School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Jiangsu Research Center for Major Health Risk Management and TCM Control Policy, Nanjing University of Chinese Medicine, Nanjing, China.
Front Public Health. 2024 Mar 18;12:1341304. doi: 10.3389/fpubh.2024.1341304. eCollection 2024.
This study aims to investigate the impact of social isolation on the utilization of primary health services among older adults in China.
Data from the China Longitudinal Aging Social Survey (CLASS) conducted in 2018 were utilized. A binary logistic regression model was established, and propensity score matching (PSM) was employed for analysis.
The results of the binary logistic regression showed that family isolation within social isolation had a significant negative impact on the utilization of primary health services for older adults. In contrast, there was no significant association between friend isolation, community isolation, and the utilization of primary health services. Furthermore, the PSM results, using three matching methods (nearest neighbor matching, radius matching, and kernel matching), confirmed that family isolation significantly reduced older adults' utilization of primary health services, consistent with the baseline regression findings.
Reducing the occurrence of family isolation among older adults may be a cost-effective intervention measure. Efforts should be directed toward improving family support for older adults, promoting the utilization of primary health services, and strengthening disease prevention.
本研究旨在探讨社会隔离对中国老年人初级卫生服务利用的影响。
本研究使用了 2018 年中国纵向老龄化社会调查（CLASS）的数据。建立了二元逻辑回归模型，并采用倾向评分匹配（PSM）进行分析。
二元逻辑回归结果表明，社会隔离中的家庭隔离对老年人利用初级卫生服务有显著的负向影响。相比之下，朋友隔离、社区隔离与利用初级卫生服务之间没有显著关联。此外，使用三种匹配方法（最近邻匹配、半径匹配和核匹配）的 PSM 结果证实，家庭隔离显著降低了老年人对初级卫生服务的利用，与基线回归结果一致。
减少老年人中家庭隔离的发生可能是一种具有成本效益的干预措施。应努力改善对老年人的家庭支持，促进初级卫生服务的利用，并加强疾病预防。
