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丧偶对老年人生活质量的影响：来自子女的代际支持的中介作用。

The impact of widowhood on the quality of life of older adults: the mediating role of intergenerational support from children.

机构信息

College of Integrative Medicine, Changchun University of Chinese Medicine, Changchun, 130117, China.

College of Health Management, Changchun University of Chinese Medicine, Changchun, 130117, China.

出版信息

BMC Geriatr. 2024 Aug 5;24(1):658. doi: 10.1186/s12877-024-05244-2.

DOI:10.1186/s12877-024-05244-2
PMID:39103789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11302265/
Abstract

BACKGROUND

China's transition into an aging society is accelerated by the simultaneous decline in fertility rates and the prolonged life expectancy of older adults. The impact of widowhood, a significant stressor in old age, has emerged as a crucial factor affecting the quality of life among the elderly.

METHODS

This study is based on data from the 2018 China Health and Aging Tracking Survey. Multiple linear regression models were employed to investigate the influence of widowhood on the quality of life of older adults in China. Additionally, Bootstrap mediation effects were utilized to assess the mediating role of intergenerational support, considering both financial and emotional support from children.

RESULTS

The findings indicate a substantial reduction in the quality of life index among older adults following widowhood. Moreover, the impact is more pronounced among older men compared to older women. Rural older adults experience a significant decline in quality of life post-widowhood, while the effect on urban counterparts is not statistically significant.

CONCLUSIONS

Intergenerational financial support was identified as a partial mediator between widowhood and the quality of life among older adults. This underscores the importance of familial financial assistance in mitigating the adverse effects of widowhood on the well-being of the elderly. These results offer valuable insights into the nuanced impact of widowhood on the quality of life among older adults in China, emphasizing the need for targeted interventions, especially in rural areas.

CLINICAL TRIAL

Not applicable.

摘要

背景

中国生育率的下降和老年人预期寿命的延长加速了向老龄化社会的转变。丧偶，这一老年时期的重大压力源，已成为影响老年人生活质量的关键因素。

方法

本研究基于 2018 年中国健康与养老追踪调查的数据。采用多元线性回归模型探讨了丧偶对中国老年人生活质量的影响。此外，还利用 Bootstrap 中介效应评估了代际支持（包括子女的经济和情感支持）在其中的中介作用。

结果

研究结果表明，丧偶后老年人的生活质量指数显著下降。而且，丧偶对男性老年人的影响比女性更为明显。农村老年人丧偶后生活质量显著下降，而城市老年人的影响则不具有统计学意义。

结论

代际经济支持被确定为丧偶与老年人生活质量之间的部分中介因素。这强调了家庭经济援助在减轻丧偶对老年人福祉的不利影响方面的重要性。这些结果深入了解了丧偶对中国老年人生活质量的影响，强调需要有针对性的干预措施，特别是在农村地区。

临床试验

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/6721754487f3/12877_2024_5244_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/c13cafb95855/12877_2024_5244_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/d50d03800efb/12877_2024_5244_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/15bbdff81c80/12877_2024_5244_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/6721754487f3/12877_2024_5244_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/c13cafb95855/12877_2024_5244_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/d50d03800efb/12877_2024_5244_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/15bbdff81c80/12877_2024_5244_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a7/11302265/6721754487f3/12877_2024_5244_Fig4_HTML.jpg

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