The Effect of Home‐ and Community‐Based Eldercare Services on Depression in the Elderly: Evidence From China Longitudinal Aging Social Survey.

Objective: Aimed to examine the impact of home‐ and community‐based eldercare services on depression in the elderly. Methods: Data were obtained from the China Longitudinal Aging Social Survey (CLASS) 2014, 2016, 2018, and 2020, the final sample comprised 33,437 observations. Leveraging a quasi‐natu...

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Detalles Bibliográficos
Publicado en:Health & Social Care in the Community Vol. 2026; pp. 1 - 14
Autores principales: Zhou, Mei, Zhou, Xuan, Liu, Chunmei, Chen, Yuxiao, Liang, Zurong
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/9/2026
Acceso en línea:Ver este registro en EBSCOhost
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Sumario:Objective: Aimed to examine the impact of home‐ and community‐based eldercare services on depression in the elderly. Methods: Data were obtained from the China Longitudinal Aging Social Survey (CLASS) 2014, 2016, 2018, and 2020, the final sample comprised 33,437 observations. Leveraging a quasi‐natural experimental design based on China's pilot programs for home‐ and community‐based eldercare services, a quasi‐experimental staggered difference‐in‐differences analysis compared changes in depressive symptoms between exposed and unexposed elderly. Results: The pilot programs for home‐ and community‐based eldercare services significantly improved depressive symptoms among elderly individuals (Coef. = 0.962, 95% CI [0.299, 1.625], p = 0.005), and increased the probability of being nondepressed (Coef. = 0.120, 95% CI [0.032, 0.208], p = 0.008). Heterogeneity analyses indicated that the policy had a more pronounced impact on the elderly individuals characterized as urban, living with family, females, and those community engaged. Among the different service models, life care and psychological comfort services notably enhanced elderly mental health, while the effects of healthcare services were less effective. Conclusion: Social support has a positive impact on the mental health of the elderly, and more comfort services are in demand, especially for rural and solitary older people.