{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:59:20Z","timestamp":1790830760417,"version":"4.1.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify the latent profiles and network structure of care demands among disabled older adults in integrated medical and nursing care institutions, and to provide empirical evidence for service provision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Convenience sampling was used to select 443 disabled older adults from 16 integrated medical and nursing care institutions in Pudong New Area, Shanghai. Face-to-face surveys were conducted using a general information questionnaire and a service demands questionnaire. Latent profile analysis was employed to identify care demand profiles and their influencing factors, while network analysis was applied to construct the demand network and compare network differences across profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Latent profile analysis identified three care demand profiles: the \u201cLow-demand expression group\u201d (76.4%), the \u201cMultidimensional high-demand group\u201d (18.5%), and the \u201cPsychological-prominent demand group\u201d (5.1%). Age, gender, pre-retirement occupation, and frequency of children\u2019s visits were independent influencing factors for profile membership (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt;0.05). The overall network analysis revealed that chronic disease management health education and safety prevention health education served as bridge demands. In both the overall and subgroup network analyses, excretion care and rehabilitation assessment were core demands. Subgroup comparison showed that the strongest edge in the \u201cLow-demand expression group\u201d crossed dimensions, whereas the strongest edge in the \u201cMultidimensional high-demand group\u201d was concentrated within dimensions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The care demands of disabled older adults in integrated medical and nursing care institutions are typologically differentiated and shaped by multiple factors. The association structures among care demands differ fundamentally across demand types. Therefore, institutions should consider both the demand classification and network structures when allocating care resources, rather than determining service priorities based solely on the average scores of individual demand items.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1938348","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:40:20Z","timestamp":1790829620000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Influencing factors and network analysis of latent profiles of care demands among disabled older adults in integrated medical and nursing care institutions in Shanghai, China: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Xu","family":"Ao","sequence":"first","affiliation":[{"name":"School of Nursing, Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun","family":"Haijing","sequence":"additional","affiliation":[{"name":"School of Nursing, Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun","family":"Hongmei","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Lihua","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Yanmei","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"ref1","volume-title":"World Population Ageing 2020: Highlights","year":"2020"},{"key":"ref2","volume-title":"Ageing and disability","year":""},{"key":"ref3","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1186\/s12877-025-05129-8","article-title":"Functional disability in basic and instrumental activities of daily living among older adults globally: a systematic review and meta-analysis","volume":"25","author":"Amlak","year":"2025","journal-title":"BMC Geriatr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"205","DOI":"10.3760\/cma.j.cn112137-20250812-02052","article-title":"Expert consensus on disability assessment of the elderly population in the community (2026 edition)","volume":"106","year":"2026","journal-title":"Natl Med J China"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2331","DOI":"10.2147\/JMDH.S431629","article-title":"Understanding care needs of older adults with disabilities: a scoping review","volume":"17","author":"Zhou","year":"2024","journal-title":"J Multidiscip Healthc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"3054","DOI":"10.1111\/bcp.15867","article-title":"Quality indicators for safe and effective use of medications in long-term care settings: a systematic review","volume":"91","author":"Gutteridge","year":"2025","journal-title":"Br J Clin Pharmacol"},{"key":"ref7","first-page":"219","article-title":"Functional decline of the elderly in a nursing home","volume":"47","author":"Ang","year":"2006","journal-title":"Singapore Med J"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"106047","DOI":"10.1016\/j.jamda.2025.106047","article-title":"Leveraging an AI-driven voice companion to enhance mental health in older adults in post-acute and long-term care settings: a feasibility study","volume":"27","author":"Palace","year":"2026","journal-title":"J Am Med Dir Assoc"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1186\/s12877-025-06324-3","article-title":"Social isolation risks and preventive strategies for residents in long-term care facilities in China: an interview-based study with staff in facilities","volume":"25","author":"Li","year":"2025","journal-title":"BMC Geriatr"},{"key":"ref10","first-page":"140","article-title":"A study on the characteristics, trend, and problems of family structural changes in China: based on the analysis of the national census micro-data","volume":"61","author":"Wang","year":"2024","journal-title":"Journal of Peking University (Philosophy and Social Sciences)"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"468","DOI":"10.12114\/j.issn.1007-9572.2019.04.020","article-title":"Ability status and influencing factors of older adults in elderly care institutions","volume":"22","author":"Wang","year":"2019","journal-title":"Chin Gen Pract"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"3110","DOI":"10.3760\/cma.j.cn115682-20201105-06394","article-title":"Disability