Preference for the Use of Home and Community-Based Services Among Older Adults With Hearing Loss in Rural China

= 267), to examine HCBS utilization, its determinants, and care preferences. Nationally, only 18.22% of rural older adults with HL reported using HCBS, which is lower than the level in urban areas. Health-related HCBS were the most popular choice, and offspring support, number of children, pension and medical insurance were significantly associated with HCBS utilization. Experimental results further showed that participants showed stronger preferences for interventions emphasizing family welfare and demand-side financial subsidies, indicating strong intergenerational considerations in care decisions. These findings suggest that effective HCBS expansion should integrate intergenerational incentives and targeted subsidies with a family-centered focus on health-related services.

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Publication Details

Journal
Journal of Applied Gerontology
Published
2026-04-21
DOI
https://doi.org/10.1177/07334648261442740
Primary Topic
Family and Disability Support Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Preference for the Use of Home and Community-Based Services Among Older Adults With Hearing Loss in Rural China

Jiamin Gao, Haochen Jiang, Yuying Zhang
Journal of Applied Gerontology
Family and Disability Support Research
article

Preference for the Use of Home and Community-Based Services Among Older Adults With Hearing Loss in Rural China

Jiamin Gao, Haochen Jiang, Yuying Zhang
article en

Abstract

= 267), to examine HCBS utilization, its determinants, and care preferences. Nationally, only 18.22% of rural older adults with HL reported using HCBS, which is lower than the level in urban areas. Health-related HCBS were the most popular choice, and offspring support, number of children, pension and medical insurance were significantly associated with HCBS utilization. Experimental results further showed that participants showed stronger preferences for interventions emphasizing family welfare and demand-side financial subsidies, indicating strong intergenerational considerations in care decisions. These findings suggest that effective HCBS expansion should integrate intergenerational incentives and targeted subsidies with a family-centered focus on health-related services.

Journal of Applied Gerontology
Beijing Normal University (CN), Fuzhou University (CN)
National Social Science Fund of China
Openalex Percentile: Top 8%
Family and Disability Support Research
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Preference for the Use of Home and Community-Based Services Among Older Adults With Hearing Loss in Rural China — Jiamin Gao, Haochen Jiang, et al. · Journal of Applied Gerontology (2026) | TGRS Research Map | TGRS