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.
Notes
- 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.
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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).
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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 |
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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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