ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
This article is part of the Research TopicCaregiving for Older Adults within Community SettingsView all 29 articles
An Analysis of Factors Influencing the Demand for Community-Based Integrated Health and Social Care in Southwestern China
Provisionally accepted
- 1Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, China
- 2West China Second University Hospital, Sichuan University, Chengdu, China
- 3The Second People's Hospital Chengdu, Sichuan, China, Chengdu, China
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Objective: This cross-sectional study investigates the demand for CB-IHSC among older adults in Chengdu and identifies the factors influencing this demand, thereby providing a reference for developing and optimizing such services. Methods: From August to December 2023, 511 eligible older adults residing in the central districts of Chengdu were selected through convenience sampling. Guided by the Andersen Health Service Utilization Behavior Model, the study categorized influencing factors into three dimensions: predisposing factors, enabling factors and need factors. Chi-square tests were first used to identify statistically significant variables within each dimension. These variables were then included in a binary logistic regression model to assess their association with service demand. Model calibration was assessed using the Hosmer–Lemeshow test. Results: Demand for CB-IHSC was high (87.08%). Independent predictors included number of children (OR=2.12), living with spouse (vs alone, Ref; OR=0.48), lower income (OR=0.40), convenient community medical access (OR=1.75), children's support (OR=3.71), lower self-care ability (OR=0.18), poorer self-rated health, and higher awareness. Policies should improve accessibility, financing, and public awareness to increase uptake. Conclusion: To support the sustainable development of CB-IHSC, Chengdu should continue strengthening capacity building in this sector. Efforts should be directed toward establishing diversified financing and support mechanisms, improving the accessibility and convenience of service delivery, and enhancing public awareness and education regarding CB-IHSC.
Keywords: Andersen Health Service Utilization Behavior Model, CB-IHSC, Long-Term Care, Elderly, demand
Received: 12 Aug 2025; Accepted: 10 Nov 2025.
Copyright: © 2025 Zheng, Yang, Zeng, LIAO and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ping Li, 510453441@qq.com
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