Low Utilization Rate Research Articles

Smoking cessation rate and predictors of successful quitting in Jordan: A cross-sectional study.

Tobacco smoking in Jordan is the highest in the Middle East, with health consequences and economic burdens. Smoking cessation improves health and grows the economy. This study aimed to determine the prevalence of smoking cessation in Jordan and to identify the determinants of effective quitting. This cross-sectional study was conducted using an online survey directed towards the general population of Jordan. The questionnaire was formulated in Arabic and inquired about sociodemographic factors, health status, behaviors, smoking habits, previous quitting attempts, utilization of smoking cessation services, attitudes towards quitting, and barriers to quitting. Data were analyzed using Statistical Package for Social Science version 25. A total of 463 participants were included in this study. Twenty-one percent of them were ex-smokers (n = 97), 86% were male, 63.3% were from the middle governorates, and 29.2% were 24 years old or younger. The rate of sustained quitting for at least 3 months among participants was 13.6%. The factors associated with successful quitting included age > 50 years (P = .001), practicing regular physical activity (P = .003), using more than 1 tobacco product (P = .000), smoking waterpipes or e-cigarettes (P = .000 and .015, respectively), lower levels of nicotine dependence (P = .009), duration of smoking (P = .000), higher number of smoking cessation attempts (P = .000), having 1 or more chronic diseases (P = .049), and having DM (P = .003). More than half of the ex-smokers needed 2 to 5 attempts before successfully quitting smoking. There was a low rate of utilization of smoking cessation services and medications in both groups. On the other hand, there is a high rate of use of other smoking methods, particularly waterpipes and e-cigarettes, as an aid for quitting. Current smokers reported being in a stressful situation as a barrier to quitting significantly more often than did ex-smokers (P = .013). Both groups had moderately positive attitudes toward quitting. Ex-smokers had significantly better attitudes toward their ability to manage stress, weight gain, and increased appetite after quitting (P = .004, .004, and .007, respectively). This study provides valuable insights into the complex dynamics of smoking behavior, cessation attempts, and attitudes. These findings can inform the development of targeted smoking cessation programmes and policies.

Closed-form solutions for FPR-to-concrete bonded joints with loaded-end anchorage: Insight into the interfacial shear transferring mechanism

Incorporation of end anchorage has not only proven to be an effective method for enhancing the low utilization rate of the expensive fiber-reinforced polymer (FRP) material in the application of flexural strengthening of reinforced concrete (RC) beams but also improving the poor ductility and low load-bearing capacity of the FRP-to-concrete interface. The shear transfer mechanism at the interface with free-end anchorage has been understood, but for the interface with loaded-end anchorage, the shear transfer mechanism remains unclear. In this paper, a new analytical model is present to elucidate the shear transfer mechanism of the FRP-to-concrete bonded joint with loaded-end anchorage, including the U-jacket, FRP anchor, and mechanical fastener. The analytical solutions are presented and compared with the finite element analysis (FEA) results, and the good agreement between them verifies the accuracy of the proposed model. A comparison of the load-slip curves is conducted for the FRP-to-concrete bonded joint under various conditions, including scenarios without any anchorage, with free-end anchorage, and with loaded-end anchorage. Finally, design strategies are put forth for multiple anchorages to improve the load-bearing capacity and ductility of the FRP-to-concrete interface.

Experimental Study on the Preparation of High-Purity Iron Oxide Red by Acid Leaching Iron from Coal Gangue.

Aiming at the problems of the large storage, complex composition, low comprehensive utilization rate, and high environmental impact of coal gangue, this paper carried out experimental research on the preparation of iron oxide red from high-iron gangue by calcination activation, acid leaching, extraction, and the hydrothermal synthesis of coal gangue. The experimental results show that when the calcination temperature of coal gangue is 500 °C, the calcination time is 1.5 h, the optimal concentration of iron removal is 6 mol/L, the acid leaching temperature is 80 °C, the acid leaching time is 1 h, and the liquid--solid mass ratio is 4:1; the iron dissolution rate can reach 87.64%. A solvent extraction method (TBP-SK-hydrochloric acid system) was used to extract the leachate, and a solution with iron content up to 99.21% was obtained. By controlling the optimum hydrothermal conditions (pH = 9, temperature 170 °C, reaction time 5 h), high-purity iron oxide red product can be prepared; the yield is 80.07%. The red iron oxide was characterized by XRD, SEM-EDS, particle-size analysis, and ICP-OES. The results show that the red iron oxide peak has a cubic microstructure, an average particle size of 167.16 μm, and a purity of 99.16%. The quality of the prepared iron oxide red product meets the requirement of 98.5% of the "YHT4 Iron oxide Standard for ferrite". It can be used as a raw material to produce high-performance soft magnetic ferrite. In summary, this experimental study on the preparation of iron oxide red from coal gangue is of great significance for the comprehensive utilization of coal gangue to realize the sustainable development of the environment and economy.

