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Willingness to Live in a Home for the Aged Among Older Filipinos in the Philippines

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Abstract

This chapter investigates the factors associated with older Filipinos’ willingness to live in a home for the aged (HFA) and examines whether these factors differ between men and women. Data were drawn from the baseline survey of the 2018 Longitudinal Study of Ageing and Health in the Philippines. Cross-tabulations and regression analyses were used to identify who among older Filipinos were willing to live in an HFA. This chapter identifies sociodemographic and health factors, the experience of depressive symptoms, willingness of other people to provide emotional support, receipt of support from children, and satisfaction with the children’s level of assistance as significant correlates of older people’s willingness to enter an HFA. While the Filipino family continues to be the main provider of care and support for older people, the idea that institutional care will complement or even compensate for this old-age tradition cannot be ignored and should be explored as a viable option for long-term care arrangements.

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Notes

  1. 1.

    We understand that we should avoid using terms such as “aged,” “elderly,” and “elder(s)” in academic writing and use the terms “older adult(s)” or “older person/people” (American Medical Association Manual of Style Committee, 2007; Lundebjerg et al., 2017). However, places that provide care for older persons who need care and a place to stay are known as “homes for the aged” in the Philippines; hence, we used this term in this article.

  2. 2.

    Following previous studies (McCormick et al., 1996; Tang et al., 2009), we used the words “willingness” and “intention” interchangeably.

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Acknowledgments

The 2018 LSAHP was commissioned by the Economic Research Institute for ASEAN and East Asia (ERIA) in collaboration with Demographic Research and Development Foundation, Inc. (DRDF).

Author information

Authors and Affiliations

  1. Faculty of Arts and Social Sciences, Centre for Family and Population Research, National University of Singapore, Singapore, Singapore

    Jeofrey B. Abalos

  2. Population Institute, University of the Philippines, Quezon City, Philippines

    Mark Ryan B. Paguirigan & Grace T. Cruz

  3. College of Economics, Nihon University, Tokyo, Japan

    Yasuhiko Saito

  4. Economic Research Institute for ASEAN and East Asia, Jakarta, Indonesia

    Yasuhiko Saito

Authors
  1. Jeofrey B. Abalos
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  2. Mark Ryan B. Paguirigan
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  3. Yasuhiko Saito
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  4. Grace T. Cruz
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Corresponding author

Correspondence to Jeofrey B. Abalos .

Section Editor information

  1. University, Sambalpur University, Sambalpur, India

    Tattwamasi Paltasingh

Appendix

Appendix

Background characteristics of the respondents

 

Men

Women

Total

p

Predisposing factors

        

Age

      

0.099

 60–69

69.9

64.3

66.5

  

 70–79

22.9

27.2

25.5

  

 80+

7.1

8.5

7.9

  

Mean age (SD = 6.8)

67.9

68.4

68.2

0.295

Female

–

–

59.8

  

Married

69.9

36.2

49.7

<0.001

Education

      

0.537

 Elementary and below

70.8

72.5

71.8

  

 High school

21.6

18.6

19.8

  

 College and above

7.6

8.9

8.4

  

Average number of children (SD = 2.7)

4.8

4.6

4.7

0.290

Living arrangement

      

0.038

 Living alone

11.6

14.4

13.2

  

 Living with spouse only

10.5

7.7

8.8

  

 Living with children (and/or with the spouse)

64.4

57.9

60.5

  

 Other types of arrangement

13.6

20.0

17.4

  

CES-D 11 score (SD = 3.5)

4.7

5.5

5.2

0.001

Social isolation score (SD = 9.3)

26.8

25.9

26.2

0.333

Feels that others are willing to listen to their worries and problems

      

0.392

 A great deal/quite a bit

64.5

69.2

67.3

  

 Some

20.5

16.7

18.2

  

 Very little or not at all/keep to myself

15.0

14.1

14.4

  

It’s a good idea to have homes for the aged or elderly in the Philippines

    

0.062

 Yes

84.4

79.5

81.5

  

 No/it depends

15.6

20.5

18.5

  

Enabling factors

        

Urban residents

39.5

45.4

43.0

0.076

Wealth index

      

0.279

 Poorest

25.6

22.2

23.5

  

 Second

20.4

23.6

22.3

  

 Middle

20.4

18.8

19.4

  

 Fourth

18.5

16.8

17.5

  

 Wealthiest

15.1

18.7

17.2

  

With health insurance

81.4

80.3

80.8

0.606

Receipt of support

        

 Financial support

83.4

86.0

85.0

0.406

 Material support

76.2

84.1

80.9

0.037

 Instrumental support

5.7

8.6

7.4

0.042

 Emotional support

82.0

84.9

83.8

0.335

Level of satisfaction with the assistance received from children

      

0.774

 Very satisfied

47.3

49.6

48.6

  

 Satisfied but can be improved

37.7

35.6

36.4

  

 Not satisfied/not getting any assistance/no child

15.0

14.9

14.9

  

Need factors

        

At least one ADL difficulty

16.9

19.6

18.5

0.566

At least one IADL difficulty

17.0

30.2

24.9

<0.001

Self-rated health

      

0.767

 Healthy

22.0

22.2

22.1

  

 Average

46.6

48.7

47.9

  

 Unhealthy

31.4

29.1

30.1

  

Number of cases

1858

3205

5063

  
  1. Source: Authors’ calculation based on the 2018 LSAHP
  2. Note: SD standard deviation, CES-D center for epidemiological studies depression, ADL activities of daily living, IAD instrumental activities of daily living

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Abalos, J.B., Paguirigan, M.R.B., Saito, Y., Cruz, G.T. (2023). Willingness to Live in a Home for the Aged Among Older Filipinos in the Philippines. In: Handbook of Aging, Health and Public Policy. Springer, Singapore. https://doi.org/10.1007/978-981-16-1914-4_155-1

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  • DOI: https://doi.org/10.1007/978-981-16-1914-4_155-1

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  • Print ISBN: 978-981-16-1914-4

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