空巢对老年人健康有影响吗？来自中国的实证证据。
Does an Empty Nest Affect Elders' Health? Empirical Evidence from China.
作者信息
Gao Min, Li Yanyu, Zhang Shengfa, Gu Linni, Zhang Jinsui, Li Zhuojun, Zhang Weijun, Tian Donghua
机构信息
School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, China.
School of Humanities and Social Sciences, North China Electric Power University, Baoding 071000, China.
出版信息
Int J Environ Res Public Health. 2017 Apr 27;14(5):463. doi: 10.3390/ijerph14050463.
Abstract
The "empty-nest" elderly family has become increasingly prevalent among old people in China. This study aimed to explore the causality between empty nests and elders' health using effective instrumental variables, including "whether old parents talk with their families when they are upset" and "ownership of housing". The results showed that empty nests had a significantly adverse influence on elders' physical health, cognitive ability and psychological health. Furthermore, urban elders' cognitive ability was more influenced by empty nests than that of rural elders. Additionally, the effects of an empty nest on elders" health were more significant among female, single elders and senior rural elders. "Living resources", "availability of medical treatment" and "social activity engagement" were found to be significant mediators between empty nests and elders' health, accounting for 35% of the total effect.
摘要
“空巢”老人家庭在中国老年人中越来越普遍。本研究旨在利用有效的工具变量，包括“老年父母心烦时是否与家人交谈”和“住房所有权”，探讨空巢与老年人健康之间的因果关系。结果表明，空巢对老年人的身体健康、认知能力和心理健康有显著的不利影响。此外，城市老年人的认知能力比农村老年人更容易受到空巢的影响。此外，空巢对女性、单身老年人和农村高龄老年人的健康影响更为显著。“生活资源”、“医疗可及性”和“社会活动参与度”被发现是空巢与老年人健康之间的重要中介因素，占总效应的35%。
相似文献
1
Does an Empty Nest Affect Elders' Health? Empirical Evidence from China.空巢对老年人健康有影响吗？来自中国的实证证据。
Int J Environ Res Public Health. 2017 Apr 27;14(5):463. doi: 10.3390/ijerph14050463.
2
Are Empty-Nest Elders Unhappy? Re-examining Chinese Empty-Nest Elders' Subjective Well-Being Considering Social Changes.空巢老人不幸福吗？结合社会变迁重新审视中国空巢老人的主观幸福感。
Front Psychol. 2020 May 20;11:885. doi: 10.3389/fpsyg.2020.00885. eCollection 2020.
3
Prevalence and associated factors of self-treatment behaviour among different elder subgroups in rural China: a cross-sectional study.中国农村不同老年亚组人群自我治疗行为的流行状况及相关因素：一项横断面研究。
Int J Equity Health. 2020 Mar 12;19(1):32. doi: 10.1186/s12939-020-1148-2.
4
Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: an empirical study in three economically developed cities in eastern China.中国农村空巢老人健康相关生活质量的探索性分析：中国东部三个经济发达城市的实证研究。
Health Qual Life Outcomes. 2014 Apr 25;12:59. doi: 10.1186/1477-7525-12-59.
5
Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China.中国某山区县农村空巢老人的孤独感与健康相关生活质量
Qual Life Res. 2007 Oct;16(8):1275-80. doi: 10.1007/s11136-007-9250-0. Epub 2007 Aug 17.
6
The influence of empty-nest living on the health of the older people living in the rural areas of Lishui, China: A cross-sectional study.中国丽水农村空巢老人的生活对其健康的影响：一项横断面研究。
Medicine (Baltimore). 2022 Jan 28;101(4):e28691. doi: 10.1097/MD.0000000000028691.
7
The maintaining and improving effect of grandchild care provision on elders' mental health-Evidence from longitudinal study in Taiwan.孙辈照料对老年人心理健康的维持和改善作用——来自台湾纵向研究的证据。
Arch Gerontol Geriatr. 2016 May-Jun;64:59-65. doi: 10.1016/j.archger.2016.01.009. Epub 2016 Jan 16.
8
The protective effect of taking care of grandchildren on elders' mental health? Associations between changing patterns of intergenerational exchanges and the reduction of elders' loneliness and depression between 1993 and 2007 in Taiwan.照顾孙辈对老年人心理健康的保护作用？1993 年至 2007 年间，代际交流模式变化与老年人孤独感和抑郁感降低之间的关联。
BMC Public Health. 2013 Jun 10;13:567. doi: 10.1186/1471-2458-13-567.
9
Urban-rural differences in the effect of empty-nest on mental health and behaviors of Chinese older population.城乡空巢对中国老年人口心理健康和行为的影响差异。
Psychol Health Med. 2022 Jul;27(6):1334-1346. doi: 10.1080/13548506.2021.1874439. Epub 2021 Jan 12.
10
Depression and social support between China' rural and urban empty-nest elderly.农村和城市空巢老人的抑郁与社会支持。
Arch Gerontol Geriatr. 2012 Nov-Dec;55(3):564-9. doi: 10.1016/j.archger.2012.06.006. Epub 2012 Jul 7.
引用本文的文献
1
The impact of climate change on depression in rural Chinese older adult.气候变化对中国农村老年人抑郁症的影响。
Front Public Health. 2025 Jun 4;13:1610597. doi: 10.3389/fpubh.2025.1610597. eCollection 2025.
