Evidence map›Paper›PMID 42254614›Full record

ArticleFrontiers in public health2026

The impact of community-based home care service utilization on intergenerational family support: enhancement or attenuation?

Meiling Du, Yanjun Chen, Liming Xiao, Shuai Liu

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Meiling Du *School of Economics and Management, Shanxi Normal University, Taiyuan, China.
Yanjun Chen *Business School, Beijing Normal University, Beijing, China.
Liming XiaoSchool of Economics and Management, Shanxi Normal University, Taiyuan, China.
Shuai LiuSchool of Economics and Management, Shanxi Normal University, Taiyuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: As population aging intensifies, elder care has emerged as a central issue affecting socioeconomic sustainability, social harmony, and stability. The coordinated development of social care and family-based care has become pivotal to addressing the challenges of elder care. The rise of community-based home care services, while bridging gaps in family-provided care, has also exerted far-reaching effects on intergenerational family support. Therefore, examining the impact of community-based home care service utilization on intergenerational family support carries significant implications for addressing the elder care challenge. Methods: Drawing on data from the 2020 Chinese Longitudinal Aging Social Survey (CLASS) and given the ordinal nature of the dependent variables, this study employs an ordered Probit model, instrumental variable estimation (IV ordered Probit), and propensity score matching (PSM) to examine the effect of community-based home care service utilization on intergenerational family support. Results: Community-based home care service utilization significantly promotes intergenerational economic support, yet has a crowding-out effect on intergenerational instrumental and emotional support. Moderation analysis reveals that co-residence with adult children mitigates the adverse effects of community-based home care service utilization on intergenerational instrumental and emotional support. Heterogeneity analysis indicates that the negative effects on intergenerational instrumental and emotional support are primarily concentrated among urban households, with no statistically significant effect observed among rural households. In contrast, the positive effect on intergenerational economic support is more pronounced in urban households. Discussion: This study provides empirical evidence for understanding the relationship between community-based home care services and intergenerational family support. It delineates the differentiated effects and heterogeneous characteristics of community-based home care service utilization across distinct types of intergenerational support, yielding important policy implications for optimizing the elder care service system and fostering the coordinated development of social care and family-based care.

Indexed as

Family SupportHome Care ServicesIntergenerational RelationsAgedAged, 80 and overChinaFemaleHumansLongitudinal Studiescommunity-based home care service utilizationfamily-based elder careintergenerational economic supportintergenerational emotional supportintergenerational family supportintergenerational instrumental supportsocial elder care

Identifiers

PMID42254614
PMCPMC13236555

What Socratic holds

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LicenceCC BY
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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.