线上社会参与对老年人健康的双刃剑效应分析  

Analysis of the double-edged sword effect of online social participation on the health of the elderly

作　　者：吴焕[1] 王桂霞[1] 聂丽[1] WU Huan;WANG Gui-xia;NIE Li(School of Health and Health Management,Xinxiang Medical College,Xinxiang,Henan 453003,China)

机构地区：[1]新乡医学院卫生健康管理学院,河南新乡453003

出　　处：《现代预防医学》2024年第9期1660-1664,共5页Modern Preventive Medicine

基　　金：国家自然科学基金项目(71804158);国家社会科学基金项目(22BGL213);河南省高校人文社会科学研究一般项目(2024-ZZJH-428)。

摘　　要：目的探究线上社会参与通过线上社会支持和线上风险暴露影响老年人健康的作用机制,并阐释代际同住的调节作用。方法选用2023年河南省≥60岁人群线上社会参与及健康状况调查数据,用PROCESS4.0宏程序中有调节的中介效应模型检验中介效应、调节效应和被调节的中介效应。结果线上社会参与正向影响线上社会支持(β=1.734,P<0.001)和线上风险暴露(β=1.453,P<0.001);线上社会支持正向影响生理健康(β=0.183,P<0.05)和心理健康(β=0.398,P<0.001);线上风险暴露负向影响生理健康(β=-0.490,P<0.001)和心理健康(β=-0.598,P<0.001);线上社会参与和代际同住的交互项负向影响线上风险暴露(β=-0.784,P<0.001);在线上社会参与→线上风险暴露→生理健康/心理健康路径上,代际同住组和非代际同住组的中介效应差值分别为0.384(95%CI:0.146~0.678)、0.469(95%CI:0.205~0.778),有统计学意义。结论线上社会参与通过线上社会支持正向影响老年人身心健康,通过线上风险暴露负向影响身心健康;代际同住弱化了线上社会参与对线上风险暴露的正向影响,以及线上风险暴露的中介效应。Objective To explore the mechanism of online social participation affecting the health of the elderly through online social support and online risk exposure,and to explain the regulatory role of intergenerational cohabitation.Methods The data of online social participation and health status of people over 60 years old in Henan Province in 2023 were selected,and the moderated mediating effect,moderating effect,and regulated mediating effect were tested with the moderated intermediary effect model in PROCESS4.0 macro program.Results Online social participation positively affected online social support(β=1.734,P<0.001)and online risk exposure(β=1.453,P<0.001).Online social support positively affected physical health(β=0.183,P<0.001)and mental health(β=0.398,P<0.001).Online risk exposure negatively affected physical health(β=-0.490,P<0.001)and mental health(β=-0.598,P<0.001).The interaction between online social participation and intergenerational cohabitation negatively affected online risk exposure(β=-0.784,P<0.001),and the mediating effect differences between intergenerational cohabitation group and non-intergenerational cohabitation group were 0.384(95%CI:0.146-0.678)and 0.469(95%CI:0.205-0.778)respectively on the physical/mental health path of online social participation.Conclusion Online social participation has a positive impact on the physical and mental health of the elderly through online social support,and a negative impact on physical and mental health through online risk exposure.Intergenerational cohabitation weakens the positive impact of online social participation on online risk exposure and the intermediary effect of online risk exposure.

关 键 词：线上社会参与 线上社会支持 线上风险暴露 健康 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]