经济限制和社会排斥与土耳其老年人的健康老龄化有关联吗？——一项调节中介分析。
Are economic constraints and social exclusion linked to healthy aging among Turkish older adults?- A moderated mediation analysis.
作者信息
Keşen Fatma Nur Süzen, Artan Taner, Arifoglu Ahmed Taha
机构信息
Cerrahpasa Social Work Department, Istanbul University, Istanbul, Turkey.
UNEC Social Work and Social Innovations Research Center, Azerbaijan State University of Economics, Istanbul, Baku, Azerbaijan.
出版信息
BMC Psychol. 2025 Aug 9;13(1):887. doi: 10.1186/s40359-025-03260-4.
OBJECTIVES
International literature emphasizes that numerous factors are associated with healthy aging in older adults. This study aims to examine the factors associated with healthy aging in individuals aged 60 and above within the framework of the Social Determinants of Health (SDOH) theory, using an inter-factorial analysis model.
METHODS
the sample of the study consisted of 514 older adults residing in Turkey. Data collection tools included a personal information form, social exclusion scale, economic constrants scale and healthy aging scale. Data analysis was conducted using SPSS 25 and SPSS 25 Process version 3.5.3. The analysis of the data obtained in the study was conducted using Pearson's and Spearman's correlation, along with the moderated mediation method (model 7). This study examined the relationship between factors such as economic constraints, social exclusion and socio-economic status on healthy aging.
RESULTS
Economic constraints were found to have a positive, statistically significant association with social exclusion (β = 1.34 p <.001). Additionally, economic constraints were found to have negative, statistically significant association with aging (β= - 0.12 p <.001). Apart from these findings, it was seen that social exclusion has a negative mediating role on the relationship of economic constraints and healthy aging (ab = - 0.0657 BootLLCI = - 0.1168, BootULCI = - 0.0149). Finally, it was observed that socio-economic status played a negative moderating role in the relationship between economic constraints and social exclusion, in other words, the strength of the indirect effect of economic constraints on healthy aging via social exclusion varies by socio-economic status (SES). The mediated relationship was strongest among individuals with low SES and weakest among those with high SES (Index = - 0.0102, BootSE = 0.0034, BootCI = [-0.0176, - 0.0041]).
CONCLUSION
based on the findings, several recommendations were proposed to promote healthy aging among older adults.
目的
国际文献强调，众多因素与老年人的健康老龄化相关。本研究旨在在健康社会决定因素（SDOH）理论框架内，使用多因素分析模型，探讨60岁及以上个体中与健康老龄化相关的因素。
方法
本研究样本包括居住在土耳其的514名老年人。数据收集工具包括个人信息表、社会排斥量表、经济限制量表和健康老龄化量表。使用SPSS 25和SPSS 25 Process版本3.5.3进行数据分析。本研究使用Pearson和Spearman相关性分析以及调节中介方法（模型7），对研究中获得的数据进行分析。本研究考察了经济限制、社会排斥和社会经济地位等因素与健康老龄化之间的关系。
结果
发现经济限制与社会排斥呈正相关，且具有统计学意义（β = 1.34，p <.001）。此外，发现经济限制与老龄化呈负相关，且具有统计学意义（β = -0.12，p <.001）。除这些发现外，还发现社会排斥在经济限制与健康老龄化的关系中起负向中介作用（ab = -0.0657，BootLLCI = -0.1168，BootULCI = -0.0149）。最后，观察到社会经济地位在经济限制与社会排斥的关系中起负向调节作用，换句话说，经济限制通过社会排斥对健康老龄化的间接影响强度因社会经济地位（SES）而异。中介关系在低SES个体中最强，在高SES个体中最弱（指数 = -0.0102，BootSE = 0.0034，BootCI = [-E0.0176，-0.0041]）。
结论
基于研究结果，提出了若干促进老年人健康老龄化的建议。
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