Abstract:Objective To analyze the existing contents of community service for the aged and older adults′ needs of community elder care service, and provide a reference for the government to reasonably allocate community elder care service resources and improve the quality of life of the older adults. Methods By mining the 2017-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) data, such information as, the services provided by the communities, and older adults′ demographic, socio-economic and health related data, was collected. Then Logistic regression analysis was run to probe into the factors influencing older adults′ needs of community elder care service. Results A total of 11 981 older adults were included, among whom, 75.7% wanted health education services, versus 42.2% reporting that the communities where they lived had provided such services; 64.3% wanted home-based care, versus only 10.2% reporting that their communities had offered such services; 81.0% were in need of home visits and care, versus 35.0% reporting that their communities had provided such services; 67.3% wished for psychological counseling services, versus only 12.1% reporting that their communities had offered such services. Such factors as older adults′ age, places of residence, cohabitation status, economic status, and health status contributed to influence their needs of community elder care service (P<0.05,P<0.01). Conclusion Older adults in China have strong needs of community elder care service, but there are still many problems, as in the imbalance of supply and demand, the widened gap between urban and rural areas and the differences in the living standards of the aged. It is recommended that directed by older adults′ needs, community elder care service should be built on a multi-tier, full-range and diversified system, which would improve community elder care quality and satisfy older adults′ needs.