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Related Experiment Video

Updated: May 6, 2026

Evaluating the Function of the Foot Core System in the Elderly
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From coverage to capability: assessing equitable access to community-based senior meal programs in Shanghai.

Wendi Huang1, Yuanjun Ma1, Jingwen Sun2

  • 1College of Geography and Environmental Sciences, Zhejiang Normal University, 688 Yingbin Road, Jinhua, 321004, China.

BMC Public Health
|May 4, 2026
PubMed
Summary

Government-led senior meal programs in Shanghai show substantial inequality, with lower capability in urban centers and persistent gaps in peripheral areas. A capability-focused approach is needed to ensure equitable access for older residents.

Keywords:
Public–commercial colocationSenior meal programsSpatial accessibilitySpatial equityUrban–rural disparity

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Area of Science:

  • Gerontology
  • Urban Planning
  • Public Health

Background:

  • Shanghai faces rapid population aging, increasing the need for accessible community-based care.
  • Government-led senior meal programs are crucial for supporting healthy aging in place.
  • Evidence on the service capability and spatial equity of these programs is limited.

Purpose of the Study:

  • To assess the spatial equity and service capability of senior meal programs in Shanghai.
  • To identify disparities in access to community-based care for older residents.
  • To inform policy for equitable distribution of senior meal services.

Main Methods:

  • Utilized an improved Gaussian two-step floating catchment area (Ga2SFCA) model.
  • Integrated gridded population data (aged ≥ 60) with facility locations and demographic calibration.
  • Assessed inequality using the Gini coefficient, spatial clustering with Local Moran's I, and public-commercial coordination with Local Colocation Quotient (LCLQ).

Main Results:

  • Significant citywide inequality in per-capita meal-service capability (Gini = 0.619) with urban-rural disparities.
  • Lower capability in central urban areas, higher in suburban town centers, but persistent peripheral service gaps.
  • Supply-demand mismatch exhibited significant spatial clustering, with weaker public-commercial coordination in peri-urban areas.

Conclusions:

  • Administrative coverage targets are insufficient for equitable senior meal service provision.
  • A capability-oriented framework is necessary, prioritizing joint public-commercial provision.
  • Targeted interventions are needed in peripheral areas to improve equitable access for Shanghai's older population.