摘要
目的:分析疫情防控期间老年人社会隔离与孤独感对积极老龄化的影响路径,为老年人积极老龄化相关政策提供理论依据参考。方法:采用方便抽样方法,以广东省东莞市为调查现场,对符合纳入标准的60岁及以上的老年人进行面对面访谈式调查。社会隔离指数、ULS-8孤独感量表和积极老龄化量表中文版分别用于测量老年人社会隔离、孤独感及积极老龄化情况。计数资料采用频数和百分率(%)表示,定量资料以均数±标准差(x±s)进行描述。Pearson相关用于相关性分析。Hayes等编制的Process宏程序中的模型4用于影响路径分析。结果:统计分析发现社会隔离与孤独感呈正向相关(r=0.209,P<0.01),社会隔离、孤独感与积极老龄化均呈负向相关(r=-0.310,P<0.01;r=-0.365,P<0.01)。社会隔离不但能够直接负向预测老年人的积极老龄化(β=-0.271,P<0.001),还可以通过中介变量孤独感对老年人积极老龄化进行负向预测(β=-0.207,P<0.001),中介效应占总效应的23.75%。结论:社会隔离对积极老龄化具有负向预测作用,孤独感在社会隔离与积极老龄化的关系中起部分中介作用。
Objective To study the paths of social isolation and loneliness of the older adults on active aging during the epidemic prevention and control,and provide a theoretical foundation for promoting the active aging policies of the older adults.Methods The older adults who met the inclusion criteria were chosen by using convenience sampling and conducted a face-to-face interview survey in Dongguan City,Guangdong Province.The Social Isolation Index,ULS-8 Loneliness Scale and Chinese version of the Positive Aging Scale were used to measure social isolation,loneliness and positive aging in older adults,respectively.Countable data were analyzed as frequencies and percentages,and quantitative data were described as mean±standard deviation.Pearson correlation method was used for correlation analysis.And model 4 in the Process macro program developed by Hayes et al.was used for impact pathway analysis.Results Social isolation was positively associated with loneliness(r=0.209,P<0.01),and social isolation and loneliness were both negatively associated with active aging(r=-0.310,P<0.01;r=-0.365,P<0.01).Social isolation was not only a directly negative predictor of active aging in older adults(β=-0.271,P<0.001),but also a negative predictor of active aging in older adults through the mediating variable of loneliness(β=-0.207,P<0.001),the mediation effect of which accounted for 23.75%of the total effect.Conclusion Social isolation had negatively predictive role to active aging,and loneliness had partially mediating role between social isolation and active aging.
作者
朱婷婷
彭瑾
张晓燕
林艳伟
曾志嵘
Zhu Tingting(School of Public Health,Guangdong Medical University,Dongguan,P.R.China)
出处
《中国卫生事业管理》
北大核心
2024年第4期445-448,共4页
Chinese Health Service Management
基金
国家自然科学基金“基于社区参与的老年人社会支持干预及其对生命质量的影响机制研究”(71804029)。
