Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China
ObjectiveThis study aims to investigate the impact of social isolation on the utilization of primary health services among older adults in China.MethodsData from the China Longitudinal Aging Social Survey (CLASS) conducted in 2018 were utilized. A binary logistic regression model was established, an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1341304/full |
| _version_ | 1797258769843879936 |
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| author | Xinlong Xie Yanxia Lyu Yanxia Lyu Xinyu Li Zhiruo Zhuang Aijun Xu Aijun Xu |
| author_facet | Xinlong Xie Yanxia Lyu Yanxia Lyu Xinyu Li Zhiruo Zhuang Aijun Xu Aijun Xu |
| author_sort | Xinlong Xie |
| collection | DOAJ |
| description | ObjectiveThis study aims to investigate the impact of social isolation on the utilization of primary health services among older adults in China.MethodsData from the China Longitudinal Aging Social Survey (CLASS) conducted in 2018 were utilized. A binary logistic regression model was established, and propensity score matching (PSM) was employed for analysis.ResultsThe results of the binary logistic regression showed that family isolation within social isolation had a significant negative impact on the utilization of primary health services for older adults. In contrast, there was no significant association between friend isolation, community isolation, and the utilization of primary health services. Furthermore, the PSM results, using three matching methods (nearest neighbor matching, radius matching, and kernel matching), confirmed that family isolation significantly reduced older adults’ utilization of primary health services, consistent with the baseline regression findings.ConclusionReducing the occurrence of family isolation among older adults may be a cost-effective intervention measure. Efforts should be directed toward improving family support for older adults, promoting the utilization of primary health services, and strengthening disease prevention. |
| first_indexed | 2024-04-24T22:58:48Z |
| format | Article |
| id | doaj.art-f447271078bf4ee980be67fcba8f0935 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-24T22:58:48Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-f447271078bf4ee980be67fcba8f09352024-03-18T04:32:16ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-03-011210.3389/fpubh.2024.13413041341304Exploring the association between social isolation and utilization of primary health services by older adults: evidence from ChinaXinlong Xie0Yanxia Lyu1Yanxia Lyu2Xinyu Li3Zhiruo Zhuang4Aijun Xu5Aijun Xu6School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Research Center for Major Health Risk Management and TCM Control Policy, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Research Center for Major Health Risk Management and TCM Control Policy, Nanjing University of Chinese Medicine, Nanjing, ChinaObjectiveThis study aims to investigate the impact of social isolation on the utilization of primary health services among older adults in China.MethodsData from the China Longitudinal Aging Social Survey (CLASS) conducted in 2018 were utilized. A binary logistic regression model was established, and propensity score matching (PSM) was employed for analysis.ResultsThe results of the binary logistic regression showed that family isolation within social isolation had a significant negative impact on the utilization of primary health services for older adults. In contrast, there was no significant association between friend isolation, community isolation, and the utilization of primary health services. Furthermore, the PSM results, using three matching methods (nearest neighbor matching, radius matching, and kernel matching), confirmed that family isolation significantly reduced older adults’ utilization of primary health services, consistent with the baseline regression findings.ConclusionReducing the occurrence of family isolation among older adults may be a cost-effective intervention measure. Efforts should be directed toward improving family support for older adults, promoting the utilization of primary health services, and strengthening disease prevention.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1341304/fullsocial isolationutilization of primary health servicespropensity score matching (PSM)Chinese older adultsfamily isolationfriend isolation |
| spellingShingle | Xinlong Xie Yanxia Lyu Yanxia Lyu Xinyu Li Zhiruo Zhuang Aijun Xu Aijun Xu Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China Frontiers in Public Health social isolation utilization of primary health services propensity score matching (PSM) Chinese older adults family isolation friend isolation |
| title | Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China |
| title_full | Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China |
| title_fullStr | Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China |
| title_full_unstemmed | Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China |
| title_short | Exploring the association between social isolation and utilization of primary health services by older adults: evidence from China |
| title_sort | exploring the association between social isolation and utilization of primary health services by older adults evidence from china |
| topic | social isolation utilization of primary health services propensity score matching (PSM) Chinese older adults family isolation friend isolation |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1341304/full |
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