Long-Term Care Needs Among Korean Baby Boomers: Informal Care, Self-Care Activities for Health Promotion, and Intention to Use Long-Term Care Facilities
Methods: The data was extracted from a national interview survey in South Korea to investigate aging of KBB and pre-elderly populations. 903 baby boomers who were born between 1955 and 1963 and had a spouse were included in this study. A dependent variable is intention to move to LTC facilities (yes/no). Independent variables include availability of informal care (number of children, relationship satisfaction with adult children, physical health of a spouse, and relationship satisfaction with a spouse), two aspects for self-care for health promotion (healthy life style and socializing), and demographic factors (age, sex, and education). Logistic regression was conducted using PASW 18.0.
Results: The average age of the respondents was 60.6 years (SD=2.8). Around half of the respondents (52%) were male. The majority of them completed more than a high school education (62.2%) and had a job (66%). 35% expressed their intention to use LTC facilities. The logistic regression model was significant (X2 = 62.638, p<.005). The results showed that age (B= .098, Exp (B) =1.103, p<.005), education (B=.265, Exp (B) =1.304, p=.008), physical health of a spouse (B=-.590, Exp (B) =.554, p<.005), and socializing of self-care activities for health promotion (B=.140, Exp (B) =1.150, p=.001) were significantly associated with intention to use LTC facilities. KBB who are older, have higher education, have a spouse with worse health, and have better self-care for socializing are more likely to intend to use LTC facilities.
Implications: This study offers insight on changing LTC needs of the new old generation in South Korea. In contrast to the previous generation who traditionally depended on their adult children for their LTC, KBB tend to have a reliance on spouses and LTC facilities. Moreover, findings on the association between self-care activities for socializing and use of LTC facilities may indicate KBB's expectations for social connectedness at LTC facilities. Policy makers and health care professionals need to consider such changes in designing LTC services for KBB.