老年人的听力损失与主观幸福感：社会活动和认知功能的中介作用
Hearing Loss and Subjective Well-Being Among Older Adults: Mediating Effect of Social Activity and Cognitive Function.
作者信息
Cao Xia, Yang Binfang, Zhou Jiansong
机构信息
Health Management Center, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
出版信息
Clin Gerontol. 2023 Jul 24:1-12. doi: 10.1080/07317115.2023.2240337.
OBJECTIVES
To examine the relationship between hearing loss and subjective well-being (SWB) and to investigate the mediating roles of social activity and cognitive function in the link between hearing loss and SWB.
METHODS
An analysis of 11,949 older Chinese adults was conducted from the 2018 wave of the Chinese Longitudinal Health Longevity Survey. Multiple linear regression and mediation analysis were conducted.
RESULTS
Hearing loss had a significant negative association with SWB (B = -0.787; 95% CI: -0.961, -0.613). Hearing loss influenced older adults' SWB in the following three ways: first, via the partial mediating effect of social activity (B = -0.021, 95% CI: -0.036, -0.009); second, via the partial mediating effect of cognitive function (B = -0.275, 95% CI: -0.347, -0.252); and third, via the serial mediating effects of social activity and cognitive function (-0.016, 95% CI: -0.021, -0.011).
CONCLUSIONS
Social activity and cognitive function play a serial intermediary role in the relationship between hearing loss and SWB among older Chinese adults.
CLINICAL IMPLICATIONS
Multidimensional health and social interventions aimed at improving mental health and social inclusion among adults with hearing loss should be recommended.
目的
探讨听力损失与主观幸福感（SWB）之间的关系，并研究社交活动和认知功能在听力损失与SWB之间联系中的中介作用。
方法
对中国老年健康长寿纵向调查2018年的数据进行分析，纳入11949名中国老年人。进行多元线性回归和中介分析。
结果
听力损失与SWB呈显著负相关（B = -0.787；95%CI：-0.961，-0.613）。听力损失通过以下三种方式影响老年人的SWB：第一，通过社交活动的部分中介作用（B = -0.021，95%CI：-0.036，-0.009）；第二，通过认知功能的部分中介作用（B = -0.275，95%CI：-0.347，-0.252）；第三，通过社交活动和认知功能的连续中介作用（-0.016，95%CI：-0.021，-0.011）。
结论
社交活动和认知功能在中国老年人听力损失与SWB的关系中起连续中介作用。
临床意义
建议针对听力损失成年人开展旨在改善心理健康和社会融入的多维度健康和社会干预措施。
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