Abstract: Objective　To explore the status and influencing factors of the self-reported elderly care options among Chinese people who lost their only child.Methods　We conducted a survey among a multi-stage sample of 235 cases aged 45 or older who lost their only child from a city under provincial jurisdiction in eastern China between July and August 2017 with a self-developed questionnaire consisting of questions about sociodemographic characteristics，social support〔assessed by Social Support Rating Scale（SSRS）〕，mental status〔assessed by Geriatric Depression Scale（GDS）〕，as well as preferred type of elderly care and caregivers during the aging period.Multivariate Logistic regression analysis was carried out for investigating the influencing factors for self-reported elderly care options.Results　The survey achieved a response rate of 83.0%（195/235）.In terms of type of elderly care，85（43.6%） preferred community and home-based care，while 110（56.4%） preferred institution-based care.With regard to caregivers，73（37.4%） preferred family members，87（44.6%） preferred nurses/nursing assistants，and 35（18.0%） preferred nannies/ volunteers.Multivariate Logistic regression analysis showed that SSRS score was the influencing factor for the preferred type of elderly care（P<0.05）；educational level，number of comorbidities，and third-generation family members were associated with the choice of caregivers（P<0.05）.Conclusion　The bereaved parents with high educational level were more likely to choose institution-based care.Educational level，number of comorbidities，and third-generation family members were associated with the choice of caregivers.It is suggested to develop a community and home-based elderly care platform for bereaved parents with low level of social support；strengthen the training of nurses and nursing assistants for elderly care；enrich the contractual services provided by community-based physicians and incentivize them to increase the necessary service frequencies.

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关键词: 失独家庭, 医养结合, 养老类型, 照护者, 影响因素分析