ArticleInternational journal for equity in health2021
The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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34 citing papers in PubMed, 59 citations in OpenAlex.
- An Age-Adapted Co-Design Methodology for Community Health Research Involving Older Adults With Type 2 Diabetes.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Unmet community care needs and older adults' well-being: the moderating role of childlessness in China.BMC geriatrics · 2026Article
- Unmet needs for community-based healthcare services and blood pressure among Chinese older adults: A nationwide longitudinal cohort study.BMC public health · 2026Article
- From family support to smart health devices: addressing subjective community healthcare gaps in aging China.Innovation in aging · 2026Article
- Article
- The relationship between community spiritual comfort services and cognitive function in the older adults: a random intercept cross-lagged panel study.European journal of ageing · 2025Article
- Associations between home- and community-based services (HCBSs) and depressive symptoms in older adults: a nationally representative cross-sectional survey in China.BMC health services research · 2025Article
- Living arrangements and lonely life expectancy: a multistate life table based on Markov chains.Population health metrics · 2025Article
- Article
- Knowledge, attitude, and practice related to dementia and cognitive impairment among medical specialists with expertise unrelated to dementia.Scientific reports · 2025Article
- Mechanism for meeting the care of older adults in rural China-relying on spouse, offspring or community?BMC geriatrics · 2025Article
- Cohort trends in intrinsic capacity in England and China.Nature aging · 2025Article
- Spatio-temporal evolution and driving factors of the coupling and coordinated development of China's digital economy and older adult care services.Frontiers in public health · 2025Article
- Latent profile analysis of symptoms of depression and anxiety among perimenopausal women and their predictors.Frontiers in psychiatry · 2025Article
- Association Between Socioeconomic Status and Neuropsychiatric Symptoms in the UK Biobank: The Moderating Role of Sociability.Depression and anxiety · 2025Article
- Can formal home and community-based care substitute informal care? Evidence from Chinese Longitudinal Healthy Longevity Survey.BMC geriatrics · 2024Article
- Loneliness shapes disparities in healthy life expectancy: a multi-state analysis from China.BMC public health · 2024Article
- Is 70 the new 60? A longitudinal analysis of cohort trends inintrinsic capacity in England and China.Research square · 2024Article
- The impact of residential environment on older people's capabilities to live independently: a survey in Beijing.BMC public health · 2024Article
- Association between home and community-based services utilization and self-rated health among Chinese older adults with chronic diseases: evidence from the 2018 China Health and Retirement Longitudinal Study.BMC public health · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo address the challenge of the aging population, community-based care services (CBCS) have been developed rapidly in China as a new way of satisfying the needs of elderly people. Few studies have described the evolution trend of availability of CBCS in rural and urban areas and evaluated their effectiveness. This study aims to show the availability of China's CBCS and further analyze the effect of the CBCS on the cognitive function of elderly people.
methodsLongitudinal analysis was performed using data from the 2008 to 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). A total of 23937 observations from 8421 elderly people were included in the study. The Chinese version of the Mini-Mental State Examination (MMSE) was used to assess cognitive function. We aggregated similar CBCS to generate three binary variable categories (daily life support, emotional comfort and entertainment services, medical support and health services) indicating the availability of CBCS (1 = yes, 0 = no). Multilevel growth models were employed to estimate the association between CBCS and cognitive function while adjusting for many demographic and socioeconomic characteristics.
resultsThe availability of CBCS increased a lot from 2008 to 2018 in China. Although the availability of CBCS in urban areas was higher than that in rural areas in 2008, by 2018 the gap narrowed significantly. Emotional comfort and entertainment services (B = 0.331, 95% CI = 0.090 to 0.572) and medical support and health services (B = 1.041, 95% CI = 0.854 to 1.228) were significantly and positively associated with cognitive function after adjusting for the covariates.
conclusionThere was a significant increase in the availability of CBCS from 2008 to 2018 in China. This study sheds light on the positive correlation between CBCS and cognitive function among Chinese elderly individuals. The results suggest that policymakers should pay more attention to the development of CBCS and the equity of the supply of CBCS in urban and rural areas.
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