Abstract：
Based on the Chinese Longitudinal Healthy Longevity Survey from 2005 to 2014, this study estimated the prevalence and examined risk factors of under-met needs and completely unmet needs for assistance in activities of daily living (ADLs) among community-living older people with disability in China. As of 2014, over 50% of community-living Chinese elders with disability experienced under-met needs, and nearly 5% had completely unmet needs. From 2005 to 2014, the proportion with completely unmet needs doubled for all disabled elders. Significant risk factors of under-met needs included lower per capita annual household income, more ADL limitations, living alone, and fewer living children, and those of completely unmet needs included less ADL limitations and living alone. More policy attention should be paid to address the gap between long-term care services for older persons with severe disability and supportive services for those who are relatively healthy, toward ultimately establishing a care continuum for the elderly at all stages of their life course. In addition, family care for elders with severe functional impairments should be supplemented by professional long-term care services to best meet their needs.
摘要：
基于2005-2014年中国纵向健康长寿调查，本研究估计了中国社区生活残疾老年人日常生活活动（ADLs）中需求不足和完全未满足的风险因素。截至2014年，超过50%的社区生活的中国残疾老人经历了未满足的需求，近5%的人完全没有得到满足。从2005年到2014年，所有残疾老人的需求完全未得到满足的比例翻了一番。需求不足的重要风险因素包括人均家庭年收入较低，更多的ADL限制，独自生活,更少的活着的孩子，那些完全未满足的需求包括较少的ADL限制和独居。应在政策上给予更多关注,以弥补为严重残疾的老年人提供长期护理服务与为相对健康的老年人提供支助服务之间的差距,最终为老年人在其生命历程的各个阶段建立一个护理连续体。此外,对有严重功能障碍的老年人的家庭护理应辅以专业的长期护理服务，以最好地满足他们的需求。
