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心理资源、社会网络支持和社区支持对中国老年人社会参与的影响:不同健康风险群体的差异

Impacts of psychological resources, social network support and community support on social participation of older adults in China: Variations by different health-risk groups.

作者信息

Xin Yaping, Li Dan

机构信息

School of Public Administration, Sichuan University, Chengdu, China.

出版信息

Health Soc Care Community. 2022 Sep;30(5):e2340-e2349. doi: 10.1111/hsc.13673. Epub 2021 Dec 5.

DOI:10.1111/hsc.13673
PMID:34866271
Abstract

Social participation comprises comprehensive interactions between individual health and relevant environmental characteristics, which play an increasingly important role in promoting older adults' health and quality of life. Although many studies have examined impacts of various factors on the social participation of older adults, some internal mechanisms between health characteristics and environmental characteristics have not been revealed. This study aimed to examine the moderating effects of health characteristics on the relationships among psychological resources, social network support, community support and social participation of Chinese older adults. Based on some key health indicators, this study used the two-step cluster algorithm to divide the participants aged over 60 years from the Chinese Longitudinal Aging Social Survey in 2016 (N = 8669) into low (47.2%), moderate (33.8%) and high (18%) health risk groups. A multiple-group structural equation model was then built to examine the effects of psychological resources, social network support and community support on social participation across the three groups. The results suggested that with the increase in health risks, the contributions of psychological resources and community support to social participation decreased from 28.6% to 23.7% and from 61.5% to 50.7%, respectively, while that of social network support increased from 9.9% to 25.6%. These variations suggest that individual health has a significant moderating effect on the psychological and social compensating mechanisms of the social participation among Chinese older adults.

摘要

社会参与包括个体健康与相关环境特征之间的全面互动,这在促进老年人健康和生活质量方面发挥着越来越重要的作用。尽管许多研究已经考察了各种因素对老年人社会参与的影响,但健康特征与环境特征之间的一些内在机制尚未揭示。本研究旨在探讨健康特征对中国老年人心理资源、社会网络支持、社区支持与社会参与之间关系的调节作用。基于一些关键健康指标,本研究采用两步聚类算法,将2016年中国老年社会追踪调查中60岁以上的参与者(N = 8669)分为低健康风险组(47.2%)、中等健康风险组(33.8%)和高健康风险组(18%)。然后建立多组结构方程模型,考察心理资源、社会网络支持和社区支持对三组人群社会参与的影响。结果表明,随着健康风险的增加,心理资源和社区支持对社会参与的贡献分别从28.6%降至23.7%,从61.5%降至50.7%,而社会网络支持的贡献则从9.9%增至25.6%。这些变化表明,个体健康对中国老年人社会参与的心理和社会补偿机制具有显著的调节作用。

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