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蒙古农村和城市老年人中繁荣的社会人口学预测因素。

Sociodemographic predictors of flourishing among older adults in rural and urban Mongolia.

机构信息

The School of Public health, Mongolian National University of Medical Sciences, Ulaanbaatar, 14210, Mongolia.

School of Social Work, Virginia Commonwealth University, Richmond, 23284, USA.

出版信息

Sci Rep. 2023 Jan 31;13(1):1756. doi: 10.1038/s41598-023-28791-x.

Abstract

Flourishing is an eudaimonic dimension of psychological well-being associated with positive social and health outcomes. Determining correlates of health and well-being is critical for the development of evidence-based best practices, policies, and action plans that target older adults, especially in low- and middle-income countries where research on ageing, health and well-being is still scarce. The study aimed to determine the level of flourishing among older adults in Mongolia and to explore demographic and social factors that contribute to their flourishing in urban and rural areas of Mongolia. We used proportional quota sampling to select a non-probability sample of 304 community-dwelling older adults that reflected the national distribution of older age groups and rural/urban residency. We adapted and administered a widely used standardized questionnaire on flourishing and used multiple regression to establish correlates of flourishing. Study participants reported "very high" levels of flourishing; differences in median scores 53 for urban and 50 for rural older adults were significant. Sex ([Formula: see text], [Formula: see text]), level of education([Formula: see text], [Formula: see text]) and receive help with ADLs ([Formula: see text], [Formula: see text]) were associated with flourishing in rural areas, as were self-rated health ([Formula: see text], [Formula: see text]), number of social activities ([Formula: see text], [Formula: see text]),and friends network ([Formula: see text], [Formula: see text]) in urban areas. Despite facing many challenges to well-being, older adults in Mongolia reported high levels of flourishing. Those in urban areas had higher scores than those in rural areas and predictors of flourishing differed for these groups.

摘要

繁荣是心理幸福感的一种幸福论维度,与积极的社会和健康结果相关。确定健康和幸福感的相关因素对于制定基于证据的最佳实践、政策和行动计划至关重要,特别是在老龄化、健康和幸福感研究仍然稀缺的中低收入国家。本研究旨在确定蒙古老年人的繁荣水平,并探讨人口统计学和社会因素对蒙古城乡老年人繁荣的贡献。我们使用比例配额抽样选择了 304 名居住在社区的非概率样本老年人,反映了全国老年人群体的分布和城乡居住情况。我们改编并管理了一个广泛使用的关于繁荣的标准化问卷,并使用多元回归来确定繁荣的相关因素。研究参与者报告了“非常高”的繁荣水平;城市地区中位数得分 53 分,农村地区中位数得分 50 分,差异显著。性别([Formula: see text], [Formula: see text])、教育水平([Formula: see text], [Formula: see text])和日常生活活动的帮助([Formula: see text], [Formula: see text])与农村地区的繁荣有关,而自我评估的健康([Formula: see text], [Formula: see text])、社会活动的数量([Formula: see text], [Formula: see text])和朋友网络([Formula: see text], [Formula: see text])与城市地区的繁荣有关。尽管蒙古老年人面临许多福祉挑战,但他们报告了高水平的繁荣。城市地区的得分高于农村地区,这些群体的繁荣预测因素也不同。

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