The Impact of Rural Community Elderly Care Services on the Subjective Well-Being of Older Adults: The Mediating Role of Late-Life Stress.

This study aims to investigate whether rural community elderly care services can enhance older adults' subjective well-being, with a specific focus on examining whether late-life stress mediates this association. Subjective well-being is operationalized through three dimensions: life satisfaction, positive life attitude, and depression levels. Data were collected from a sample of 796 rural Chinese adults aged 60 years and older. Regression analysis was used to assess the direct effects of rural community elderly care services on subjective well-being outcomes, while an instrumental variable two-stage least squares model was employed to test the robustness of these findings. A mediation analysis further explored the underlying mechanisms through which these services influence well-being. Results indicate that rural community elderly care services exert significant direct and indirect effects on all three dimensions of subjective well-being. The indirect effects arise because these services provide social support that mitigates late-life stressors and buffers the negative impacts of adverse life events, thereby enhancing psychological well-being. These findings clarify the mediating role of stress in the relationship between community care services and subjective well-being among rural older adults, highlighting the importance of addressing age-related stressors in gerontological interventions. This study contributes to the literature by providing empirical evidence for the efficacy of rural community elderly care programs and offering actionable insights for developing contextually appropriate service models to meet the needs of aging rural populations. This study elucidates how rural older adults perceive community elderly care services, providing empirical evidence for government agencies to evaluate the effectiveness of policy-driven services. It further identifies key entry points for enhancing rural care service quality and promoting elderly well-being, bridging research insights with actionable strategies for policy improvement.