Community health follow-up management and association with mental health among disabled residents:a population-based cross-sectional study based on the long-term care insurance system
10.3969/j.issn.1672-8467.2025.02.012
- VernacularTitle:社区健康随访管理与失能居民心理健康的关联性:一项基于长期护理保险的人群横断面研究
- Author:
Li-juan WANG
1
;
Yan HAN
;
Wei DAI
;
Hui LI
;
Jun-ling GAO
;
Yao LIU
;
Ya-ping ZHANG
Author Information
1. 上海市闵行区梅陇社区卫生服务中心公共卫生中心 上海 201100
- Publication Type:Journal Article
- Keywords:
long-term care insurance;
anxiety symptoms;
depression symptoms;
community;
health follow-up
- From:
Fudan University Journal of Medical Sciences
2025;52(2):256-262,269
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between community health follow-up management and the mental health of the long-term care insurance residents,and to provide a basis for the construction of an integrated community home care service mode for disabled elders.Methods The residents were selected through cluster sampling who participated in LTCI home care from Jan 1 to Dec 31,2021.After a year of participation,the subjects'mental health was assessed face-to-face by trained community doctors using the Self-Rating Anxiety Scale and the Self-Rating Depression Scale.By referring to residents'electronic health records combined with on-site questionnaire survey,community doctors collected the demographic information and health follow-up management provided by primary medical and health institutions.The multivariate logistic regression were conducted to evaluate the association between follow-up care and mental health outcomes.Results The study consisted of 399 LTCI-enrolled individuals,57.64%(n=230)received follow-up care by family physicians.The prevalence of anxiety and depression among participants was 19.80%(n=79)and 67.67%(n=270),respectively.Univariate analysis found that community health follow-up management could underscore the potential impact of follow-up care in mitigating anxiety(χ2=38.926,P<0.001)and depression(χ2=14.598,P<0.001)among LTCI enrollees.Multivariate analysis revealed that follow-up care was an independent protective factor against anxiety(adjusted OR=0.351,95%CI:0.176-0.701,P=0.003).However,follow-up care did not significantly impact depression prevalence.Additionally,LTCI grade and education level were also identified factors influencing the mental health of participants(P<0.05).Conclusion Community health service centers provide health follow-up management that plays a positive role in alleviating the anxiety symptoms of disabled residents under long-term care insurance home care.It is an effective way to improve the quality of LTCI home care services.
