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家庭支持悖论:尼泊尔东部农村老年人的家庭支持与生活满意度探究

Family Support Paradox: Exploring Family Support and Life Satisfaction Among Older Adults in Rural Eastern Nepal.

作者信息

Karmacharya Isha, Ghimire Saruna, Tuladhar Lirisha, Mistry Sabuj Kanti, Yadav Om Prakash, Prasai Sagar, Mehata Suresh, Yadav Uday Narayan

机构信息

Department of Sociology and Gerontology, Miami University, Oxford, OH 45056, USA.

Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA.

出版信息

Behav Sci (Basel). 2025 Mar 24;15(4):411. doi: 10.3390/bs15040411.

DOI:10.3390/bs15040411
PMID:40282033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12024343/
Abstract

This study investigated the relationship between family support (for daily activities and living) and life satisfaction among Nepali older adults, with an additional focus on gender differences. Data were drawn from a cross-sectional survey conducted in rural eastern Nepal through interviewing older adults aged 60 years and above. The total analytical sample for this study was 819. Life satisfaction was measured using Diener's Satisfaction with Life Scale. Binary logistic regression was employed to explore the associations between reliance on family support and life satisfaction. About 57% of older adults were satisfied with their life. Older adults who relied on family support for daily activities had 51% lower odds of being satisfied with their lives compared to those who did not require such support (OR: 0.49, 95% CI: 0.35-0.69, < 0.001). Gender did not moderate the relationship between family support for daily activities and life satisfaction, but interestingly, it moderated the relationship between family support for living and life satisfaction. Older men who relied on family support for living had 34% lower odds of experiencing life satisfaction compared to older women in similar situations (OR: 0.66, 95% CI: 0.48-0.90, < 0.05). This study emphasizes the need for further research to comprehensively understand the impact of family support on life satisfaction among older adults in societies driven by filial piety, focusing on underlying mechanisms to confirm this paradoxical relationship.

摘要

本研究调查了尼泊尔老年人的家庭支持(日常活动和生活方面)与生活满意度之间的关系,并特别关注了性别差异。数据来自于在尼泊尔东部农村对60岁及以上老年人进行的横断面调查。本研究的总分析样本为819人。生活满意度采用迪纳生活满意度量表进行测量。采用二元逻辑回归来探讨对家庭支持的依赖与生活满意度之间的关联。约57%的老年人对自己的生活感到满意。在日常活动中依赖家庭支持的老年人对生活感到满意的几率比那些不需要此类支持的老年人低51%(比值比:0.49,95%置信区间:0.35 - 0.69,< 0.001)。性别并未调节日常活动的家庭支持与生活满意度之间的关系,但有趣的是,它调节了生活方面的家庭支持与生活满意度之间的关系。在生活方面依赖家庭支持的老年男性与处于类似情况的老年女性相比,生活满意度的几率低34%(比值比:0.66,95%置信区间:0.48 - 0.90,< 0.05)。本研究强调需要进一步开展研究,以全面了解在孝道观念主导的社会中,家庭支持对老年人生活满意度的影响,重点关注确认这种矛盾关系的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c397/12024343/bd0b3f426a8b/behavsci-15-00411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c397/12024343/a634cc9689ed/behavsci-15-00411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c397/12024343/bd0b3f426a8b/behavsci-15-00411-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c397/12024343/a634cc9689ed/behavsci-15-00411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c397/12024343/bd0b3f426a8b/behavsci-15-00411-g002.jpg

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Neighborhood environment and quality of life of older adults in eastern Nepal: findings from a cross-sectional study.尼泊尔东部老年人群的邻里环境与生活质量:一项横断面研究的结果。
BMC Geriatr. 2024 Aug 13;24(1):679. doi: 10.1186/s12877-024-05278-6.
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