Synthesis of 4A Zeolite Molecular Sieves by Modifying Fly Ash with Water Treatment Residue to Remove Ammonia Nitrogen from Water

The widespread presence of ammonia nitrogen (NH4+–N) pollutants poses a serious threat to water environment health. In this study, a novel zeolite (WTR–CFA zeolite) with excellent adsorption performance is synthesized using CFA as the raw material and water treatment residue (WTR) as the aluminum source through an ultrasonic–assisted alkali melt hydrothermal method. Compared with traditional CFA–zeolite, WTR–CFA zeolite only generates 4A zeolite with a single crystal phase, and the peak shape is sharp, which results in better crystallization. WTR–CFA zeolite perfectly solves the technical problems of the low utilization rate and poor controllability of the crystal form in traditional artificially synthesized zeolites. The maximum NH4+–N adsorption capacity of WTR–CFA zeolite is 29.80 mg/g, which is higher than that of most adsorbents reported in previous studies. After five cycles of adsorption regeneration, the regeneration efficiency of WTR–CFA zeolite only decreased from 98.84% to 97.12%, which demonstrates excellent environmental value. The adsorption isotherms and kinetics of NH4+–N conform to the Langmuir model and quasi–second order kinetic model, respectively, which indicates that ion–exchange–dominant chemical adsorption plays a major role in the adsorption mechanism. In summary, this study combines the use of CFA and WTR resources with the treatment of aquatic pollution to reduce material synthesis costs, control the crystal structure of WTR–CFA zeolite, and increase adsorption capacity. This approach achieves the goals of “waste treatment and turning waste into treasure”.

Clinical Outcomes of Metabolic Surgery on Diuretic Use in Patients With Heart Failure

The beneficial impacts of metabolic surgery (MS) on patients with heart failure (HF) are incompletely characterized. We aimed to describe the cardiac and metabolic effects of MS in patients with HF and hypothesized that patients with HF would experience both improved metabolic and HF profiles using glycemic control and diuretic dependency as surrogate markers. In this single-center, university-affiliated academic study in the United States, a review of 2,342 hospital records of patients who underwent MS (2017 to 2023) identified 63 patients with a medical history of HF. Preoperative characteristics, 30-day outcomes, and up to 2-year biometric and metabolic outcomes, medication usage, and emergency department utilization were collected. At 24 months, mean body mass index change was -16 kg/m2 (p <0.001) that corresponded to a mean percentage total body weight loss of 29% (p <0.001). Weight loss was accompanied by significant reductions in hemoglobin A1c (p <0.001) and a 65% decrease in diuretic use at 24 months after surgery (p <0.001). Similarly, emergency visits for cardiac conditions (p = 0.06) and intravenous diuresis (p = 0.07) trended favorably at 1 year after surgery compared with 1 year before surgery but were not statistically significant. In conclusion, in patients with HF who were carefully selected, MS appears to provide significant reduction in oral diuretic dependency, and metabolic improvements with trends toward lower rates of emergency department utilization.

Oral Hygiene Practice of Geriatric Patients Attending Outpatient Department of a Tertiary Dental Hospital in Chennai, Tamil Nadu: A Descriptive Study

Abstract Background: Increasing disease burden will elevate public health expenditures having an impact on the economy. Literatures confirm a low utilization rate of dental services and a high oral health disease burden among elders which is regarded as a heterogeneous population in India. There is long term existence of high prevalence of oral diseases. Oral health educational intervention is the most cost effective method as it has a positive impact on the oral hygiene status to prevent oral diseases. Successful oral health educational interventions need planning which requires information regarding oral hygiene practices of the population so that appropriate information education and communication content with mention about the pros and cons of the aids which are professionally recommended and those commonly used respectively could be developed to enhance oral health promotion. Aim and Objectives: The aim of the study was to learn the oral hygiene practices among geriatric dental patients in Chennai. Materials and Methods: An interview was conducted for 250 consented patients aged ≥60 years selected on a convenient sampling technique. Results: The results were analyzed using frequencies from the coded data. Conclusion: Majority of the geriatric dental patients were found to be practicing insufficient oral hygiene with aids which are usually not professionally recommended. The reported dental problems of the elders could be attributed to inadequate and improper oral hygiene practices which necessitate transition in the oral health attitude as the need of the hour strategy through urgent comprehensive oral care educational interventions.

