Evidence map›Paper›PMID 37254084›Full record

ArticleBMC public health2023

The relationship between home and community-based healthcare services utilization and depressive symptoms in older adults in rural China: a moderated mediation model.

Zishuo Huang, Tingke Xu, Rujia Zhang, Xinxin Zhang, Shanshan Wang, Jiayun Zhang, Qingren Yang, Yating Fu, Jia Gui, Xiangyang Zhang and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Zishuo Huang *School of Innovation and Entrepreneurship, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Tingke Xu *School of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Rujia ZhangSchool of Innovation and Entrepreneurship, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Xinxin ZhangSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Shanshan WangSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Jiayun ZhangThe 2 nd School of Medicine, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Qingren YangSchool of Innovation and Entrepreneurship, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Yating FuSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Jia GuiSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China.
Xiangyang ZhangFirst Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325035, 325000, Zhejiang, China. zxyanghero@gmail.com.
Chun ChenSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, China. chenchun408@126.com.
Wenzhou Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have shown a close association between home and community-based healthcare services (HCBHS) utilization and depressive symptoms in older adults. However, no studies have explored the underlying mechanism of this relationship in rural China. This study was designed to evaluate the roles of instrumental activities of daily living (IADL) and marital status in the association between HCBHS utilization and depressive symptoms in Chinese rural older adults.

methodsData were obtained from the 2018 China Health and Retirement Longitudinal Study, and 5,981 rural respondents (≥ 60 years old) were included. Depression scores were calculated using the ten-item Center for Epidemiological Studies Depression Scale. Moderated mediation analysis was carried out applying Hayes' PROCESS macro (Model 7).

resultsHCBHS utilization had a direct and negative effect on depressive symptoms. Furthermore, marital status moderated the association between HCBHS utilization and IADL, which belonged to the indirect influence of the first half on the association between HCBHS utilization and depressive symptoms. HCBHS utilization was associated with IADL in single but not in married respondents.

conclusionThe results demonstrated that marital status moderated the indirect relationship between HCBHS utilization and depressive symptoms, with HCBHS utilization being negatively associated with IADL among single but not married respondents. The government should focus on rural older adults, especially those who are single and have poor IADL function, and improve the provision of HCBHS to alleviate depressive symptoms.

Indexed as

Activities of Daily LivingDepressionAgedChinaCommunity Health ServicesDelivery of Health CareFacilities and Services UtilizationHumansLongitudinal StudiesMiddle AgedDepressive symptomsHome and community-based healthcare services utilizationInstrumental activities of daily livingMarital statusModerated mediation model

Identifiers

PMID37254084
PMCPMC10227957
OpenAlexW4378782331

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.