As the aging trend intensifies, the Chinese government prioritizes technological innovation in smart elderly care services to enhance quality and efficiency, catering to the diverse needs of the elderly. This study examines the acceptance and usage behavior of smart elderly care services among elderly individuals in Xi’an, using a modified Unified Theory of Acceptance and Use of Technology (UTAUT) model that includes digital literacy as a moderating variable. Data were collected via a survey of 299 elderly individuals aged 60 and above in Xi’an. The study aims to identify factors influencing the acceptance and usage behavior of smart elderly care services and to understand how digital literacy moderates the relationship between these factors and usage behavior. Regression analysis assessed the direct effects of Performance Expectancy (PE), Effort Expectancy (EE), Social Influence (SI), and Facilitating Conditions (FC) on usage behavior. These dimensions were then integrated into a comprehensive index Service Acceptance to evaluate their overall impact on usage behavior, with behavioral intention examined as a potential mediating variable. Results indicate that EE and SI significantly impact the adoption of smart elderly care services, whereas PE and FC do not. Behavioral intention mediates the relationship between these variables and usage behavior. Additionally, gender, age, and digital literacy significantly moderate the impact of service acceptance on usage behavior. This study provides valuable theoretical and practical insights for designing and promoting smart elderly care services, emphasizing the importance of usability and social promotion to enhance the quality of life for the elderly.

The rapid increase in the aging population has raised significant concerns about the living conditions and well-being of elderly residents in old communities. This study addresses these concerns by proposing a Sustainable Urban Renovation Assessment Model (SURAM) specifically designed to enhance elderly-friendly environments in Chongqing City. The model encompasses multiple dimensions, including the comfort of public facilities, service safety and convenience, medical travel services, infrastructure security, life service convenience, neighbor relations, ambulance aid accessibility, commercial service facilities, privacy protection, elderly care facilities and service supply, and medical and health facilities. By employing factor analysis, the study reduces the dimensionality of the 49 indicator factors, allowing for a more focused and comprehensive evaluation of the effectiveness of aging-friendly renovation efforts. The main factors identified in the proposed model include community infrastructure security, elderly comfort of community public facilities, completeness and convenience of surrounding living services, and security and convenience of elderly care services. The results reveal that the age-appropriate comfort of public facilities plays a significant role in achieving successful aging-appropriate renovation outcomes. The findings demonstrate that by addressing specific needs such as safety, accessibility, and convenience, communities can significantly improve the quality of life for elderly residents. Moreover, the application of SURAM provides actionable insights for policymakers, urban planners, and community stakeholders, guiding them in implementing targeted initiatives for sustainable and inclusive urban development.

This study employs logistic regression to investigate determinants influencing active living among elderly individuals, with “Active Living” (1 = Active, 0 = Inactive) as the dependent variable. Analysing data from 500 participants, findings reveal significant associations between active living and variables such as chronic conditions (OR = 0.29, p < 0.001), mental well-being (OR = 1.57, p < 0.001), social support (OR = 5.75, p < 0.001), access to parks/recreational facilities (OR = 2.59, p < 0.001), income levels (OR = 1.82, p = 0.003), cultural attitudes (OR = 2.72, p < 0.001), and self-efficacy (OR = 2.01, p < 0.001). These findings highlight the complex interplay of factors influencing active living among elderly populations. Recommendations include implementing targeted interventions to manage chronic conditions, enhance mental well-being, strengthen social networks, improve access to recreational spaces, provide economic support for fitness activities, promote positive cultural attitudes towards aging, and empower older adults through self-efficacy programs. Such interventions are crucial for promoting healthier aging and fostering sustained engagement in physical activity among older adults.

The consumption of dietary supplements among the elderly is on the rise. Despite the potential benefits, a comprehensive understanding of the decision-making processes leading to the consumption is lacking. This study explores the conditions influencing the decision-making and behavioral patterns of older adults related to dietary supplement consumption. Using a qualitative approach, in-depth interviews were conducted with 21 elderly participants from a seniors’ club in Bangkok, Thailand, who had consistently consumed dietary supplements for at least one year. The behavior was classified into five primary categories: enduring use of identical dietary supplements, insufficient regard for health compatibility, replacing medications with supplements, not verifying before consumption, and opting for supplements over medical treatments. These patterns are aligned with the core constructs of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control). Many individuals perceive supplements as pivotal health investments, while others view them as a direct route to robust health. Trusted advice from friends and television significantly influence their choices, with a prevailing sentiment that dietary supplements are generally safe. The high price tag on supplements is often associated with superior quality. The findings highlight the multifaceted nature of dietary supplement consumption decisions among the Thai elderly, suggesting the need for interventions to promote safer and more informed choices.

Low enrollment intention threatens the funding pools of rural insurance schemes in developing countries. The purpose of this study is to investigate how social capital enhances the enrollment of health insurance among rural middle-aged and elderly. We propose that social capital directly increases health insurance enrollment, while indirectly influences health insurance through health risk avoidance. We used data from the China Health and Retirement Longitudinal Study (wave 4) dating the year of 2018, instrumental variable estimation was introduced to deal with the endogeneity problem, and the mediation analysis was used to examine the mechanism of social capital on insurance enrollment. The results show that social capital is positively related to social health insurance enrollment, and the relationship between social capital and social health insurance enrollment is mediated by health risk avoidance.

The subjective well-being (SWB) concept specific to the elderly Orang Asli is still vague, with limited research. Understanding SWB can give a holistic picture of elderly Orang Asli’s well-being status because SWB considers individual evaluations and perspectives based on life experiences in various dimensions relevant to the elderly Orang Asli’s culture, language, belief system, and lifestyle. Therefore, this paper aims to explore the concept of SWB of elderly Orang Seletar. An exploratory case study research design is implemented in this qualitative study. 15 informants who participated in an in-depth interview session in Kampung Bakar Batu Perling, Johor Bahru, and aged 50 years old and above. Based on the findings of the study, there were seven major themes in discussing the concept of SWB which are (i) sufficiency; (ii) comfort; (iii) satisfaction; (iv) preference/favorite; (v) happiness; (vi) tranquillity and (vii) awareness. The finding of the study shows that there were eight domains of SWB of elderly Orang Asli Seletar which are (i) physical health; (ii) mental health; (iii) family and community; (iv) sea and nature; (v) culture preservation; (vi) basic needs; (vii) education; and (viii) spiritual. In conclusion, SWB should be the core element to determine the development of elderly Orang Seletar to ensure their thrive. From mainstream society’s eye, elderly Orang Seletar’s lives may be seen as inadequate and modest. However, it is different from what is felt by them.