ArticleBMC public health2025
The impact of contracted family doctor services on social adaptability among middle-aged and older adults in rural China: the mediating role of regular health management.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Strengthening primary care gatekeeping for healthy aging in China: family doctor contract service and multidimensional health outcomes among older adults.Frontiers in public health · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
purposeSocial adaptability is essential for healthy aging. This study examines how Contracted Family Doctor Services (CFDS) affect social adaptability in rural Chinese middle-aged and older adults, assessing the mediating role of regular health management (RHM). METHODS AND MATERIALS: Using national cross-sectional data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), we analyzed 13,895 community-dwelling adults. We employed generalized linear models (GLM), mediation analysis, and an instrumental variable-based control function approach (IV-CFA) to evaluate causality and control for confounding.
resultsResearch demonstrated that CFDS participation was significantly associated with enhanced social adaptability (β = 0.204, p < 0.01). RHM partially mediated this relationship, explaining 29.5% of the total effect. Heterogeneity analyses indicated significant associations between CFDS and social adaptability for adults aged 45-60 years (β = 0.250, p < 0.01) and males (β = 0.308, p < 0.01), whereas no significant effects were observed among adults ≥60 years or females.
conclusionsCFDS significantly enhances social adaptability among rural middle-aged and older adults, broadening primary care's impact beyond biomedical domains. RHM mediates 29.5% of this effect. The benefits were particularly pronounced among younger individuals and male subgroups. To sustain CFDS effectiveness, China should maintain 1-3% annual coverage growth while implementing targeted measures: combating social isolation in older adults, screening for perimenopausal comorbidities among women, and strengthening intergenerational care support programs.
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