Loyalty toward shared e-scooter: Exploring the role of service quality, satisfaction, and environmental consciousness

Shared electric scooter services (SESS) have gained popularity in many cities as an emerging mobility mode. However, SESS is attributed to low utilization rates in some cities. In this context, the significance of users’ satisfaction with the provided services, along with their loyalty, becomes particularly pronounced. Therefore, it is essential to evaluate the service quality (SQ) from the users’ perspective and understand its effect on satisfaction and loyalty, which are critical factors for the long-term durability and success of service. Thus, this study examines the determinants of user satisfaction and loyalty toward SESS. For this, we conducted an online survey among the SESS users in Chicago. We analyzed the responses using partial least squares structural equation modeling (PLS-SEM) and reflexive thematic analysis (TA). Our results confirm the quality-value-satisfaction-loyalty paradigm and indicate that users’ perceptions of SQ, including safety and security, service availability, interface, and perceived affordability, significantly contribute to user loyalty enhancement toward SESS. Perceived value (hedonic value, utilitarian value, and perceived affordability) and satisfaction mediate the impact of SQ on loyalty. Additionally, the results indicate that those who perceive SESS as cost-effective report higher satisfaction levels. Furthermore, users who have pro-environmental attitudes and view SESS as environmentally friendly are more likely to derive hedonic value from the service and exhibit higher loyalty. The TA uncovers key challenges from the user perspective, including pricing, service timing, end-trip facilities (e.g., parking), street pavement condition, vendor operational zoning, and fleet quality, with a specific emphasis on GPS accuracy. These findings provide valuable insights into user behavioral mechanisms, which can be considered as a manifest for service improvement and enhancing efficiency.

Mental health stigma and service use among Black American youth: A systematic review.

Past research has found that Black children do not obtain mental health services at a rate commensurate with their needs. Additionally, they overall have lower rates of service utilization in comparison to other groups, even when factors such as socioeconomic status are considered. This systematic review aimed to examine the impact of mental health stigma on service utilization within Black families. We conducted a review of qualitative and quantitative studies published from 1990 to 2020 that examined the relationship between mental health stigma and service use and included disaggregated data of Black American youth and/or caregivers as the participants. Twelve articles (six quantitative, four qualitative, and two mixed methods) met the inclusion criteria. We used a narrative synthesis approach to organize and assess the extracted data. Youth reported stigmatizing beliefs about mental health treatment, although their attitudes did not contribute to caregivers' decisions about seeking treatment for them. Caregivers reported an awareness of stigmatizing views being held by others in their communities, but they did not consistently describe these views as impacting their service use decisions. Findings suggest a need for additional research to determine which factors most strongly impact the service use decisions of Black American caregivers. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Microwave De-Icing Efficiency Improvement of Asphalt Mixture with Structural Layer Optimization and Heat-Resistance Design.

The application of microwave de-icing technology in road engineering is constrained by its low energy utilization rate, which can be attributed to low heat production rates and ineffective heat dissipation to the underlying pavement. In this work, asphalt mixtures are designed as an upper layer (heating layer) and a lower layer (thermal-resistance layer). Magnetite slag was selected as a microwave-sensitive source for generating heat, and expanded perlite powder was incorporated into the lower layer as a thermal resistance material. Structural layer optimization and thermal-resistance layer design of the asphalt mixture were carried out by changing the thickness of the upper and lower layers to further improve the heat production rates. The design effectiveness is comprehensively evaluated by factors such as the changing law of the average surface temperature of mixtures, ice-melting time, and cost-effectiveness analyses. The results show that EP possesses better thermal stability, lower microwave energy conversion ability and more excellent heat-resistance potential compared with mineral powder. The heat-resistance layer with EP can prevent heat from being conducted to the lower layer and promote it to concentrate on the specimen surface, which can endow the microwave heating efficiency of specimens to be further improved by up to 26.97% and the de-icing time reduced by 10%, ascribed to the heat-resistance design. Furthermore, the collaborative design of the structural layer optimization and heat-resistance layer can increase energy utilization efficiency and save microwave-absorbing materials while ensuring excellent microwave de-icing efficiency.

