Zhang Chi, Zhang Sifeng, Niu Qing
School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.
Healthcare (Basel). 2021 Jan 21;9(2):112. doi: 10.3390/healthcare9020112.
With the increase in aging in China, the health problems of older adults, especially mental health problems, have become a concern for the whole society. This article selected urban and rural older adults and analyzed the impact of social support on their mental health using a binary logistic model. It was found that under the current urban-rural dichotomy, the effects of social support on the mental health of urban and rural older adults are significantly different. In social support, first, the fairness and satisfaction with the social security system only had a significant effect on the mental health of urban older adults and had no significant effect on the rural older adults. Second, the closeness of contact with grassroots community workers had a significant impact on the mental health of older adults in urban and rural areas. From informal social support, the mental health of rural older adults was mainly influenced by the support of their children, reflecting the influence of the traditional culture of "filial piety". Furthermore, the mental health of urban older adults was mainly influenced by neighborhood support, reflecting the importance of "close neighbors are better than distant relatives". Based on the results of the empirical study, this article suggests that to promote the mental health of older adults, we should start by strengthening the formal social support system, establishing high-quality community service facilities, and emphasizing the role of informal social support.
随着中国老龄化程度的加深,老年人的健康问题,尤其是心理健康问题,已成为全社会关注的焦点。本文选取了城乡老年人,运用二元逻辑回归模型分析了社会支持对其心理健康的影响。研究发现,在当前城乡二元结构下,社会支持对城乡老年人心理健康的影响存在显著差异。在社会支持方面,其一,社会保障制度的公平性和满意度仅对城市老年人的心理健康有显著影响,对农村老年人则无显著影响。其二,与基层社区工作者的接触紧密程度对城乡老年人的心理健康均有显著影响。从非正式社会支持来看,农村老年人的心理健康主要受子女支持的影响,体现了“孝”文化传统的作用。此外,城市老年人的心理健康主要受邻里支持的影响,体现了“远亲不如近邻”的重要性。基于实证研究结果,本文建议,为促进老年人心理健康,应从加强正式社会支持体系、建立高质量社区服务设施以及重视非正式社会支持的作用入手。