西南地区老年人社会参与对生命质量的影响研究  

Impact of social participation on the quality of life of the elderly in Southwest China

作　　者：于川[1] 高博[1] 任晓晖[1] 李宁秀[1] YU Chuan;GAO Bo;REN Xiao-hui;LI Ning-xiu(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041

出　　处：《现代预防医学》2021年第6期1061-1064,1074,共5页Modern Preventive Medicine

基　　金：国家自然科学基金面上项目(71473171)。

摘　　要：目的了解西南地区老年人社会参与现状,并以生命质量作为评价健康的指标,分析社会参与对老年人健康的影响。方法利用2016—2017年在成都市和昆明市进行的入户调查数据,选取60岁及以上调查对象共3698名。从有组织的活动参与、人际交往及参与群体性锻炼三个方面分析老年人的社会参与状况,并运用多因素logistic回归分析老年人的社会参与对生命质量的影响。结果被调查对象人际交往总体较好,参与群体性锻炼较差。多因素分析显示,人际交往中的关系密切的朋友数量(OR=1.476及OR=2.029)及家庭关系(OR=1.241及OR=2.140)对躯体生命质量及心理生命质量均有影响;有组织的活动参与中的社会团体活动参加情况(OR=1.482)仅对躯体生命质量有影响;有组织的活动参与中的"小区公共项目不直接对您有利时是否会参与"(OR=1.298)以及参与群体性锻炼(OR=1.608)对心理生命质量有影响。结论老年人的社会参与对其生命质量有较为明显的影响。政府及社区对老年人的社会参与应该给予更多的关注。Objective To describe the status of social participation of the elderly in Southwest China,and to analyze the impact of social participation on the health of the elderly by using the quality of life as the index to evaluate health.Methods Data were obtained from the household survey data in Chengdu and Kunming from 2016 to 2017.A total of 3698 respondents aged 60 and above were selected,and the social participation status was analyzed in three aspects:participation in organized activities,interpersonal interaction and participation in group exercise.The multivariate logistic regression was applied to analyze the impact of the social participation on the quality of life of the elderly.Results The respondents’interpersonal communication was generally good,but their group exercise participation was poor.Multivariate analysis showed that the number of close friends(OR=1.476 and OR=2.029)and family relationship(OR=1.241 and OR=2.140)were the influential factors of the physical and psychological dimension of quality of life.The participation in social group activities(OR=1.482)had an impact only on the physical dimension of quality of life.The participation of community public projects(OR=1.298)and group exercise(OR=1.608)influenced the psychological quality of life.Conclusion The social participation of the elderly has a significant impact on their quality of life.The government and the community should give more attention to the social participation of the elderly.

关 键 词：老年人 社会参与 生命质量 

分 类 号：R195[医药卫生—卫生统计学]