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马兰, 郭丽芳, 李越, 李颖菲, 刘乐, 田庆丰. 老年人日常生活能力与精神状态关系及社会参与中介作用[J]. 中国公共卫生, 2021, 37(2): 358-360. DOI: 10.11847/zgggws1126239
引用本文: 马兰, 郭丽芳, 李越, 李颖菲, 刘乐, 田庆丰. 老年人日常生活能力与精神状态关系及社会参与中介作用[J]. 中国公共卫生, 2021, 37(2): 358-360. DOI: 10.11847/zgggws1126239
MA Lan, GUO Li-fang, LI Yue, . Intermediary role of social participation on relationship between daily life ability and mental health status in elderly people[J]. Chinese Journal of Public Health, 2021, 37(2): 358-360. DOI: 10.11847/zgggws1126239
Citation: MA Lan, GUO Li-fang, LI Yue, . Intermediary role of social participation on relationship between daily life ability and mental health status in elderly people[J]. Chinese Journal of Public Health, 2021, 37(2): 358-360. DOI: 10.11847/zgggws1126239

老年人日常生活能力与精神状态关系及社会参与中介作用

Intermediary role of social participation on relationship between daily life ability and mental health status in elderly people

  • 摘要:
      目的  探讨老年人日常生活能力、社会参与和精神状态之间的关系,揭示社会参与在日常生活能力与精神状态之间的中介作用。
      方法  于2018年1 — 2月采用分层和简单随机抽样法在河南省范围内抽取6 094名 ≥ 60岁的老年人进行问卷调查。使用SPSS 22.0进行相关分析和层次回归分析。
      结果  日常生活能力平均为(91.69 ± 17.33)分,精神状态平均为(0.50 ± 0.76)分,社会参与平均为(2.27 ± 3.60)分。日常生活能力与社会参与呈正相关(r = 0.680,P < 0.01),与精神状态呈正相关(r = 0.431,P < 0.01),社会参与和精神状态呈正相关(r = 0.305,P < 0.01);社会参与在日常生活能力与精神状态之间存在部分中介效应,效应量为48.12 %。
      结论  老年人日常生活能力、社会参与及精神状态之间两两显著相关,日常生活能力可以直接或通过社会参与的中介作用间接影响精神状态。

     

    Abstract:
      Objective  To examine correlations among daily life ability, mental health status and social participation in community elderly, and to explore mediating effect of social participation on the association between daily life ability and mental health status.
      Methods  With stratified simple random sampling, we recruited 6 160 community residents aged ≥ 60 years in 28 prefecture-level regions across Henan province for a questionnaire survey during January – February 2018. Correlation analysis and hierarchical regression analysis were performed with SPSS 22.0.
      Results  For the 6 094 valid respondents, the average scores were 91.69 ± 17.33 for daily life ability, 0.50 ± 0.76 for mental health status, and 2.27 ± 3.60 for social participation, respectively. The elderly′s daily life ability was positively correlated with their social participation (r = 0.680, P < 0.01) and mental health (r = 0.431, P < 0.01); the social participation was positively associated with mental health (r = 0.305, P < 0.01). Social participation had a partial mediating effect on the correlation between daily life ability and mental health, with a mediating effect ratio of 48.12%.
      Conclusion  There are significant correlations among community elderly′s daily life ability, social participation, and mental health; the elderly′s daily life ability could affect their mental health directly and indirectly through the mediating role of social participation.

     

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