ArticleBMC health services research2025
Inequality in opportunities for utilizing community-based care services among the elderly in China - an analysis based on the "circumstance-effort" perspective.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- Mechanisms influencing adult children's willingness to use medical visit accompaniment services for older adults in Nanjing: a structural equation modeling study.Frontiers in public health · 2026Article
- Physical activity, chronic disease, depression, and health-related quality of life among Chinese older adults: a two-wave longitudinal panel study before and during COVID-19.Frontiers in public health · 2026Article
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Authors and funding
2 authors.
Funding
Abstract
Based on the "circumstance-effort" framework of inequality of opportunity, this study utilizes microdata from the 2020 China Longitudinal Aging Social Survey (CLASS), employing the ex-ante parametric estimation method and the Shapley decomposition approach to empirically measure the level of opportunity inequality in the utilization of community-based care services among the elderly, as well as the contribution and transmission pathways of various influencing factors. Key findings include: ① The levels of opportunity inequality in overall community-based care services, and their subcategories-medical care, daily-life assistance, and emotional support-range between 0.168 and 0.662, 0.128-0.477, 0.503-0.944, and 0.240-0.927, respectively. These values account for 25.37%, 26.83%, 53.28%, and 25.88% of the total inequality in service utilization, with daily-life assistance showing the most pronounced inequality; ② Regional development, community facilities, family economic status, and filial piety norms-as key environmental factors-primarily transmit opportunity inequality through effort variables such as employment, health behaviors, and participation in social activities; ③ There exists significant heterogeneity across age groups, genders, urban-rural divides, and health statuses in the contribution structure of opportunity inequality, with the disabled elderly experiencing the most severe structural inequality in access to services. Accordingly, policy recommendations are proposed to address these disparities, including reinforcing the principle of equal opportunity, targeting key environmental improvements, empowering individual efforts, and advancing precise service matching to promote equitable development of community-based elder care.
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Registered trials
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 Socratic graph.