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性别差异与老年人的求生欲望

Gender differences and the will-to-live in old age.

作者信息

Carmel Sara

机构信息

Center for Multidisciplinary Research in Aging, Department of Sociology of Health and Gerontology, Ben-Gurion University of the Negev, Beer Sheva, Israel.

出版信息

Przegl Lek. 2012;69(2):49-53.

Abstract

International statistical data show that compared to men, women are underprivileged in personal resources, such as education and income, physical health and function, and in psychological characteristics, all of which are expressed in lower levels of subjective wellbeing (SWB). Literature shows that SWB is evaluated by numerous scales, which refer to various aspects of SWB. The purpose of this paper is threefold: a) to demonstrate the worldwide phenomenon of gender difference; b) to present a relatively new and unique indicator of wellbeing that is especially appropriate for older adults--the Will-to-Live (WTL), and a scale to evaluate it; c) to examine whether in old age, women differ from men in the strength of their wish to continue living. Results of a series of studies on older persons using the WTL scale indicate that the WTL is a multifaceted generalized indicator of wellbeing that systematically depicts the existing gender differences, indicating that women rank lower on SWB, and have a lower commitment to life than men. The WTL also predicts mortality among women, and is explained by different factors among men and women. As a measure, the WTL is a simple, parsimonious, easy to use tool, and well accepted by older people. Due to its diagnostic and prognostic values, as well as its good psychometric features, the WTL is recommended for practical use in monitoring changes in wellbeing, and evaluating effectiveness of intervention programs directed towards improving the wellbeing of older adults.

摘要

国际统计数据显示,与男性相比,女性在个人资源(如教育和收入)、身体健康和功能以及心理特征方面处于劣势,所有这些都表现为主观幸福感(SWB)水平较低。文献表明,主观幸福感通过众多量表进行评估,这些量表涉及主观幸福感的各个方面。本文的目的有三个:a)展示全球范围内的性别差异现象;b)提出一个相对新颖且独特的幸福感指标,即生存意愿(WTL),以及一个评估它的量表;c)研究在老年阶段,女性和男性在继续生活的意愿强度上是否存在差异。一系列针对老年人使用生存意愿量表的研究结果表明,生存意愿是一个多方面的广义幸福感指标,它系统地描绘了现有的性别差异,表明女性在主观幸福感方面得分较低,并且对生活的投入程度低于男性。生存意愿还能预测女性的死亡率,且男性和女性的死亡率受不同因素影响。作为一种测量方法,生存意愿是一个简单、简约、易于使用的工具,并且深受老年人认可。由于其诊断和预后价值,以及良好的心理测量特性,建议在实际中使用生存意愿来监测幸福感的变化,并评估旨在改善老年人幸福感的干预项目的效果。

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