社会参与和城镇老年人健康适能状况的关联效应分析  

Analysis of the Association Effect between Social Participation and Health Fitness Status of Urban Older Adults

作　　者：马蕊 许军[2] 廖生武[3] 刘琛 卢城城 李德敏 张金华[4] Ma Rui(School of Health Services Management,Southern Medical University,Guangzhou,P.R.China)

机构地区：[1]南方医科大学卫生管理学院,广东广州510515 [2]南方医科大学南方医院运营管理部 [3]南方医科大学南方医院健康管理科 [4]南方医科大学科研院

出　　处：《中国卫生事业管理》2024年第10期1174-1179,共6页Chinese Health Service Management

基　　金：广东省哲学社会科学规划学科共建项目“城市老年人健康适能的影响因素模型及干预机制研究”(GD23XTY41);广州市科技计划项目“人口老龄化背景下我国老年人健康体适能的评价体系及促进模式研究”(201803010089);广州市科技计划项目“基于人工智能的中老年常见疾病诊治系统研发”(202103000037);国家自然科学基金资助项目“城镇居民亚健康状态的影响因素模型构建及干预方案研究”(71673126)。

摘　　要：目的:从能力视角探讨社会参与和我国城镇老年人健康适能状况的关联效应。方法:采用OLS模型与倾向性评分匹配法(PSM)进行数据分析。结果:OLS模型结果显示社会活动参与能使城镇老年人的生理、心理、社会适能水平分别提高7.8%、9.8%、3.8%;通过PSM消除内生性问题之后,社会参与对城镇老年人生理、心理、社会适能的影响净效应分别为2.145~2.555、2.602~3.006、1.424~1.697。结论:总体上社会参与对城镇老年人健康适能具有一定的正向关联效应,但对其影响存在性别、年龄差异。应鼓励老年人积极参与社会活动,关注老年人心理、社会适能。Objective To explore the association effect between social participation and health fitness status of urban elderly in China from the perspective of ability.Methods OLS model and propensity score matching(PSM)were used to analyze the data.Results The results of OLS model showed that social participation could improve the physical,mental health,and social fitness levels of urban older adults by 7.8%,9.8%,and 3.8%,respectively.After eliminating the endogenous problems through PSM,the net effects of social participation on the physical,mental health,and social fitness levels of urban older adults were 2.145~2.555,2.602~3.006,1.424~1.697,respectively.Conclusion Overall,social participation has a certain positive effect on the health fitness of urban elderly,but there are gender and age differences in its influence.It is necessary to encourage the elderly to actively participate in social activities and pay attention to their mental and social fitness.

关 键 词：健康适能 社会参与 城镇老年人 倾向得分匹配 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]