Research on willingness to participate in community-based home care model and associated influencing factors among the ur-ban elderly in China

ZHANG Qing; LI Yifang; ZHANG Jingxia; WANG Jiemei; XU Juan; LI Yongxia

doi:10.3969/j.issn.1671-315x.2025.04.013

Abstract：Objective To systematically evaluate the willingness to participate in community-based home care models and associated influencing factors among the urban elderly in China.Methods Cochrane Library,Pubmed,Embase,Web of Science,CBM,China National Knowledge Infrastructure,Wanfang Database,and VIP Database were searched for cross-sectional studies about the participation willingness or the influencing factors of the urban elderly people's willingness to participate in the community-based home care model.The search period was from January 1,2013 to February 4,2024.Two researchers with evidence-based practical learning experience independently screened lit-erature and extracted data according to inclusion and exclusion criteria.The literature quality was evaluated according to the cross-sectional study quality evaluation criteria recommended by the Agency for Healthcare Research and Quality(AHRQ).RevMan 5.3 and SPSS 26.0 soft-ware were used for data analysis.Results A total of 22 literature with a sample size of 14,063 were included,and the quality assessment of the literature in the study was all at a medium level.The results of analysis showed that the willingness rate of the urban elderly to participate in the community-based home care model was 26%.Subgroup analysis showed that the willingness rate of participating in community-based home care model in the central region and the past 5 years was higher.Education background[OR=2.18,95%CI(1.64,2.89),P＜0.001],mode of living[OR=0.52,95%CI(0.33,0.84),P=0.007],whether there were elderly care services in the community[OR=2.57,95%CI(1.48,4.45),P＜0.001],whether they have received community elderly care services[OR=3.71,95%CI(2.67,5.15),P＜0.001],nanny[OR=0.26,95%CI(0.15,0.43),P＜0.001],and cognition of elderly care modes[OR=2.52,95%CI(1.03,6.18),P=0.040]were the fac-tors affecting the willingness of participating in community-based home care model among urban elderly in China.Conclusion The willing-ness rate of participating in community-based home care model among the elderly in China is low.The urban elderly who have a junior high school education or above,live alone,have elderly care services in the community,have received community home care services,have no nan-ny care,know the way of elderly care are more willing to participate in community-based home care model,which indicates that community-based home care service should be focused on the above groups in the future.