Enhancing Oral Health Care Access for School Children: A Perspective.

Inadequate access to oral health services for school children remains a pervasive issue in Nigeria. According to a study, a mere 20% of enrolled students have availed themselves of dental visits following referrals from dentists. Various barriers, such as geographical location, socioeconomic status, lack of awareness about the importance of oral health, and fear of treatment, contribute to this low utilization rate. The resulting problem exacerbates social class disparities within the country. To address this pressing concern, we conducted an exhaustive academic review encompassing peer-reviewed literature, policy documents, and other relevant materials. This review underscored three potential policy alternatives: bolstering educational campaigns on oral health, implementing mobile dental clinics, and establishing on-site school-based dental clinics—an innovative approach in the Nigerian context. Additionally, we will delve into insights from a successful case study of a model on-site school oral healthcare clinic in Ile-Ife. Recognizing that each approach comes with its own set of advantages and disadvantages, we propose a concise School Oral Health Policy. This policy aims to establish a framework for incorporating these remedies efficiently, providing a comprehensive solution to the issue of insufficient availability of dental healthcare services among Nigerian school pupils.

The Development Status of Market of Fermenter for Organic Fertilizer in China

China is a large agricultural country with abundant organic solid waste resources, however it has the characteristics of large amount of resources and low utilization rate. Organic fertilizer fermenter can treat organic solid waste environmentally and effectively. Through literature and data research, this paper summarizes and analyzes the market development status of organic fertilizer fermenter, and summarizes the market characteristics of organic fertilizer fermenters.

Application of Metagenomics Technology in the Management of Middle and Low Yield Fields

Food security is an important guarantee for world peace and development, an important foundation for building a community with a shared future for mankind, and bears on the sustainable development, future and destiny of mankind. With the growth of population and the acceleration of urbanization, cultivated land resources are increasingly strained, and as an important part of cultivated land resources, the problems of unstable output and low utilization rate of medium and low yield land have gradually become prominent, which has become an important factor restricting the sustainable development of agriculture. In recent years, metagenomics technology, as a powerful research tool, has enhanced people's understanding of the composition, distribution and diversity of microorganisms in different environments, and has been widely applied in the field of farmland soil microorganisms. In this paper, the concept and technical process of metagenomics are reviewed, and the application and development prospect of metagenomics in soil microbial research in middle-low yield field management are reviewed.

Forest resource distribution and transport cost optimization-based economic evaluation of gasification and steam-turbine biomass power generation systems

The economics of decentralized gasification and centralized steam turbine systems with optimized harvesting, chipping, and transportation costs of unutilized forest biomass were analyzed within the context of the spatial distribution of forest biomass resources using a geographic information system in the Fuji area of Shizuoka Prefecture, Japan. The optimized harvesting, chipping, and transportation costs were 62.50 USD/dry-t for the decentralized system and 65.86 USD/dry-t for the centralized system, confirming that the decentralized system was less expensive than the centralized system. However, electricity production costs for centralized systems, ranging from 0.137 USD/kWh (capacity: 5,000 kW), were found to be more economical than that for decentralized systems, at 0.151–0.165 USD/kWh (capacity: 482 kW), resulting in the higher costs of decentralized systems because of expensive initial investment than that of the centralized system. The rate of heat sold, which lowers the electricity production costs of gasification below those of centralized systems, was 20–40 % for all such plants. To lower the electricity production cost of gasification plants below that of steam-turbine systems, a heat sales rate of approximately 10% and a minimum staff of 0.2 persons for remote operation of the gasification system. Higher heat sales rates further decrease the cost of gasification, making it cheaper than steam-turbine systems even at lower operating rates. To achieve this cost advantage at current low utilization rates, a heat sales rate of 50% and a utilization rate of 90%, based on a unit price of 0.05 USD/kWh, are required.

