Research On The Influence Of The Health Status Of The Elderly In China On Their Living Willingness Based On Frailty Index

According to the report of“Healthy China Initiative(2019-2030)”,by the end of2018,the number of elderly people in China suffering from chronic diseases reached180 million,with approximately 40 million elderly people being partially or fully disabled.It can be seen that the health status of elderly people in China is not optimistic,and implementing a healthy aging strategy is extremely important.In addition,with the continuous development of society and economy,the traditional family model is facing challenges from population aging and changes in family structure and size,resulting in a trend towards diversified choices of residence and cohabitation among elderly people with different health conditions.The living willingness of the elderly is an important factor in predicting the future development of elderly care models and a critical reference for future elderly care systems.Therefore,studying the influence of health on living willingness can more specifically and meticulously analyze the elderly’s care needs under different health conditions,providing important references for the formulation of more scientific and reasonable social elderly care security systems.This article,based on Maslow’s hierarchy of needs,social support theory,Coleman’s rational choice theory,and welfare economics theory,reviews relevant literature from China and abroad.Using data from the 2018 CLHLS with qualitative and quantitative analysis,the study analyzes the residential willingness of elderly people in China from a health perspective.Firstly,based on differences in the co-residents of the elderly,and drawing on the research of scholars such as Fushou Lao,the residential willingness of the elderly in China is mainly divided into living alone,living with children,and living in nursing homes.And the status of self-rated health,physical health,mental health and living intention of the elderly is analyzed,and then the comprehensive health of the elderly is measured by the frailty index.Secondly,this article further explores the mechanism by which health status affects residential willingness through the construction of a multiple logistic regression model.To test the robustness of the model,an mprobit model is also established.In addition,individual characteristics,household economic characteristics,and social security characteristics are introduced as control variables,and their possible effects on residential willingness are analyzed.Finally,due to the dual socio-economic structure in China and significant urban-rural disparities,heterogeneity analysis of the residential willingness of elderly people in cities and rural areas is conducted based on the benchmark regression,resulting in comprehensive and objective research findings.Research findings indicate that,firstly,the health condition of elderly people in China significantly affects their living willingness.When facing the choice between living with their children or on their own,elderly people with poorer health conditions are more willing to live with their children.Conversely,when choosing between living in a nursing home or in their own homes,elderly people with poor health conditions are more willing to live in a nursing home.Secondly,family support significantly influences the living willingness of elderly people in China.Emotional and caregiving support significantly affect their preferences,while economic support does not.Thirdly,household income is also an important factor affecting the living willingness of the elderly in China.Those with higher household income prefer to live with their children,while those with less income prefer to live alone.Additionally,individual characteristics such as age,household registration type,previous occupation,education level,marital status and others,all have a significant impact on the living preferences of elderly people,as do factors related to social security.Fourthly,there are significant urban-rural differences in the impact of health status on the living willingness of the elderly.Compared with rural elderly people,when the health status of the elderly is going to rack and ruin,urban elderly people are more inclined to live with their children,while rural elderly people are more willing to live in nursing homes than urban elderly people.Based on these conclusions,this article proposes measures and recommendations from the perspectives of improving community elderly care service levels,leveraging family support,improving economic support policies,and balancing the development of urban and rural elderly care resources and health services.These measures aim to further improve the quality of life for elderly people,increase their happiness index,create a suitable living environment and social atmosphere for them,and provide a favorable basis for the development of future aging strategy.