Zeng Zhi, Xie Guiqiong, He Yazhi, Zhou Sumei
Department of Gastroenterology, Deyang People's Hospital, Deyang, Sichuan, China.
Department of Neurosurgery, Deyang People's Hospital, Deyang, Sichuan, China.
Aging Clin Exp Res. 2025 Aug 31;37(1):268. doi: 10.1007/s40520-025-03175-5.
BACKGROUND: As China undergoes a rapid demographic shift toward population aging, a critical challenge has emerged for healthy aging policy: how can intergenerational support from adult children be leveraged to maintain and improve the functional ability of older adults? Drawing on nationally representative data, this study investigates the association between such support and the intrinsic capacity of older adults, and explores the pathways through which it operates. METHODS: This study utilizes data from the 2015, 2018, and 2020 waves of the China health and retirement longitudinal study (CHARLS). A multidimensional index of intergenerational support from adult children is constructed, incorporating financial support, emotional closeness, and caregiving. Two-way fixed effects models are employed to estimate the impact of such support on the intrinsic capacity of older adults. Furthermore, a mediation analysis is conducted-using the bootstrap method-to examine potential pathways through social participation, activities of daily living (ADL), and instrumental activities of daily living (IADL). RESULTS: The empirical findings indicate that all three forms of intergenerational support from adult children-financial, emotional, and caregiving-have significant positive effects on the intrinsic capacity of older adults, with caregiving showing the strongest impact. the effects vary across subgroups defined by urban-rural residence, educational attainment, and co-residence status, suggesting substantial heterogeneity. Mediation analysis reveals that social participation partially mediates the effect of financial support (accounting for 14.63% of the total effect), while ADL and IADL explain 60.28% and 53.90% of the effect of caregiving support, respectively. CONCLUSION: intergenerational support from adult children significantly enhances the intrinsic capacity of older adults by promoting social engagement and maintaining functional ability. To advance healthy and active aging, policy efforts should adopt a function-oriented approach that strengthens both family-based support systems and community care infrastructure, while fostering cross-generational resource sharing and coordinated support.
背景:随着中国人口迅速向老龄化转变,健康老龄化政策面临一项严峻挑战:如何利用成年子女的代际支持来维持和提高老年人的功能能力?本研究利用具有全国代表性的数据,调查这种支持与老年人内在能力之间的关联,并探索其发挥作用的途径。 方法:本研究使用了中国健康与养老追踪调查(CHARLS)2015年、2018年和2020年三轮的数据。构建了一个包含经济支持、情感亲密程度和照料的成年子女代际支持多维指标。采用双向固定效应模型来估计这种支持对老年人内在能力的影响。此外,使用Bootstrap方法进行中介分析,以检验通过社会参与、日常生活活动(ADL)和工具性日常生活活动(IADL)的潜在途径。 结果:实证结果表明,成年子女的三种代际支持形式——经济、情感和照料——对老年人的内在能力均有显著的积极影响,其中照料的影响最为强烈。这些影响在按城乡居住地、教育程度和同住状况定义的亚组中存在差异,表明存在很大的异质性。中介分析表明,社会参与部分中介了经济支持的影响(占总影响的14.63%),而ADL和IADL分别解释了照料支持影响的60.28%和53.90%。 结论:成年子女的代际支持通过促进社会参与和维持功能能力,显著提高了老年人的内在能力。为了推动健康和积极老龄化,政策努力应采取以功能为导向的方法,加强基于家庭的支持系统和社区护理基础设施,同时促进跨代资源共享和协调支持。
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