Long-lifetime aqueous Si-air batteries prepared by growing multi-dimensionally tunable ZIF-8 crystals on Si anodes

Si-air batteries have a high energy density, high theoretical voltage, and long lifetime, but they present a low anode utilization rate in a potassium hydroxide electrolyte. In this work, a ZIF-8 protective layer was prepared and modulated by a secondary growth method and then applied to protect the Si flat and Si nanowire (NW) anodes of a Si-air battery. By adjusting the conversion ratio, particle size, and crystallinity of ZIF-8 on the Si surface, the contact mode of the Si anode with water and OH– was controlled, thus achieving long-term corrosion and passivation resistance. Si NWs@ZIF-8 exhibited the highest average discharge voltage of 1.16 V, and the Si flat@ZIF-8 anode achieved the longest discharge time of 420 h. This work confirms that ZIF-8 acts as an anode protective layer to improve the properties of Si-air batteries and also provides valuable insights into the protection of Si anodes by MOFs.

Differences in Positive Airway Pressure Requirements in Obstructive Sleep Apnea Between Black and White Patients.

There are disparities between Black and White patients in the utilization of positive airway pressure (PAP) alternatives for obstructive sleep apnea (OSA). Given low utilization rates among Black patients, there is limited knowledge of PAP alternative outcomes in this group. Therapeutic PAP levels are clinically accessible measures that have been shown to predict PAP alternative outcomes. Herein, we examined differences in PAP requirements between Black and White patients in a large clinical sample. Cross-sectional. Academic sleep center. We included OSA patients prescribed autoadjusting PAP between January 2018 and 2020 with baseline apnea-hypopnea index (AHI) ≥ 10. Mean and 90th percentile PAP levels were compared between White and Black patients who used PAP for ≥1 hour daily using linear regression controlling for age, sex, body mass index (BMI), AHI, oxygen saturation nadir, and mask type. There were 157 Black and 234 White patients who were generally obese (BMI, 37.3 ± 8.7) with severe OSA (AHI, 36.9 ± 25.6). Black patients had a 0.68 cm higher (95% confidence interval [CI]: 0.36, 1.35) mean PAP level and 0.85 cm H2O higher (95% CI: 0.36, 1.35) 90th percentile PAP level than white patients. Although statistically significant, differences were small and not clinically meaningful. Black and White OSA patients had clinically insignificant differences in PAP requirements, suggesting comparable upper airway collapsibility. Considering the predictive value of therapeutic PAP levels, our findings suggest Black and White patients may have comparable PAP alternative responses from a collapsibility standpoint. Future studies should explore reasons for low utilization of PAP alternatives among Black patients.

Activation of redox-active covalent organic frameworks enriched with imine and quinone sites towards high pseudocapacitance

Redox-active covalent organic frameworks (COFs) can promisingly provide pseudocapacitance for supercapacitors. However, the intrinsic poor electrical conductivity and the stacking feature of COFs usually lead to a low utilization rate of the redox-active sites in their structural units. Herein, we prepare redox-active COFs enriched with imine and quinone groups from tetramino-benzoquinone (TABQ) and 2,5-dihydroxyterephthalaldehyde (Dha) monomers. The in-situ polymerization of these COFs on multi-walled carbon nanotubes (MWCNTs) results in the sufficient π–π interaction between the TABQ-Dha COF and the MWCNTs. The accelerated transport of electrons and activation of the redox-active groups of the TABQ-Dha COFs are then achieved with the assistance of MWCNTs to achieve a boosted capacitance of 398 F g−1 at 1 A g−1 as compared to the pristine TABQ-Dha COF (3 F g−1). In-situ FTIR and CV results reveal that the electrode reactions involve the redox-active transformation of imine and quinone groups in TABQ-Dha-MWCNTs which were activated to provide rich pseudocapacitance. Asymmetric supercapacitors (ASCs) assembled with graphene oxide (GO) supported TABQ (TABQ-GO) and TABQ-Dha-MWCNTs offers a high energy density of 12.8 Wh kg−1 at 750 W kg−1 and maintains a capacitance of 82.4 % after 20000 cycles at 5 A g−1, indicating its good potential towards practical application.

Financial Policies for Single-Person Household Housing in South Korea

We investigated the determinants of awareness, utilization, and satisfaction regarding financial aid programs for single-person households in South Korea and proposed policy enhancements. Our analysis employed logistic regression on microdata from the “2020 Housing Survey” by Statistics Korea, covering the nation and all age groups. We categorized single-person household traits affecting program awareness, utilization, and satisfaction into demographic, socio-economic, housing, and housing perception factors. The dependent variables included awareness, utilization status, and satisfaction levels of government-sponsored financial support programs, which were measured on a four-point Likert scale. The independent variables encompassed demographic, socio-economic, and housing characteristics, which were analyzed comprehensively. We identified factors that influenced awareness, utilization, and satisfaction and recommended tailored policy measures. The findings revealed lower awareness among elderly individuals, women, rural residents, and rental households. Moreover, older age, lower income, rental, and one-room dwelling households exhibited lower utilization rates, with decreased housing and residential environment satisfaction correlating with diminished program satisfaction. Due to the diverse characteristics of single-person households, strategic interventions are crucial. Measures to bridge information gaps, establish comprehensive long-term support systems, and develop differentiated policies tailored to single-person household traits are imperative for improving financial aid programs for this demographic.

