Zhou Xu, Gu Fei, Li Zhirui, Li Yun, Liu Xiao, Liu Xuan, Huang Tingting
Department of general surgery, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, China.
School of Nursing, Gansu University of Chinese Medicine Lanzhou City, 730000, Gansu, Lanzhou, China.
Sci Rep. 2025 Apr 10;15(1):12336. doi: 10.1038/s41598-025-97063-7.
To investigate the knowledge, attitudes, and practices (KAP) of the elderly population regarding their intrinsic capacity, as defined by the World Health Organization as a marker of healthy aging. A cross-sectional study was conducted at the Shanghai Traditional Chinese Medicine Hospital from July to November 2023. Participants' socio-demographic information and KAP scores were collected through a self-designed questionnaire. A total of 507 elderly individuals participated, with 53.25% being male and a mean age of 70.76 ± 7.63 years. The mean knowledge, attitude, and practice scores were 19.58 ± 8.85, 30.07 ± 4.81, and 34.71 ± 7.77, respectively. Pearson's correlation analysis showed significant positive correlations among the KAP scores (all P < 0.001). Multivariate logistic regression indicated that knowledge scores (OR = 1.127, P < 0.001), attitude scores (OR = 1.189, P < 0.001), and current employment status (OR = 2.759, P = 0.009) were associated with proactive practices. Structural equation modeling demonstrated that knowledge had a direct influence on attitude (β = 0.572, P < 0.001) and practice (β = 0.776, P < 0.001), while attitude directly impacted practice (β = 0.412, P < 0.001). The study reveals that the elderly lack knowledge but have positive attitudes and proactive behaviors about intrinsic capacity. Enhancing education and attitudes is vital for healthy aging and well-being.
为调查老年人群对其内在能力的知识、态度和行为（KAP），世界卫生组织将内在能力定义为健康老龄化的一个标志。2023年7月至11月在上海中医药大学附属龙华医院进行了一项横断面研究。通过自行设计的问卷收集参与者的社会人口学信息和KAP得分。共有507名老年人参与，其中男性占53.25%，平均年龄为70.76±7.63岁。知识、态度和行为的平均得分分别为19.58±8.85、30.07±4.81和34.71±7.77。Pearson相关分析显示KAP得分之间存在显著正相关（所有P<0.001）。多因素logistic回归表明，知识得分（OR = 1.127，P<0.001）、态度得分（OR = 1.189，P<0.001）和当前就业状况（OR = 2.759，P = 0.009）与积极行为相关。结构方程模型表明，知识对态度（β = 0.572，P<0.001）和行为（β = 0.776，P<0.001）有直接影响，而态度直接影响行为（β = 0.412，P<0.001）。研究表明，老年人对内在能力缺乏知识，但态度积极且行为主动。加强教育和改善态度对健康老龄化和幸福至关重要。
