高齢者の健康フレイル形成における地域高齢者ケアと社会保障の役割:中国の縦断的視点
Hu Ren Feng1, Liang Sheng Feng1
1School of Public Administration, Changchun University of Technology, Changchun, China.
Abstract:
Using five waves (2005-2018) of the China Longitudinal Healthy Longevity Survey, this study examines how community home-based elderly care services and social-security coverage jointly shape trajectories of multidimensional frailty. Latent growth and Croon-corrected structural equation models show that community services alone have no significant effect, whereas their integration with social security reduces both baseline frailty and its progression. Chain mediation reveals cross-domain pathways, particularly the social-psychological-physiological sequence. These findings highlight the role of community services as mechanisms translating institutional support into sustained health gains in later life.
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