{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:47:38Z","timestamp":1775890058718,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the impact of community\u2010based long\u2010term care (LTC) on self\u2010rated and observer\u2010rated health (ORH) among older adults in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional observational study using repeated cross\u2010sectional data from the Chinese Longitudinal Healthy Longevity Survey (2011, 2014 and 2018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multivariate regression models were employed to examine the association between community\u2010based LTC and both self\u2010rated and ORH among older adults. Robustness was assessed using objective health indicators and alternative model specifications. Propensity score matching was used to minimise selection bias. Subgroup analyses were conducted by age, gender, living arrangement and urban versus non\u2010urban residence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Community\u2010based LTC was significantly associated with higher self\u2010rated health and higher ORH among older adults. Robustness checks using objective measures\u2014such as hypertension and activities of daily living\u2014and alternative analytic strategies confirmed these findings. The beneficial effects were more pronounced among women, those aged 75 and above, those living alone and urban residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Community\u2010based LTC significantly improves both subjective and objective health outcomes among older adults in China. The effects are particularly strong for women, those aged 75 and above, those living alone and urban residents, highlighting the importance of targeting vulnerable groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Expanding and improving community\u2010based LTC is essential for meeting the diverse needs of China's ageing population. These findings provide valuable insights for nursing professionals and health policymakers working to promote healthy ageing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study demonstrates that community\u2010based LTC improves health outcomes among older adults in China. The results offer important guidance for nursing practice and health policy supporting healthy ageing, especially in rapidly ageing societies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study adheres to the STROBE guidelines for reporting observational studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study did not include patient or public involvement in its design, conduct, or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70152","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T05:28:55Z","timestamp":1755667735000},"page":"4943-4954","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Community\u2010Based Long\u2010Term Care on the Health of Older Adults: A Quantitative Study"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4283-9328","authenticated-orcid":false,"given":"Yang","family":"Yi","sequence":"first","affiliation":[{"name":"School of Government Nanjing University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cangcang","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Health Policy and Management Nanjing Medical University  Nanjing China"},{"name":"Laboratory for Digital Intelligence &amp; Health Governance Nanjing Medical University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","unstructured":"Bakar A. 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