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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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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      dt: 4/9/2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/hsc/9920025
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        atl: The Effect of Home‐ and Community‐Based Eldercare Services on Depression in the Elderly: Evidence From China Longitudinal Aging Social Survey.
      aug:
        au:
          Zhou, Mei
          Zhou, Xuan
          Liu, Chunmei
          Chen, Yuxiao
          Liang, Zurong
        affil: School of Public Administration,, Southwestern University of Finance and Economics,, Chengdu, Sichuan, China, scu.edu.cn
      sug:
        subj:
          Community Health Services Evaluation
          Home Health Care
          Depression In Old Age
          Mental Health
          China
          Human
          Funding Source
          Aged
          Confidence Intervals
          Models, Statistical
          Female
          Aged: 65+ years
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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