Evidence map›Paper›PMID 37480000›Full record

ArticleBMC public health2023

Association between home and community-based services and depressive symptoms in Chinese older adults: a multilevel analysis.

Tingke Xu, Zishuo Huang, Yucheng Huang, Shanshan Wang, Xinxin Zhang, Yaqi Hu, Yue Zhu, Dayi Cheng, Yating Fu, Xiangyang Zhang and 1 more

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

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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

8 citing papers in PubMed.

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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.

Tingke Xu *School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Zishuo Huang *School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Yucheng HuangSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Shanshan WangSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Xinxin ZhangSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Yaqi HuSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Yue ZhuSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Dayi ChengSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Yating FuSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Xiangyang ZhangFirst Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China. zxyanghero@gmail.com.
Chun ChenSchool of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China. chenchun408@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the phenomenon of ageing continues to intensify, home and community-based services (HCBSs) have been increasingly important in China. However, the association between HCBSs utilization and depressive symptoms in older adults in China is unclear. Consequently, this study aimed to examine the association between HCBSs utilization and depressive symptoms in Chinese older adults.

methodsThis study included 7,787 older adults (≥ 60 years old) who were recruited within the framework of the 2018 China Health and Retirement Longitudinal Study (CHARLS). Depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10). HCBSs utilization was assessed via the question, "What kind of HCBSs were being utilized in their community?". Data were analyzed using binary logistic regression models and generalized hierarchical linear models (GHLM).

resultsOf the 7,787 participants, 20.0% (n = 1,556) reported that they utilized HCBSs, and 36.7% (n = 2,859) were evaluated that they had depressive symptoms. After adjusting for individual- and province-level covariates, the HCBSs utilization was found to be associated with depressive symptoms (OR = 1.180, 95% CI: 1.035-1.346, p < 0.05). Additionally, the depressive symptoms were significantly associated with gender, residence, educational level, marital status, number of chronic diseases, self-rated health (SRH), smoking, and provincial Gross Domestic Product (GDP) per capita.

conclusionsThis study found HCBSs utilization might be a protective factor against depressive symptoms in Chinese older adults. It is of utmost significance for the government to provide targeted HCBSs at the community level to address the unmet care needs of older adults, which can reduce the occurrence of negative emotions, consequently contributing to less severe depressive symptoms.

Indexed as

Community Health ServicesDepressionHome Care ServicesAgedEast Asian PeopleFacilities and Services UtilizationHumansLongitudinal StudiesMiddle AgedMultilevel AnalysisDepressive symptomsGeneralized hierarchical linear modelsHome and community-based servicesOlder adults

Identifiers

PMID37480000
PMCPMC10360354

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