Law School, Guangdong University of Technology, Guangzhou, China.
Front Public Health. 2024 Sep 25;12:1473657. doi: 10.3389/fpubh.2024.1473657. eCollection 2024.
This cross-sectional study investigates the impact of social participation on the quality of life (QOL) among older adults in China. Using convenience sampling, data were collected from 508 individuals aged 60 and above (M_age = 70.53 ± 7.90 years; 56.5% women). Statistical analyses were conducted using SPSSAU software, including Pearson correlation analysis to assess relationships between social participation, psychological health indicators (loneliness, depression, and anxiety), and QOL. Multiple regression analysis and chain mediation analysis were subsequently performed to explore the mediating effects of loneliness, depression, and anxiety on the relationship between social participation and QOL. The results indicated significant correlations between social participation and loneliness ( = -0.313, < 0.001), depression ( = -0.487, < 0.001), anxiety ( = -0.305, < 0.001), and QOL ( = 0.476, < 0.001). The mediation analysis revealed significant chain mediation effects of loneliness, depression, and anxiety on the relationship between social participation and QOL ( = 0.006, < 0.001, 95% CI [0.001, 0.007]). Higher levels of social participation were associated with lower levels of loneliness, which in turn reduced depression and anxiety, thereby enhancing QOL. These findings highlight the importance of promoting social participation to improve psychological wellbeing and QOL among older adults in China. The study advocates for active social engagement and the provision of relevant services, as well as psychological support and emotional counseling for those facing mental health challenges due to insufficient social participation.
本横断面研究调查了社会参与对中国老年人生活质量（QOL）的影响。使用便利抽样法，从 508 名 60 岁及以上的个体（M_age=70.53±7.90 岁；56.5%为女性）中收集数据。使用 SPSSAU 软件进行统计分析，包括 Pearson 相关分析，以评估社会参与、心理健康指标（孤独感、抑郁和焦虑）与 QOL 之间的关系。随后进行了多元回归分析和链式中介分析，以探讨孤独感、抑郁和焦虑在社会参与与 QOL 之间关系中的中介作用。结果表明，社会参与与孤独感（ = -0.313， < 0.001）、抑郁（ = -0.487， < 0.001）、焦虑（ = -0.305， < 0.001）和 QOL（ = 0.476， < 0.001）之间存在显著相关性。中介分析显示，孤独感、抑郁和焦虑在社会参与与 QOL 之间的关系中存在显著的链式中介效应（ = 0.006， < 0.001，95%置信区间 [0.001，0.007]）。较高的社会参与水平与较低的孤独感相关，而孤独感又降低了抑郁和焦虑，从而提高了 QOL。这些发现强调了促进社会参与以改善中国老年人心理健康和 QOL 的重要性。该研究提倡积极的社会参与，并为那些因社会参与不足而面临心理健康挑战的人提供相关服务以及心理支持和情感咨询。
