Do Community Home-Based Elderly Care Services Improve Life Satisfaction of Chinese Older Adults? An Empirical Analysis Based on the 2018 CLHLS Dataset

Zhang, Zhao; Mao, Yihua; Shui, Yueyao; Deng, Ruyu; Hu, Yu‐Chen

doi:10.3390/ijerph192315462

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…In addition, the findings have indicated the importance of community services for older adults, which have been pointed out by Zhang & Su [ 27 ], Wei and Wang [ 28 ], and Yu et al [ 29 ]. But Zhang & Su, Wei and Wang, and Yu et al just examined the importance of the number of community service items, without considering the impacts of specific community items on maintaining their cognitive functions.…”

Section: Discussionmentioning

confidence: 72%

Association of home and community-based services and cognitive function of Chinese older adults: social participation as a mediator

Lin,

Yin,

Yuan

2023

BMC Geriatr

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Background This study makes an effort to examine the impact of home and community-based services on maintaining cognitive function and understand the mediating effect of social participation on the relationship of community services and older adults’ cognitive function in China. Method The empirical data comes from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). A total of 38,582 (person-time) respondents were gathered for this study. The two-way fixed effects regression model is used to estimate the associations between independent variables, mediating variables and cognitive ability after controlling for socio-demographic, family responsibility, and time variables. Result This study has confirmed that participating in daily and social activities is associated with the cognitive functions of Chinese older adults. Social participation can stimulate cognition. Active participation in outdoor activities, doing housework or taking care of kids, daily playing cards or mah-jong, reading books and newspapers, watching TV, and listening to the radio can significantly promote the cognitive ability of older adults. In addition, the findings have indicated the importance of community services for older adults. This study shows personal daily care services, legal aid services, health education services, as well as dealing with family and neighborhood disputes have a positive effect on maintaining older adults’ cognitive functions. Meanwhile, the provision of door-to-door medical services hurts their cognitive functions. This study also illustrates that community-based services can increase the level of older adults’ social participation, and then enhance their level of cognitive function. Conclusion This study can inform service provision agencies to develop targeted programs to support older adults’ continued engagement.

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Section: Discussionmentioning

confidence: 72%

Association of home and community-based services and cognitive function of Chinese older adults: social participation as a mediator

Lin,

Yin,

Yuan

2023

BMC Geriatr

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“…This may be due to the fact that people who are older and have limited physical abilities usually have poorer physical function, and the informal care has not been able to address significantly the needs of them ( 31 ). Therefore, they have a greater need for CHECS to meet their basic needs ( 32 ).…”

Section: Resultsmentioning

confidence: 99%

The impact of using community home-based elderly care services on older adults’ self-reported health: fresh evidence from China

He,

Wei,

2023

Front. Public Health

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BackgroundThe rapid population aging in China, characterized by a higher prevalence of illnesses, earlier onset of diseases, and longer durations of living with ailments, substantially engenders challenges within the domain of older adults’ healthcare. Community home-based elderly care services (CHECS) are a feasible solution to solve the problem of older adults’ care and protect older adults’ health. The aim of this study is to investigate the relationship, heterogeneity effects and influential mechanisms between older adults’ use of CHECS and their self- reported health.MethodsThe study employs the Instrumental Variable technique and empirically investigates the relationship, heterogeneity effects and influential mechanisms between older adults using CHECS and their self-reported health using data from the China Longitudinal Aging Social Survey from 2018.ResultsThe findings indicate, firstly, that using CHECS considerably improves older adults’ self-reported health. Secondly, the heterogeneity test reveals that the effect is more pronounced for older adults who are under the age of 80, have functional disabilities, are free of chronic diseases, have never attended school, reside in lower-income households, are single, rarely interact with their children, and live in central urban or city/county regions. Thirdly, the mechanism test reveals that the “social network effect” and “family care effect” are the key influence channels of using CHECS.ConclusionAn empirical foundation for the policy reform of community home-based care for seniors is provided by this study with the limitations to discuss the other socioeconomic aspects such as government health expenditure and discuss the specific services aspects such as health care. The findings carry substantial implications for improving the health of older individuals and provide suggestions for establishing a socialized aged care system in China.

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“…Given the insu cient data on care utilization, studies conducted by Jasani et al [34], resort to using availability as a proxy. Previous research, including studies by Yue et al [21], Zhang et al [35], Ma and Shen [9] employed the availability of formal home and community-based care in CLHLS datasets to evaluate the effect of these services on health. In line with these studies, we also adopt this proxy to assess the effect of these services on informal care on health.…”

Section: Discussionmentioning

confidence: 99%

Can formal home and community-based long-term care replace informal care? Evidence from Chinese Longitudinal Healthy Longevity Survey

Yang,

Wang

2024

Preprint

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Background Formal home and community-based long-term care (LTC) are often considered the preferable option for long-term care, offering older individuals the convenience of receiving care in their homes. Research indicates that these services may alleviate the burden on informal caregivers. However, there is a lack of clarity on which specific types of formal home and community-based LTC impact informal care provision. This study aims to address this research gap by exploring the unique effects that various formal home and community based LTC services have on reducing the burden of informal care. Methods This study draws upon data from the Chinese Longitudinal Healthy Longevity Survey 2005, 2008, 2011, 2014, and 2018. Employing fixed-effects and quantile regression models, this study investigates whether various forms of formal home and community-based care reduce care hours and associated costs of informal care for older individuals with functional limitations in China. Results Two specific types of formal care substantially influence the provision of informal care. The presence of daily living assistance services correlates with reduced informal caregiving hours, especially for those with extensive informal care needs. The availability of community-based health care services is linked to a decrease in the direct expenses incurred from informal caregiving, especially for those incurring greater direct caregiving costs. These negative effects are more prominent among urban residents. Other services, such as mental health support and legal advice services, do not demonstrate significant effects on alleviating informal care hours and costs. Conclusions Daily living assistance and community-based health care services in the community play a crucial role in benefiting the older individuals. It is important to prioritize the expansion of such services, while simultaneously addressing disparities in their distribution.

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Do Community Home-Based Elderly Care Services Improve Life Satisfaction of Chinese Older Adults? An Empirical Analysis Based on the 2018 CLHLS Dataset

Cited by 11 publications

References 36 publications

Association of home and community-based services and cognitive function of Chinese older adults: social participation as a mediator

Association of home and community-based services and cognitive function of Chinese older adults: social participation as a mediator

The impact of using community home-based elderly care services on older adults’ self-reported health: fresh evidence from China

Can formal home and community-based long-term care replace informal care? Evidence from Chinese Longitudinal Healthy Longevity Survey

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