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中国雅安地震重建地区人际信任与老年受害者日常生活活动能力

Interpersonal Trust and Ability of Elderly Victims to Perform Activities of Daily Living in the Ya'an Earthquake Reconstruction Area, China.

作者信息

Liang Ying, Ju Wei

机构信息

1Department of Social Work and Social Policy,School of Social and Behavioral Sciences,Nanjing University,Nanjing,People's Republic of China.

2Department of Mathematics,Nanjing University,Nanjing,People's Republic of China.

出版信息

Disaster Med Public Health Prep. 2016 Oct;10(5):739-745. doi: 10.1017/dmp.2015.179. Epub 2016 Feb 9.

Abstract

OBJECTIVE

The present study aimed to investigate the effect of the socioeconomic status and interpersonal trust of elderly victims of the Ya'an earthquake on their ability to perform activities of daily living (ADLs).

METHODS

Random sampling was done in the 8 counties of Ya'an in Sichuan, China (N=691). A multistage random sampling method was used. Samples were selected from counties, towns, and villages, respectively. The Faith in People Scale was used to measure interpersonal trust, and the Barthel ADL Index was used to measure ADLs. Both scales have strong reliability.

RESULTS

A total of 37.34% of elderly earthquake victims relied on others moderately to live, and their self-rating of interpersonal trust was relatively unfavorable. Factors such as being female, being widowed, having a low educational level, and income negatively affected ADLs, among which education had the greatest influence. Interpersonal trust was vital in enhancing the level of ADLs of elderly victims.

CONCLUSIONS

A high level of interpersonal trust can significantly improve the ADLs of elderly persons. However, this may be achieved by weakening the negative effect of deteriorating social structure of victims. Attention should be focused on elderly victims whose social network worsens to improve their ADLs. (Disaster Med Public Health Preparedness. 2016;page 1 of 7).

摘要

目的

本研究旨在调查雅安地震老年受害者的社会经济地位和人际信任对其日常生活活动(ADL)能力的影响。

方法

在中国四川雅安的8个县进行随机抽样(N = 691)。采用多阶段随机抽样方法。样本分别从县、镇和村选取。使用人际信任量表测量人际信任,使用巴氏ADL指数测量ADL。两个量表都具有很强的信度。

结果

共有37.34%的老年地震受害者在生活上中度依赖他人,且他们对人际信任的自评相对不利。女性、丧偶、教育水平低和收入等因素对ADL有负面影响,其中教育的影响最大。人际信任对提高老年受害者的ADL水平至关重要。

结论

高水平的人际信任可以显著改善老年人的ADL。然而,这可能是通过减弱受害者社会结构恶化的负面影响来实现的。应关注社会网络恶化的老年受害者,以改善他们的ADL。(《灾害医学与公共卫生防范》。2016年;第1页,共7页)

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