School of Public Health, Shandong University, Jinan 250012, China.
NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan 250012, China.
Int J Environ Res Public Health. 2019 Dec 12;16(24):5070. doi: 10.3390/ijerph16245070.
This study aims to explore the determinants of general self-efficacy (GSE) among young-old elderly, with focus on examining the gender difference of general self-efficacy.
Data were collected from the 2017 Survey of the Shandong Elderly Family Health Service, which was conducted by Shandong University. T-test was used to examine the gender difference in GSE. Univariate models and adjusted multiple linear regression model were used to explore the determinants of GSE by gender.
The females' GSE score was lower than that of male participants (26.1 ± 8.1 vs. 28.7 ± 7.7), and there was a significant gender difference (t = 10.877, < 0.001). Multiple linear regression model showed that some factors are common significant determinants of GSE such as age, education level, activity of daily living (ADL), self-rated health, mental health, personality, and whether participants have intimate friends and interpersonal relationships. Hypertension and frequent communication with children were specific determinants of GSE among male young-old. Personal income was a specific determinant of female participants.
Some influencing factors of GSE in both genders are identical, the others are different. More attention should be paid for the poor young-old females, young-old males with hypertension, and disabled young-old people.
本研究旨在探讨年轻老年人一般自我效能感(GSE)的决定因素,重点考察 GSE 的性别差异。
数据来自山东大学开展的 2017 年山东省老年家庭健康服务调查。采用 t 检验比较 GSE 的性别差异。采用单变量模型和调整后的多元线性回归模型按性别探讨 GSE 的决定因素。
女性的 GSE 评分低于男性参与者(26.1 ± 8.1 与 28.7 ± 7.7),且存在显著的性别差异(t = 10.877,<0.001)。多元线性回归模型显示,一些因素是 GSE 的共同显著决定因素,如年龄、教育程度、日常生活活动(ADL)、自评健康、心理健康、人格以及参与者是否有亲密朋友和人际关系。高血压和与子女频繁沟通是男性年轻老年人 GSE 的特定决定因素。个人收入是女性参与者的特定决定因素。
GSE 在两性中的一些影响因素相同,其他因素则不同。对于贫困的年轻老年女性、患有高血压的年轻老年男性和残疾的年轻老年人,应给予更多关注。