ArticleBMC health services research2021
Rural-urban and gender differences in the association between community care services and elderly individuals' mental health: a case from Shaanxi Province, China.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.BMC geriatrics · 2026Article
- Urban-Rural Differences of Impact of the Accessibility of Community Older Adult Care Services on the Quality of Life of Older Adults.International journal of public health · 2026Article
- The impact of home- and community-based services on life satisfaction among older adults: evidence from marginal treatment effect framework.Frontiers in public health · 2026Article
- Associations between multidimensional social support and satisfaction with community mental health services: evidence from China with heterogeneity analysis.Frontiers in public health · 2026Article
- Association of home-and community-based services with health-related quality of life among Chinese older adults.BMC public health · 2025Article
- How does intergenerational support from adult children shape the intrinsic capacity of older adults? Empirical evidence from the CHARLS.Aging clinical and experimental research · 2025Article
- Gender differences in the association between community care and quality of life among older adults in China.Scientific reports · 2025Article
- Study on the Influencing Factors of the Demand of Rural Older Adults in China for Elderly Care Services.Healthcare (Basel, Switzerland) · 2025Article
- Monitoring utilisation patterns of home- and community-based services for healthy ageing: a cross-sectional study.BMC geriatrics · 2025Article
- Mechanism for meeting the care of older adults in rural China-relying on spouse, offspring or community?BMC geriatrics · 2025Article
- Hotspots and Trends in Research on Mental Health of the Rural Elderly: A Bibliometric Analysis Using CiteSpace.Healthcare (Basel, Switzerland) · 2025Article
- The Impact of Accessibility of Community Elderly Care Services on Quality of Life of the Elderly.Healthcare (Basel, Switzerland) · 2025Article
- Decomposition analysis of anxiety symptom differences between urban and rural Chinese university students: cross-sectional study.Frontiers in psychiatry · 2025Article
- The impact of social participation on mental health among the older adult in China: an analysis based on the mental frailty index.Frontiers in public health · 2025Article
- Reasons for underutilization of community care facilities for the elderly in China.BMC geriatrics · 2024Article
- Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study.International journal of nursing sciences · 2024Article
- Relationship between social activities and cognitive impairment in Chinese older adults: the mediating effect of depressive symptoms.Frontiers in public health · 2024Article
- Income inequality and healthcare utilization of the older adults-based on a study in three provinces and six cities in China.Frontiers in public health · 2024Article
- The impact of social activities on mental health among older adults in China.Frontiers in public health · 2024Article
- Rural-urban differences in the association between home-based community care services satisfaction and mental health status among older adults in Zhejiang Province, China: a cross-sectional study.Frontiers in public health · 2024Article
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Abstract
backgroundWhile community care services have been developing rapidly as a new way to meet the growing demands of elderly individuals in China, their health benefits are virtually unknown. Thus, the aim of this study was to examine the Chinese elderly individuals' utilisation of community care services and its association with the mental health with comparing rural-urban and gender differences.
methodsFor this 2019 cross-sectional study, 687 elderly people from 7 counties (districts) of China's Shaanxi province were enrolled. Respondents' mental health level was assessed using a self-reported mental health measure. Four categories of community care services utilisation were examined: daily care services, medical care services, social and recreational services and spiritual comfort services. The binary logistic regression model was used in examining the association between community care services utilisation and mental health.
resultsOur results showed that there was a noted difference in mental health level between the male and female groups. Utilisation of medical care services and social and recreational services was significantly higher in the rural group than that in the urban group. Regression analysis showed that utilisation of daily care services (β = 0.809, p = 0.008) and social and recreational service (β = 0.526, p = 0.035) was significantly and positively associated with elderly individuals' mental health level. Specifically, daily care services utilisation predicted a better mental health of the rural elderly (β = 1.051, p = 0.036) and the male elderly (β = 1.133, p = 0.053), while social and recreational services utilisation predicted a better mental health of the urban elderly (β = 0.927, p = 0.008) and the female elderly (β = 0.864, p = 0.007).
conclusionsOur findings indicated varied levels of community care services utilisation and mental health are common among the elderly people in China. Community care services utilisation has a positive, albeit selective, association with elderly individuals' mental health. Further policies should strengthen the equitable development of high-quality community care services in urban and rural areas to improve the mental health of elderly individuals, and focus more on gender differences in terms of community care services needs.
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