial piety in eldercare in Hong Kong. Asian Journal of Social Science, 34(4), 600-617.
• Wu, A.M.S., Tang, C.S.K., & Yan, E.C.W. (2004). Psychosocial factors associated with acceptance of old age home placement: A study of elderly Chinese in Hong Kong. Journal of Applied Gerontology, 23(4), 487-504.
• Zhan, H.J. (2006). Joy and sorrow: Explaining Chinese caregivers’ reward and stress. Journal of Aging Studies, 20, 27-38.
• Zhan, H.J. (2004). Willingness and expectations: intergenerational differences in attitudes toward filial responsibilities. Marriage and Family Review, 36 (1-2), 175-200.
• Zhan, H.J., Liu, G., & Bai, H.G. (2005). Recent development in Chinese elder homes: A reconciliation of traditional culture. Ageing International, 30(2), 167-187.
• Zhan, H.J., & Montgomery, R.J.V. (2003). Gender and elder care in China: The influence of filial piety and structural constraints. Gender and Society, 17(2), 209-229.
• Zhang, Z., Gu, D., & Luo, Y. (2014). Coresidence with Elderly Parents in Contemporary China: The Role of Filial Piety, Reciprocity, Socioeconomic Resources, and Parental Needs. Journal of Cross-Cultural Gerontology, 29(3), 259-276.