The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018

doi:10.1186/s12939-021-01544-w

. 2021 Sep 8;20(1):203.

doi: 10.1186/s12939-021-01544-w.

The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Zhang Yue^#¹, Nan Xiang^#¹, Huwei Li¹, Erpeng Liu^{2

3}

Affiliations

¹ School of Public Administration, Zhongnan University of Economics and Law, Wuhan, 430073, China.
² Institute of Income Distribution and Public Finance, Zhongnan University of Economics and Law, Room 130 in the Wenqin Building, No. 182 Nanhu Road, Donghu New Technology Development Zone, Wuhan, 430073, China. whubest@163.com.
³ Population and Health Research Centre, Zhongnan University of Economics and Law, Wuhan, 430073, China. whubest@163.com.

^# Contributed equally.

PMID: 34496852
PMCID: PMC8424406
DOI: 10.1186/s12939-021-01544-w

The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Zhang Yue et al. Int J Equity Health. 2021.

. 2021 Sep 8;20(1):203.

doi: 10.1186/s12939-021-01544-w.

Authors

Zhang Yue^#¹, Nan Xiang^#¹, Huwei Li¹, Erpeng Liu^{2

3}

Affiliations

¹ School of Public Administration, Zhongnan University of Economics and Law, Wuhan, 430073, China.
² Institute of Income Distribution and Public Finance, Zhongnan University of Economics and Law, Room 130 in the Wenqin Building, No. 182 Nanhu Road, Donghu New Technology Development Zone, Wuhan, 430073, China. whubest@163.com.
³ Population and Health Research Centre, Zhongnan University of Economics and Law, Wuhan, 430073, China. whubest@163.com.

^# Contributed equally.

PMID: 34496852
PMCID: PMC8424406
DOI: 10.1186/s12939-021-01544-w

Abstract

Background: To address the challenge of the aging population, community-based care services (CBCS) have been developed rapidly in China as a new way of satisfying the needs of elderly people. Few studies have described the evolution trend of availability of CBCS in rural and urban areas and evaluated their effectiveness. This study aims to show the availability of China's CBCS and further analyze the effect of the CBCS on the cognitive function of elderly people.

Methods: Longitudinal analysis was performed using data from the 2008 to 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). A total of 23937 observations from 8421 elderly people were included in the study. The Chinese version of the Mini-Mental State Examination (MMSE) was used to assess cognitive function. We aggregated similar CBCS to generate three binary variable categories (daily life support, emotional comfort and entertainment services, medical support and health services) indicating the availability of CBCS (1 = yes, 0 = no). Multilevel growth models were employed to estimate the association between CBCS and cognitive function while adjusting for many demographic and socioeconomic characteristics.

Results: The availability of CBCS increased a lot from 2008 to 2018 in China. Although the availability of CBCS in urban areas was higher than that in rural areas in 2008, by 2018 the gap narrowed significantly. Emotional comfort and entertainment services (B = 0.331, 95% CI = 0.090 to 0.572) and medical support and health services (B = 1.041, 95% CI = 0.854 to 1.228) were significantly and positively associated with cognitive function after adjusting for the covariates.

Conclusion: There was a significant increase in the availability of CBCS from 2008 to 2018 in China. This study sheds light on the positive correlation between CBCS and cognitive function among Chinese elderly individuals. The results suggest that policymakers should pay more attention to the development of CBCS and the equity of the supply of CBCS in urban and rural areas.

Keywords: Chinese elderly people; City-rural disparity; Cognitive function; Community-based care services; Evolution trend.

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Conflict of interest statement

The authors declare no competing interests.

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References

1. National Bureau of Statistics: Communiqué of China’s 7th national population census. Available from:http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html. [cited 11 May 2021].
1. United Nations. World population prospects: The 2012 revision. Available from: http://esa.un.org/unpd/wpp/Excel-Data/population.html. [cited 6 Feb 2021].
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1. National Health Commission of the People’s Republic of China: Healthy China Action: health promotion action for the elderly. 29 Jul 2019. Available from: http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11182&gecstype=1.
1. Dang JW, Wei YY, Liu NN. Survey on the living conditions of China’s urban and rural elderly. Beijing: Social Sciences Academic Press; 2018.

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[1] National Bureau of Statistics: Communiqué of China’s 7th national population census. Available from:http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html. [cited 11 May 2021].

[2] National Bureau of Statistics: Communiqué of China’s 7th national population census. Available from:http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html. [cited 11 May 2021].

[3] United Nations. World population prospects: The 2012 revision. Available from: http://esa.un.org/unpd/wpp/Excel-Data/population.html. [cited 6 Feb 2021].

[4] United Nations. World population prospects: The 2012 revision. Available from: http://esa.un.org/unpd/wpp/Excel-Data/population.html. [cited 6 Feb 2021].

[5] Liao SH, Wang GZ. Prevalence, changing trend of the elderly disability in China. Chin J Popul Sci. 2021;1:38–49.

[6] Liao SH, Wang GZ. Prevalence, changing trend of the elderly disability in China. Chin J Popul Sci. 2021;1:38–49.

[7] National Health Commission of the People’s Republic of China: Healthy China Action: health promotion action for the elderly. 29 Jul 2019. Available from: http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11182&gecstype=1.

[8] National Health Commission of the People’s Republic of China: Healthy China Action: health promotion action for the elderly. 29 Jul 2019. Available from: http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11182&gecstype=1.

[9] Dang JW, Wei YY, Liu NN. Survey on the living conditions of China’s urban and rural elderly. Beijing: Social Sciences Academic Press; 2018.

[10] Dang JW, Wei YY, Liu NN. Survey on the living conditions of China’s urban and rural elderly. Beijing: Social Sciences Academic Press; 2018.

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The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Affiliations

The evolution trend of availability of China's community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Authors

Affiliations

Abstract

Conflict of interest statement

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