status and analysis of the elderly in medical-nursing integrated pension institutions in Beijing","volume":"27","author":"Liu","year":"2021","journal-title":"Chin J Mod Nurs"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1007\/s12603-021-01623-9","article-title":"Medical and old-age care integration model and implementation of the integrated care of older people (ICOPE) in China: opportunities and challenges","volume":"25","author":"Zhou","year":"2021","journal-title":"J Nutr Health Aging"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"6","DOI":"10.14055\/j.cnki.33-1056\/f.2025.07.006","article-title":"Practical dilemmas and governance strategies of medical-elderly integrated services under the supply-demands equilibrium framework","volume":"42","author":"Zhu","year":"2025","journal-title":"Health Econ Res"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"822","DOI":"10.12114\/j.issn.1007-9572.2023.0153","article-title":"Quality evaluation on integrated elderly care and medical services based on the perspective of differences between public and private nursing institutions","volume":"27","author":"Zhang","year":"2024","journal-title":"Chin Gen Pract"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"512","DOI":"10.11847\/zgggws1119001","article-title":"Status quo, problems and countermeasures for endowment model combining medication and elderly care in China","volume":"35","author":"Zheng","year":"2019","journal-title":"Chin J Public Health"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"989","DOI":"10.1186\/s12877-022-03562-7","article-title":"The unmet needs of older adults living in nursing homes in mainland China: a nation-wide observational study","volume":"22","author":"Huang","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1786","DOI":"10.3969\/j.issn.1007-9572.2015.15.011","article-title":"Investigation on medical service status and demands of older adults in different types of elderly care institutions","volume":"18","author":"Zhang","year":"2015","journal-title":"Chin Gen Pract"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3449","DOI":"10.12114\/j.issn.1007-9572.2020.00.427","article-title":"Development, reliability and validity test of Kano attribute questionnaire on service demands of older adults in medical-elderly integrated care institutions","volume":"23","author":"Liu","year":"2020","journal-title":"Chin Gen Pract"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"38","DOI":"10.3969\/j.issn.1671-315x.2022.01.008","article-title":"Study on the matching status of service supply and demand for disabled elderly in medical and nursing institutions","volume":"22","author":"Xu","year":"2022","journal-title":"J Nurs Adm"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1353\/mpq.2006.0029","article-title":"Person-centered and variable-centered approaches to longitudinal data","volume":"52","author":"Laursen","year":"2006","journal-title":"Merrill-Palmer Q"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/1471-2318-9-6","article-title":"Health status transitions in community-living elderly with complex care needs: a latent class approach","volume":"9","author":"Lafortune","year":"2009","journal-title":"BMC Geriatr"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/s12913-026-10345-9","article-title":"Identifying core community care demands and influencing factors among pre-frail and frail older adults in China: a cross-sectional network analysis","volume":"26","author":"Ni","year":"2026","journal-title":"BMC Health Serv Res"},{"key":"ref24","volume-title":"Shanghai Statistical Yearbook 2025","year":"2025"},{"key":"ref25","volume-title":"Specification for Ability Assessment of the Elderly","year":"2022"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1016\/S0895-4356(96)00210-2","article-title":"A simulation study of the number of events per variable in logistic regression analysis","volume":"49","author":"Peduzzi","year":"1996","journal-title":"J Clin Epidemiol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1177\/2378614X18789562","article-title":"Ten frequently asked questions about latent class analysis","volume":"4","author":"Nylund-Gibson","year":"2018","journal-title":"Transl Issues Psychol Sci"},{"key":"ref28","first-page":"28","article-title":"Analysis of symptom clusters and the network characteristics in patients with gestational diabetes mellitus in late pregnancy","volume-title":"J Nurs Sci","author":"Peng","year":"2026"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1403","DOI":"10.1136\/bmj.323.7326.1403","article-title":"Randomised comparison of three methods of administering a screening questionnaire to elderly people: findings from the MRC trial of the assessment and management of older people in the community","volume":"323","author":"Smeeth","year":"2001","journal-title":"BMJ"},{"key":"ref30","year":"2025"},{"key":"ref31","year":"2023"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"533","DOI":"10.3760\/cma.j.issn.1674-2907.2020.01.007","article-title":"Development, reliability and validity test of supply-demands matching questionnaire for disabled older adults in medical-elderly integrated care institutions","volume":"20","author":"Xu","year":"2020","journal-title":"J Nurs Adm"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1007\/s11136-014-0752-2","article-title":"Sample size for pre-tests of questionnaires","volume":"24","author":"Perneger","year":"2015","journal-title":"Qual Life Res"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"195","DOI":"10.3758\/s13428-017-0986-1","article-title":"Estimating psychological networks and their accuracy: a tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav Res Methods"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"2761","DOI":"10.3761\/j.issn.0254-1769.2023.22.011","article-title":"A qualitative study on dilemma of \"giving care\" for the disabled elderly in nursing homes from perspective of active health","volume":"58","author":"Zhang","year":"2023","journal-title":"Chin J 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