Zhang Yalu, Zhang Lei, Zhang Xinhui, Sun Jingjing, Wang Dongmin, Chen Gong
Institute of Population Research, Peking University, Beijing, China.
Department of Physical Education, Peking University, Beijing, China.
China CDC Wkly. 2021 Oct 1;3(40):837-841. doi: 10.46234/ccdcw2021.207.
WHAT IS ALREADY KNOWN ON THIS TOPIC?: Prior studies found that fall events were associated with a higher level of depressive symptoms and a lower level of social functioning and social participation. In addition, social participation has also been significantly associated with better conditions of depressive symptoms.
WHAT IS ADDED BY THIS REPORT?: This article implemented the literature in three ways. First, it examined the mechanisms of social participation in the association between fall injuries and depressive symptoms among older adults in China. Second, it specified the fall-injured older adults group from those who merely experienced fall events. Third, it compared the results between rural and urban China and discussed policy implications for both groups.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Based on the findings of this study, future policies could consider boosting social participation at both the household and community level while taking into account the challenges of mobilities and social capabilities after fall injuries. Meanwhile, it is essential to accelerate the construction of aging-friendly communities to improve the accessibility of social participation and broaden social services to health management and monitoring.
先前的研究发现，跌倒事件与较高水平的抑郁症状以及较低水平的社会功能和社会参与度相关。此外，社会参与也与抑郁症状的改善状况显著相关。
本文通过三种方式对文献进行了研究。第一，探讨了社会参与在中国老年人跌倒损伤与抑郁症状关联中的作用机制。第二，从仅经历过跌倒事件的人群中明确了跌倒受伤的老年人群体。第三，比较了中国农村和城市的结果，并讨论了针对这两个群体的政策含义。
基于本研究的结果，未来政策可考虑在家庭和社区层面促进社会参与，同时考虑跌倒受伤后的行动能力和社会能力挑战。与此同时，加快建设老年友好型社区以提高社会参与的可达性，并将社会服务拓展至健康管理和监测至关重要。
