山东省中老年人智能手机使用与生命质量的关系--居住方式的调节作用  

The relationship between smartphone use and quality of life among middle-aged and elderly people in Shandong Province:the moderating role of living arrangements

作　　者：戚筱涵 鞠洪鑫 李秋莎 尹文强 QI Xiao-han;JU Hong-xin;LI Qiu-sha;YIN Wen-qiang(School of Management,Shandong Second Medical University,Weifang,Shandong 261053,China;不详)

机构地区：[1]山东第二医科大学管理学院,山东潍坊261053 [2]山东第二医科大学公共卫生学院 [3]“健康山东”重大社会风险预测与治理协同创新中心,山东潍坊261053 [4]健康相关重大社会风险预警协同创新中心,上海200032

出　　处：《现代预防医学》2024年第13期2441-2446,共6页Modern Preventive Medicine

基　　金：教育部人文社会科学基金项目(22YJAZH137);潍坊医学院研究生科研创新基金。

摘　　要：目的探讨智能手机使用对山东省45岁以上中老年人生命质量的影响以及居住方式在两者关系中的调节作用。方法按照分层随机抽样方法,选取山东省45岁以上中老年人作为研究对象进行问卷调查。采用欧洲五维健康量表(EQ-5D)中国效用值积分体系计算健康效用值,并拟合Tobit模型分析智能手机使用对中老年人生命质量的影响以及居住方式对两者关系的调节作用。结果与未使用智能手机的中老年人相比,使用智能手机的中老年人生命质量较差(β=-0.030,P<0.05)。对于使用智能手机的中老年人来说,非独居进一步加剧手机使用对中老年人生命质量的负面影响(β=-0.060,P<0.05)。结论拥有智能手机对45岁以上中老年人的生命质量有显著负向预测性,居住方式对于是否拥有智能手机和45岁以上中老年人的生命质量之间的关系有调节作用。应重视过度使用智能手机对中老年人健康的危害,提高家人的陪伴质量,合理引导中老年人适度使用智能手机。Objective To investigate the impact of smartphone usage on the quality of life among middle-aged and older adults aged 45 and above,with a focus on the moderating effect of living arrangements.Methods Middle-aged and elderly individuals aged over 45 in Shandong Province were selected using a stratified random sampling method for a questionnaire survey.The European Five Dimensional Health Scale(EQ-5D)Chinese Utility Value Score System was employed to assess health utility values.A Tobit model was utilized to analyze the relationship between smartphone use and quality of life in this demographic,considering the moderating effect of living arrangements.Results Compared to middle-aged and older adults who did not use smartphones,those who used smartphones reported lower quality of life(β=-0.030,P<0.05).Additionally,among smartphone users in this age group,living arrangements(non-living alone)exacerbated the negative impact on quality of life(β=-0.060,P<0.05).Conclusion Smartphone ownership negatively predicted the quality of life in middle-aged and older adults aged over 45,with living arrangements moderating this relationship.This study underscores the need to address the potential negative effects of excessive smartphone use on the health of middle-aged and older adults,promote quality family interactions,and advocate for balanced smartphone usage among this population.

关 键 词：智能手机 居住安排 生命质量 调节作用 

分 类 号：R195[医药卫生—卫生统计学] B844.4[医药卫生—卫生事业管理]