{
  "abstract": "Background: Home- and community-based care services are expanding in China, but older adults differ substantially in both functional capacity and unmet service needs. This study aimed to identify intrinsic-capacity profiles and patterns of unmet home- and community-based care needs and to examine their associations among community-dwelling older adults in China. Methods: Data were obtained from 10,405 adults aged ≥65 years in the 2018 Chinese Longitudinal Healthy Longevity Survey. Intrinsic-capacity profiles were identified using scale-aware finite-mixture modeling with continuous and ordinal indicators, and unmet-need patterns were identified using latent class analysis. Associations between the two classifications were examined using chi-square tests and multinomial logistic regression. Missing covariate data were handled using 20 multiple imputations, and regression estimates were pooled using Rubin's rules. Results: Five intrinsic-capacity profiles and three unmet-need patterns were identified. The overall crude association between intrinsic-capacity profiles and unmet-need patterns was very small and not statistically significant (χ²(8) = 14.77, p = 0.064; Cramér's V = 0.027). In the primary adjusted model, the Cognition-Preserved Locomotion-Psychological Vulnerability Profile showed the most consistent association with Pattern 1 versus Pattern 3 (OR = 1.30, 95% CI 1.13-1.49), whereas the Very Severe Multidomain Impairment Profile showed a weaker nominal association (OR = 1.40, 95% CI 1.02-1.92) that was not maintained in the extended model. Given the multiple profile contrasts examined, these coefficient-level findings should be interpreted cautiously. No intrinsic-capacity profile was significantly associated with the Low-Need/Light Health Protection Pattern versus the High-Need pattern. Conclusions: Both intrinsic capacity and unmet home- and community-based care needs showed substantial heterogeneity. Intrinsic-capacity profiles alone did not correspond closely to unmet-need patterns, although a specific adjusted association was observed. Integrating intrinsic-capacity assessment with direct evaluation of service needs and broader social and health-related factors may provide a more appropriate basis for person-centered community care planning.",
  "abstract_shown": true,
  "affiliations": [
    "College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.",
    "Nursing Department, West China School of Public Health, West China Fourth Hospital, Sichuan University, Chengdu 610041, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Siyi Qin"
    },
    {
      "affs": [
        0
      ],
      "name": "Yang Luo"
    },
    {
      "affs": [
        0
      ],
      "name": "Miao Lin"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhuonan Wu"
    },
    {
      "affs": [
        1
      ],
      "name": "Hui Chen"
    },
    {
      "affs": [
        1
      ],
      "name": "Guorong Wang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/75ek18d90nfs6.bib",
  "cited_by": 0,
  "doi": "10.3390/healthcare14203412",
  "fulltext_url": "https://europepmc.org/articles/PMC13704391",
  "id": "75ek18d90nfs6",
  "issns": [
    "2227-9032"
  ],
  "landing_url": "https://europepmc.org/article/MED/42940457",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Aging, Health, and Disability"
    ]
  ],
  "openalex": "W7221666881",
  "pdf_url": "https://europepmc.org/articles/PMC13704391?pdf=render",
  "pmcid": "PMC13704391",
  "pmid": "42940457",
  "published": "2026-10-13",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/75ek18d90nfs6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42940457",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42940457"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Aging, Health, and Disability",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Associations Between Intrinsic Capacity Profiles and Unmet Home- and Community-Based Care Need Patterns Among Older Adults in China: A Cross-Sectional Study.",
  "title_text": "Associations Between Intrinsic Capacity Profiles and Unmet Home- and Community-Based Care Need Patterns Among Older Adults in China: A Cross-Sectional Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/75ek18d90nfs6",
  "venue": "Healthcare (Basel, Switzerland)",
  "versions": []
}