基于结构方程模型的江苏省因病致贫人群生命质量影响因素分析  

Analysis of Influencing Factors of Quality of Life of Poor People Due to Illness Based on Structural Equation Modeling in Jiangsu Province

作　　者：张文静 姚俊[1] ZHANG Wenjing(School of Health Policy and Management,Nanjing Medical University,Nanjing,Jiangsu,211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166

出　　处：《医学与社会》2022年第6期70-74,共5页Medicine and Society

基　　金：国家社会科学基金资助项目,编号为18BRK026。

摘　　要：目的:探讨因病致贫人群压力知觉水平与生命质量的关系,检验焦虑情绪的中介效应与社会支持的调节效应。方法:采用多阶段抽样方法抽取江苏省386位因病致贫个体进行问卷调查,对数据进行统计分析并构建生命质量影响因素的结构方程模型。结果:因病致贫人群的压力知觉水平与焦虑情绪呈正相关(P<0.001),与生命质量、社会支持呈负相关(P<0.001)。焦虑情绪在压力知觉水平与生命质量间发挥中介作用(β=-0.18,P<0.001),占总效应的36.00%。社会支持在压力知觉水平与焦虑情绪间发挥调节作用(β=-0.12,P<0.05)。结论:因病致贫人群压力知觉水平与生命质量的关系受焦虑情绪的中介作用,社会支持可负向调节压力知觉水平与焦虑情绪的关系。Objective:To explore the relationship between perceived stress and quality of life of poor people due to illness,and to examine the mediating effect of anxiety and the moderating effect of social support.Methods:A questionnaire survey was conducted among 386 people in poverty due to illness in Jiangsu province by using multistage sampling.The data were statistically analyzed and the structural equation modeling of influencing factors of quality of life was established.Results:Among poor people due to illness,the perceived stress was positively correlated with anxiety(P<0.001)and negatively correlated with quality of life and social support(P<0.001).Anxiety played a mediating role between perceived stress and quality of life(β=-0.18,P<0.001),accounting for 36.00%of the total effect.Social support played a moderating role between perceived stress and anxiety(β=-0.12,P<0.05).Conclusion:The relationship between perceived stress and quality of life of poor people due to illness is mediated by anxiety,and social support can negatively moderate the relationship between perceived stress and anxiety.

关 键 词：生命质量 压力知觉 焦虑 社会支持 因病致贫 江苏 

分 类 号：R193.2[医药卫生—卫生事业管理]