2
ehealth use and psychological health improvement among older adults: The sequential mediating roles of social support and self-esteem.老年人的电子健康使用与心理健康改善：社会支持和自尊的顺序中介作用。
Digit Health. 2025 Jun 6;11:20552076251346659. doi: 10.1177/20552076251346659. eCollection 2025 Jan-Dec.
3
Does internet use promote the health of empty-nest older adults in rural China? The mediating role of social participation using a propensity score matching approach.互联网使用是否促进中国农村空巢老年人的健康？基于倾向得分匹配法的社会参与的中介作用。
Front Public Health. 2024 Nov 22;12:1436525. doi: 10.3389/fpubh.2024.1436525. eCollection 2024.
4
Association between functional disability and mental health among Chinese older adults: Examining the moderating effects of social participation and physical exercise.中国老年人功能残疾与心理健康之间的关联：探究社会参与和体育锻炼的调节作用。
Arch Public Health. 2024 Nov 13;82(1):212. doi: 10.1186/s13690-024-01431-0.
5
Empty nest but better off? Association between empty nest status and cognitive function among older adults with chronic diseases in rural China.空巢但生活更好？中国农村慢性病老年人群中空巢状态与认知功能的关系。
BMC Geriatr. 2024 Oct 12;24(1):825. doi: 10.1186/s12877-024-05386-3.
6
Empty nest syndrome: A concept analysis.空巢综合征：一项概念分析。
J Educ Health Promot. 2024 Jul 29;13:269. doi: 10.4103/jehp.jehp_874_23. eCollection 2024.
7
The association between household and family composition and mental health of the elderly: mediating role of lifestyle.家庭和家庭结构与老年人心理健康的关系：生活方式的中介作用。
BMC Public Health. 2024 Jul 31;24(1):2055. doi: 10.1186/s12889-024-19516-4.
8
Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study.媒体使用行为在老年人家庭健康与使用移动健康设备意愿之间的关系中起中介作用：横断面研究。
J Med Internet Res. 2024 Feb 19;26:e50012. doi: 10.2196/50012.
9
Relationship between three dietary indices and health-related quality of life among rural elderly in China: a cross-sectional study.中国农村老年人三种饮食指数与健康相关生活质量的关系：一项横断面研究。
Front Nutr. 2023 Oct 19;10:1259227. doi: 10.3389/fnut.2023.1259227. eCollection 2023.
10
Health and wellbeing among the empty nest and non-empty nest elderly in China-Results from a national cross-sectional study.中国空巢与非空巢老年人的健康与幸福感：一项全国性横断面研究的结果。
PLoS One. 2023 Sep 12;18(9):e0291231. doi: 10.1371/journal.pone.0291231. eCollection 2023.
本文引用的文献
1
Consolidating the social health insurance schemes in China: towards an equitable and efficient health system.整合中国的社会医疗保险计划：迈向公平高效的卫生体系。
Lancet. 2015 Oct 10;386(10002):1484-92. doi: 10.1016/S0140-6736(15)00342-6.
2
Shift work to balance everyday life - a salutogenic nursing perspective in home help service in Sweden.通过轮班工作平衡日常生活——瑞典居家护理服务中一种促进健康的护理视角
BMC Nurs. 2015 Jan 13;14(1):2. doi: 10.1186/s12912-014-0054-6. eCollection 2015.
3
China's empty nest elderly need better care.中国的空巢老人需要更好的照料。
J Am Geriatr Soc. 2014 Sep;62(9):1821-2. doi: 10.1111/jgs.12997.
4
Direct and indirect effects of childhood conditions on survival and health among male and female elderly in China.童年状况对中国老年男性和女性生存与健康的直接和间接影响。
Soc Sci Med. 2014 Oct;119:207-14. doi: 10.1016/j.socscimed.2014.07.003. Epub 2014 Jul 3.
5
The influence of exercise on cognitive abilities.运动对认知能力的影响。
Compr Physiol. 2013 Jan;3(1):403-28. doi: 10.1002/cphy.c110063.
6
Health consequences of familial longevity influence among the Chinese elderly.中国老年人长寿家族影响的健康后果。
J Gerontol A Biol Sci Med Sci. 2013 Apr;68(4):473-82. doi: 10.1093/gerona/gls203. Epub 2012 Oct 12.
7
Urbanisation and health in China.城市化与中国的健康。
Lancet. 2012 Mar 3;379(9818):843-52. doi: 10.1016/S0140-6736(11)61878-3.
8
The effects of childhood, adult, and community socioeconomic conditions on health and mortality among older adults in China.中国老年人的童年、成年和社区社会经济条件对其健康和死亡率的影响。
Demography. 2011 Feb;48(1):153-81. doi: 10.1007/s13524-010-0003-2.
9
Associations between living arrangements and health-related quality of life of urban elderly people: a study from China.城乡老年人居住安排与健康相关生活质量的关联：来自中国的一项研究。
Qual Life Res. 2011 Apr;20(3):359-69. doi: 10.1007/s11136-010-9752-z. Epub 2010 Sep 30.
10
Correlation between loneliness and social relationship among empty nest elderly in Anhui rural area, China.中国安徽农村空巢老人孤独感与社会关系的相关性。
Aging Ment Health. 2010 Jan;14(1):108-12. doi: 10.1080/13607860903228796.
Zotero 插件