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Age-friendly community environments and the age trajectories of long-term care dependency among Chinese older adults

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  • Nie, Peng
  • Li, Qiaoge

Abstract

In the context of rapid global aging, the importance of age-friendly community environments for promoting healthy aging and “aging in place” continues to increase. Using data from the 2011–2020 China Health and Retirement Longitudinal Study, this study investigated the impact of an age-friendly community environment on the age trajectories of late-life long-term care (LTC) dependency among older Chinese adults aged 60+ years. Age-friendly community environments were defined according to three levels (poor, moderate, or good) based on the World Health Organization's age-friendly city and community framework, and LTC dependency was classified as level 1 (high), level 2 (medium), or level 3 (low) according to activities of daily living and instrumental activities of daily living scores. We classified participants into two age trajectory groups according to their level of LTC dependency: early-onset and late-onset groups. We found that an age-friendly community environment, especially a good housing environment, was consistently associated with the probability of having late-onset LTC dependency at any level. Having moderate and good social and employment environments reduced the likelihood of having early-onset level 2 and level 3 LTC dependency. Our mechanism analysis also revealed that age-friendly community environments affect LTC dependency through social participation. Our results may help elucidate the importance of promoting age-friendly community environments to maintain late-life functional ability and support healthy aging.

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  • Nie, Peng & Li, Qiaoge, 2025. "Age-friendly community environments and the age trajectories of long-term care dependency among Chinese older adults," Social Science & Medicine, Elsevier, vol. 365(C).
    • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010682
    DOI: 10.1016/j.socscimed.2024.117614
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    References listed on IDEAS

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    1. María-Victoria Zunzunegui & Beatriz E. Alvarado & Teodoro Del Ser & Angel Otero, 2003. "Social Networks, Social Integration, and Social Engagement Determine Cognitive Decline in Community-Dwelling Spanish Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(2), pages 93-100.
    2. Pan, Zhuolin & Liu, Yuqi & Liu, Ye & Huo, Ziwen & Han, Wenchao, 2024. "Age-friendly neighbourhood environment, functional abilities and life satisfaction: A longitudinal analysis of older adults in urban China," Social Science & Medicine, Elsevier, vol. 340(C).
    3. Jin Wang & Nan Liu & Xiaoguang Zhao, 2022. "Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults," IJERPH, MDPI, vol. 19(15), pages 1-11, July.
    4. Moogoor, Adithi & Močnik, Špela & Yuen, Belinda, 2022. "Neighbourhood environmental influences on older adults’ physical activities and social participation in Singapore: A photovoice study," Social Science & Medicine, Elsevier, vol. 310(C).
    5. Wooldridge, Jeffrey M., 2007. "Inverse probability weighted estimation for general missing data problems," Journal of Econometrics, Elsevier, vol. 141(2), pages 1281-1301, December.
    6. Ye Luo & Lingling Zhang & Xi Pan & Deborah Carr, 2019. "Neighborhood Environments and Cognitive Decline Among Middle-Aged and Older People in China," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 74(7), pages 60-71.
    7. Kimiko Tomioka & Norio Kurumatani & Hiroshi Hosoi, 2018. "Social Participation and Cognitive Decline Among Community-dwelling Older Adults: A Community-based Longitudinal Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(5), pages 799-806.
    8. Bo Li & Juan Chen, 2022. "Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review," IJERPH, MDPI, vol. 19(19), pages 1-18, October.
    9. Zhu, Yumei & Österle, August, 2017. "Rural-urban disparities in unmet long-term care needs in China: The role of the hukou status," Social Science & Medicine, Elsevier, vol. 191(C), pages 30-37.
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