# Exploring public attitudes of continuing care retirement communities in China: a sentiment analysis of China’s social media Weibo

**Authors:** Xuechun Wang, Bo Xia, Qing Chen, Martin Skitmore, Huiming Liu

PMC · DOI: 10.3389/fpubh.2024.1454287 · 2025-02-18

## TL;DR

This study uses social media analysis to explore public attitudes toward retirement communities for the elderly in China, finding mostly positive sentiment but also concerns about fraud and safety.

## Contribution

The paper introduces a novel application of sentiment analysis on Weibo data to assess public perception of CCRCs in China.

## Key findings

- Public sentiment toward CCRCs is predominantly positive, with emphasis on living environment and government involvement.
- Concerns about fraud and health and safety issues were identified as key areas of public worry.
- Social media analysis is shown to be a useful tool for understanding perceptions of elderly care in China.

## Abstract

The traditional family responsibility system faces challenges as China undergoes rapid demographic shifts with an increasingly older population. Recognizing the potential of market-driven senior care, Continuing Care Retirement Communities (CCRCs) have emerged as a significant alternative. However, cultural stigmas and concerns about the quality, services, and health of older adults in these facilities raise questions over their broad acceptance.

This study examines public sentiment toward CCRCs through sentiment analysis of 1,027,295 pre-processed Weibo posts. Utilizing Natural Language Processing (NLP) combined with fine-grained sentiment analysis and the Term Frequency-Inverse Document Frequency algorithm, the attitudes and emotions reflected in each data point are analyzed, identifying key contributing factors, and exploring the underlying reasons.

The results reveal a predominantly positive sentiment toward CCRCs, emphasizing factors such as the living environment and government involvement. However, areas of concern, such as potential fraud and health and safety issues, remain. These findings both shed light on the public’s acceptance or resistance to CCRCs for stakeholders and highlight the potential of social media analysis in shaping older people’s care perceptions in today’s China.

## Full-text entities

- **Diseases:** cognitive decline (MESH:D003072), pneumonia (MESH:D011014), CCRC infection (MESH:D007239), infectious diseases (MESH:D003141), CCRCs (MESH:D003147), HL (MESH:C538324), fever (MESH:D005334)
- **Chemicals:** oxygen (MESH:D010100)
- **Species:** Homo sapiens (human, species) [taxon 9606], Gammacoronavirus (genus) [taxon 694013]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11875845/full.md

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Source: https://tomesphere.com/paper/PMC11875845