Jiang Maomin, Yao Yisong, Xia Xiaoqian, Kong Yang, Zhang Nan
School of Public Affairs, Xiamen University, Xiamen, Fujiang, People's Republic of China.
School of The Fourth Clinical Medical College, Qingdao University, Yantai, Shangdong, People's Republic of China.
J Multidiscip Healthc. 2024 Sep 7;17:4383-4396. doi: 10.2147/JMDH.S476502. eCollection 2024.
This study aims to investigate the relationship between older adults' perceived community services for the elderly (PCSE), life satisfaction (LS), and self-rated health (SRH).
Data from four rounds of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018 were used. A total of 2454 older adults were obtained. Unconditional Least Squares (ULS) was used to measure PCSE, LS, and SRH growth trajectories without covariates. Finally, a mediating latent growth model was constructed using Mplus 8.3 to examine the mediating role of LS in the relationship between PCSE and SRH after adjusting for some demographic characteristics.
The results from the ULS method indicate that the intercepts and slopes for PCSE and LS are significantly negatively correlated ( = -0.629, = -0.579, < 0.001). Additionally, there is a significant positive correlation between the intercept and slope of health levels ( = 0.774, < 0.001). Using a parallel growth model, significant regression coefficients were found between the intercept of PCSE and the intercepts of SRH and LS ( = -0.335, = 0.378, < 0.01). Similarly, the regression coefficients between the slope of PCSE and the slopes of SRH and LS were also significant ( = -0.532, = 0.344, < 0.01). Furthermore, the regression coefficient between the intercept of LS and the intercept of SRH was significant ( = 0.415, < 0.001). The regression coefficient between the slope of LS and the slope of SRH was also found to be significant ( = 0.729, < 0.001).
It is essential to ensure adequate supply and accessibility of community services for older adults. LS especially is, and should be a promising target for assessing the quality of life and utilization of PCSE supply.
本研究旨在探讨老年人对社区老年服务的感知（PCSE）、生活满意度（LS）和自评健康状况（SRH）之间的关系。
使用了2008年至2018年四轮中国老年健康长寿纵向调查（CLHLS）的数据。共获得2454名老年人的数据。采用无条件最小二乘法（ULS）在无协变量的情况下测量PCSE、LS和SRH的增长轨迹。最后，使用Mplus 8.3构建中介潜变量增长模型，在调整一些人口学特征后，检验LS在PCSE与SRH关系中的中介作用。
ULS方法的结果表明，PCSE和LS的截距与斜率显著负相关（ = -0.629， = -0.579， < 0.001）。此外，健康水平的截距与斜率之间存在显著正相关（ = 0.774， < 0.001）。使用平行增长模型，发现PCSE的截距与SRH和LS的截距之间存在显著回归系数（ = -0.335， = 0.378， < 0.01）。同样，PCSE的斜率与SRH和LS的斜率之间的回归系数也显著（ = -0.532， = 0.344， < 0.01）。此外，LS的截距与SRH的截距之间的回归系数显著（ = 0.415， < 0.001）。还发现LS的斜率与SRH的斜率之间的回归系数显著（ = 0.729， < 0.001）。
确保为老年人提供充足且可及的社区服务至关重要。尤其是生活满意度，并且应该是评估生活质量和社区老年服务供给利用情况的一个有前景的指标。
