摘要
目的研究社会活动参与对老年人健康的影响。方法采用2018年中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)的调查数据,运用倾向性评分匹配法(propensity score matching,PSM)、logistic回归分析模型和工具变量法进行分析。结果logistic回归分析模型分析结果显示,匹配前社会活动参与对老年人抑郁的影响无统计学意义,参与社会活动的老年人日常生活活动能力受损的风险是未参与社会活动老年人的0.795倍(OR=0.795,95%CI:0.712~0.889,P<0.001)。匹配后参与社会活动的老年人患抑郁或日常生活活动能力受损的可能性均低于未参与社会活动的老年人(OR=0.971,95%CI:0.964~0.978,P<0.001;OR=0.689,95%CI:0.628~0.889,P<0.001)。两阶段最小二乘法(two stage least square,2SLS)回归结果显示,社会活动参与对老年人抑郁和日常生活活动能力受损均有抑制作用(β=-19.622,P<0.001;β=-3.999,P<0.001)。结论社会活动参与有利于改善老年人的日常生活活动能力和减少抑郁情绪,应采取措施提高老年人的社会活动参与度,促进健康老龄化。
Objective This study aimed to explore the impact of social participation on the health of the elderly.Methods Data of the 2018 China Health and Retirement Longitudinal Survey(CHARLS)was obtained and studied with propensity score matching method(PSM),logistic regression model and instrumental variables regression.Results The logistic regression showed that the effect of social activity participation on depression in the elderly before PSM was not statistically significant.The risk of impaired activities of daily living of the elderly who participated in social activities was 0.795 times higher than that of the elderly who did not participate in social activities(OR=0.795,95%CI:0.712-0.889,P<0.001).After PSM,the elderly who participated in social activities were less likely to suffer from depression or impaired activities of daily living than the elderly who did not participate in social activities(OR=0.971,95%CI:0.964-0.978,P<0.001;OR=0.689,95%CI:0.628-0.889,P<0.001).The results of two⁃stage least squares(2SLS)regression showed that social activity participation had an inhibitory effect on depression and impairment of activities of daily living in the elderly(β=-19.622,P<0.001;β=-3.999,P<0.001).Conclusions Social activity participation can improve the activities of daily living of the elderly and reduce depression.Measures should be taken to improve the participation of the elderly in social activities and to promote healthy aging.
作者
赵创艺
杨媛
袁空军
周光清
李海燕
ZHAO Chuangyi;YANG Yuan;YUAN Kongjun;ZHOU Guangqing;LI Haiyan(Department of Management,School of Health Management,Southern Medical University,Guangzhou 510515,China;Health Management Center,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Clerk′s Office,Graduate School of Southern Medical University,Guangzhou 510515,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2023年第8期974-978,共5页
Chinese Journal of Disease Control & Prevention
基金
国家自然科学基金(U1132001)
广东省科技计划项目(2017A030223004)。
关键词
老年人
社会活动参与
倾向性评分匹配法
The elderly
Social activity participation
Propensity score matching method
