Evidence map›Paper›PMID 41250087›Full record

ArticleBMC public health2025

Association of home-and community-based services with health-related quality of life among Chinese older adults.

Chen Wei, Zhou Xu, Dijuan Meng, An Wang, Dong Hua, Quantong Zhu, Gang Li

Abstract read
In one paragraph

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

7 authors.

Chen Wei *School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Zhou Xu *School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Dijuan MengSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
An WangSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Dong HuaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Quantong ZhuSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Gang LiSchool of Artificial Intelligence and Information Technology, Nanjing University of Chinese Medicine, Nanjing, 210023, China. gangli@njucm.edu.cn.

Funding

Philosophy and Social Science Foundation of universities in Jiangsu Province 2023SJYB0310Social Science Foundation of Jiangsu Province 21TQB001Social Science Foundation of Jiangsu Province 23FXB004
6 · The paper itself

Abstract

purposesHome-and community-based services (HCBS) are becoming increasingly popular globally to meet the challenges of ageing populations. This study aims to investigate whether HCBS utilizing was associated with higher health related quality of life (HRQoL) in older adults, and to explore how this association may vary across populations with different demographic and socioeconomic characteristics.

methodsThe data used in this study were derived from the China Health and Retirement Longitudinal Study in 2018. Ordinary least squares regression was employed to assess the association between HCBS and EQ-5D-3 L score in older adults, while the impact of HCBS on each health dimension separately could be examined by ordered-logit regression. Entropy balancing was used to verify the robustness of the regression results.

resultsA total number of 7,586 participants were recruited into this study. The results showed that older adults who had received HCBS reported significantly higher EQ-5D-3 L scores (coefficient = 0.013, p < 0.001) compared with those who had not received HCBS, which mainly due to the positive effects of HCBS on the health dimensions of self-care (OR = 0.530, p < 0.001), usual activity (OR = 0.720, p < 0.001), and anxiety/depression (OR = 0.829; p = 0.001). The older adults with chronic diseases, single or living in rural areas were found to benefit more from HCBS.

conclusionHCBS may increase the level of self-perceived health for older adults by providing daily care support, promoting social participation, and alleviating psychological stress. To improve the health of older adults, it is recommended to further expand the coverage of HCBS, prioritize those who are likely to benefit from it (e.g., single, chronically ill, and rural older adults), and optimize the interventions for pain management and mobility support.

Indexed as

Community Health ServicesHome Care ServicesQuality of LifeAgedAged, 80 and overChinaEast Asian PeopleFemaleHealth StatusHumansLongitudinal StudiesMaleMiddle AgedSurveys and QuestionnairesEQ-5DHealth-related quality of lifeHome- and community-based servicesOlder adults

Identifiers

PMID41250087
PMCPMC12625256

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.