Spatial coupling relationship between older adults and elderly care resources in the Yangtze River Delta

PLoS One. 2023 Nov 7;18(11):e0293985. doi: 10.1371/journal.pone.0293985. eCollection 2023.

Abstract

The imbalance between supply and demand of elderly care resources in the Yangtze River Delta is increasing. By the older adult agglomeration, spatial cluster analysis, hotspot analysis, and coupling coordination model, this study explores the spatial coupling relationship between older adults and elderly care resources in the Yangtze River Delta in 2020 from the perspective of a supply-and-demand balance. The results demonstrate that: (1) population aging is mainly in the moderate aging stage, followed by the primary aging stage; (2) there are significant spatial differences in elderly care resources on the urban scale in the Yangtze River Delta; and (3) elderly care resources and the older adults in the Yangtze River Delta are mostly highly coupled. However, Nantong, with the highest degree of aging, has a serious mismatch in life service resources and ecological environment resources. The social security resources and medical resources of provincial capital cities with low aging are mismatched. Medical and health resources in underdeveloped areas are seriously mismatched. The social security resources are barely matched in Shanghai. A path for optimizing the spatial allocation of elderly care resources is proposed. This research offers a decision-making reference for coordinating elderly care resources distribution.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aging*
  • China
  • Cities
  • Health Resources
  • Humans
  • Rivers*

Grants and funding

National Social Science Fund Youth Project in China (19CRK010), Fundamental Research Funds for the Central Universities (2020ECNU-HLYT048, 2022QKT001), the Humanity and Social Sciences Foundation of Ministry of Education of China (19YJC840032, 21YJA840001), National Natural Science Foundation (12171158, 42001161), the State Key Program of National Natural Science Foundation of China (71931004), Nanjing Social Science Foundation Project(23YB02). National Social Science Fund Youth Project in China (19CRK010) supported the fund leader in designing this study and deciding on the publication of the paper. Fundamental Research Funds for the Central Universities (2020ECNU-HLYT048) supported authors in writing and polishing the manuscript. Fundamental Research Funds for the Central Universities (2022QKT001), National Natural Science Foundation (12171158), and the State Key Program of National Natural Science Foundation of China (71931004) offered the financial resource of softwares. The Humanity and Social Sciences Foundation of Ministry of Education of China (19YJC840032) and Nanjing Social Science Foundation Project(23YB02) played a role in collecting, cleaning and processing data. The Humanity and Social Sciences Foundation of Ministry of Education of China (21YJA840001) and National Natural Science Foundation (42001161) played a role in supporting the project administration and materials collection.