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德国老年人的多维脆弱性:社会支持缓冲了与生活满意度的负相关关系。

Multidimensional vulnerability among older adults in Germany : Social support buffers the negative association with life satisfaction.

机构信息

Federal Institute for Population Research (BiB), Friedrich-Ebert-Allee 4, 65185, Wiesbaden, Germany.

出版信息

Z Gerontol Geriatr. 2023 Dec;56(8):654-660. doi: 10.1007/s00391-022-02142-3. Epub 2022 Dec 2.

DOI:10.1007/s00391-022-02142-3
PMID:36459189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10709245/
Abstract

BACKGROUND

Multidimensional vulnerability among older adults, characterized by low levels of individual resources in different life domains, has been insufficiently studied. This phenomenon is considered to be associated with a marked decrease in overall life satisfaction. Social support is supposed to buffer the negative effect of multidimensional vulnerability on life satisfaction.

METHODS

Analyses are based on the German Health Update dataset (GEDA 2014/2015-EHIS). The analytic sample includes respondents ≥ 65 years (N = 5826). Confirmatory factor analyses were performed to construct a latent variable from the indicators income poverty, activities of daily living (ADL) limitations, multimorbidity, mental problems, and living alone. Multivariate linear regression models estimate the relationship between vulnerability and life satisfaction with a special focus on the interaction between vulnerability and social support.

RESULTS

The analyses supports the multidimensional construct of vulnerability. Social support considerably moderates the negative relationship between vulnerability and life satisfaction. As the degree of vulnerability increases, the influence of social support becomes more pronounced.

CONCLUSION

The assessment of vulnerability as a multidimensional construct helps to depict the life situation of older people in a more differentiated way. Vulnerable older adults with a small or unreliable social network while finding it difficult to access practical help need additional external social support to achieve a high level of life satisfaction.

摘要

背景

老年人的多维脆弱性表现为不同生活领域的个人资源水平较低,这种现象尚未得到充分研究。据认为,这种现象与整体生活满意度明显下降有关。社会支持应该缓冲多维脆弱性对生活满意度的负面影响。

方法

分析基于德国健康更新数据集(GEDA 2014/2015-EHIS)。分析样本包括≥65 岁的受访者(N=5826)。采用验证性因子分析方法,从收入贫困、日常生活活动(ADL)受限、多种疾病、精神问题和独居等指标中构建潜在变量。多元线性回归模型估计脆弱性与生活满意度之间的关系,特别关注脆弱性与社会支持之间的相互作用。

结果

分析结果支持脆弱性的多维结构。社会支持极大地调节了脆弱性与生活满意度之间的负相关关系。随着脆弱性程度的增加,社会支持的影响变得更加明显。

结论

将脆弱性评估为多维结构有助于更具区分度地描述老年人的生活状况。脆弱的老年人社会网络小或不可靠,难以获得实际帮助,需要额外的外部社会支持,以实现较高的生活满意度。

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