The impact of contracted family doctor services on social adaptability among middle-aged and older adults in rural China: the mediating role of regular health management.

ABSTRACT:

Purpose

Social adaptability is essential for healthy aging. This study examines how Contracted Family Doctor Services (CFDS) affect social adaptability in rural Chinese middle-aged and older adults, assessing the mediating role of regular health management (RHM).

Methods and materials

Using national cross-sectional data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), we analyzed 13,895 community-dwelling adults. We employed generalized linear models (GLM), mediation analysis, and an instrumental variable-based control function approach (IV-CFA) to evaluate causality and control for confounding.

Results

Research demonstrated that CFDS participation was significantly associated with enhanced social adaptability (β = 0.204, p < 0.01). RHM partially

SUBMITTER: Yang F 

PROVIDER: S-EPMC12502346 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature