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Abstract
Background: Transnational labour migration can disrupt family-based care for older adults in settings where formal care systems remain limited.
Objective: To identify independent predictors of care deficit among community-dwelling older adults in a labour-exporting coastal district of West Java, Indonesia.
Methods: This cross-sectional analytical study included 412 adults aged 60 years or older. Structured questionnaires assessed care deficit, intergenerational solidarity, social support, family migration, insurance, government-program participation, chronic disease, living arrangement, and age. Multiple logistic regression was performed.
Results: Care deficit was present in 189 participants (45.9%). Independent predictors were low intergenerational solidarity (AOR=2.04; 95% CI 1.33–3.13), low social support (AOR=1.91; 95% CI 1.24–2.94), family migration (AOR=1.87; 95% CI 1.22–2.87), chronic disease (AOR=1.61; 95% CI 1.03–2.52), and lack of health insurance (AOR=1.58; 95% CI 1.02–2.45). Model fit was adequate (Hosmer–Lemeshow p=0.368; AUC=0.720).
Conclusion: Family separation, relational resources, chronic illness, and insurance access jointly shaped care deficit, supporting combined family-strengthening, community-care, and health-system interventions.
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