High performance of carbon nanotube-encapsulated CuFe2O4 for peroxonosulfate activation: A process of degradation of sulfamethoxazole in complex matrix water via a singlet oxygen-dominated pathway

The common advanced oxidation process has problems such as short free radical life, low utilization rate, and weak catalyst stability. In this study, CuFe2O4 spinel was encapsulated in carbon nanotubes (CNT) to activate peroxymonosulfate (PMS), and a catalyst CuFe2O4-in-CNT with a closed structure was synthesized. The catalyst exhibits exceptional catalytic performance in the degradation of sulfamethoxazole, effectively degrading 96.10% of sulfamethoxazole (SMX) within a mere 10 min. At the same time, carbon nanotubes provide a relatively ideal nano-enclosed space for the filling of CuFe2O4 nanoparticles. The confinement effect in CuFe2O4-in-CNT/PMS system is reflected in the following three aspects: (i) The catalyst with a closed structure can effectively alleviate the influence of macromolecular organic matter on the catalytic system; (ii) The reactive species (O2•-, SO4•-, HO•) accelerated recombination in a confined reaction space and rapidly converted to 1O2 as the major active substance; (iii) Strengthen the way of electron transfer. The interaction of catalysts, oxidants and pollutants is enhanced in a nano-enclosed environment by CuFe2O4-in-CNT/PMS process. In addition, CuFe2O4 nanoparticles were filled in the CNT cavity, which further affected the catalytic performance and stability. The removal rate of SMX by CuFe2O4-in-CNT was 90% after five cycles.

Reaction–Thin Film Evaporation Coupling Technology for Highly Efficient Synthesis of Higher Alkyl Methacrylate

The traditional methacrylic esterification process, which couples reaction–distillation/rectification, suffers from issues such as prolonged reaction time, high risk of self-polymerization, and low utilization rate of methacrylic acid. By optimizing the esterification reaction of methacrylic acid through reaction–thin film evaporation coupling, compared to the reaction–distillation coupling process, the reaction time could be reduced by 37.50%, the reaction temperature could be lowered by over 15 °C, and the yield of etherification of dodecanol could be decreased by 81.25%, which significantly mitigates the risk of self-aggregation and reduces energy consumption. Furthermore, the feasibility of recovery of methacrylic acid from aqueous phase through extraction with higher aliphatic alcohol was verified, the recovery rate of methacrylic acid could reach above 96.95%, and the extracted phase could be directly utilized for preparing raw material for esterification reaction without requiring further separation steps, which effectively enhances the process economy and atomic utilization.

Factors Influencing the Usage Frequency of Community Elderly Care Facilities and Their Functional Spaces: A Multilevel Based Study

The construction of community elderly care facilities (CECF) is pivotal for promoting healthy aging and “aging in place” for older people. This study focuses on the low utilization rates of community elderly care facilities in the Dongcheng and Xicheng Districts, core areas of Beijing. The explainable machine learning method is used to analyze data across three dimensions: the elderly’s individual attributes, characteristics of the community elderly care station (CECS), and features of the built environment around CECS and subdistrict, to identify the important factors that influence the usage frequency of overall CECS and its different functional spaces, and also the correlation between factors and usage frequency of CECS. It shows that the most important factors are the features of CSCF, including the degree of space acceptance and satisfaction with services provided, which influence the usage frequency of nine functional spaces (R2 ≥ 0.68) and overall (R2 = 0.56). In addition, older people’s individual factors, such as age and physical condition, significantly influence the usage of specific spaces such as rehabilitation therapy rooms and assistive bathing rooms. The influence of built environment characteristics is relatively low, with factors such as the density of bus stations and housing prices within the subdistrict and the mean distance from CECF to the nearest subway stations being more important. These findings provide a reference for the construction of indoor environments, management of service quality, and optimal site selection for future community elderly care facilities.