Evidence map›Paper›PMID 41158557›Full record

ArticleFrontiers in public health2025

Effects of access to primary healthcare services on health vulnerability among older adults in China: focusing on demographic differences.

Ningli Zhu, Jun Li, Xiaohui Liu, Lei Luo, Wenwen Cheng, Xiaoyu Li, Chen Yu, Siyu Zhang, Liang Zhu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ningli Zhu *Department of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Jun Li *The First Affiliated Hospital of the Fourth Military Medical University, Xi'an, Shaanxi, China.
Xiaohui Liu *Xijing 986 Hospital Department, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Lei Luo *Department of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Wenwen ChengDepartment of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Xiaoyu LiDepartment of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Chen YuDepartment of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Siyu ZhangDepartment of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Liang ZhuDepartment of Health Service Management and Medical Education, School of Preventive Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Against the backdrop of an aging population, older adults are confronted with multifaceted challenges, including physiological decline, uneven distribution of medical resources, and economic constraints, which collectively exacerbate their health vulnerability. This study aims to examine the impact of primary healthcare accessibility on health vulnerability among older adults and to explore disparities in access to primary care services across different demographic groups, thereby providing an empirical foundation for promoting healthy aging. Methods: An online survey was conducted among 398 older adults in China to assess health vulnerability and accessibility to village clinics and township health centers. A baseline model and a multi-group structural equation model were used to analyze the effect of primary healthcare accessibility on health vulnerability. Results: While overall health vulnerability among older adults remained relatively high, accessibility to primary healthcare services was generally favorable. Compared to village clinics, township health centers have significantly higher accessibility. Furthermore, demographic variables such as gender, education level, and marital status demonstrated heterogeneous effects within this relationship. Conclusion: Policy efforts should prioritize enhancing resource allocation and service capacity at the village clinic level. Concurrently, greater attention should be devoted to ensuring healthcare equity for vulnerable subgroups, including women, those living alone, and individuals with lower educational attainment, within the primary healthcare system. These measures will contribute to reducing health vulnerability among older adults and advancing the goal of healthy aging.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityPrimary Health CareVulnerable PopulationsAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedSocioeconomic FactorsSurveys and Questionnairesageingcomparative analysishealth vulnerabilityprimary healthcare servicesstructural equation modeling

Identifiers

PMID41158557
PMCPMC12554615

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.