农村老年人线上线下社会参与对其健康的影响研究  

Effects of online and offline social participation on the health of the rural elderly

作　　者：张岚 蔺婧 张驰[2] ZHANG Lan;LIN Jing;ZHANG Chi(School of Public Health,Xi'an Jiaotong University,Xi'an,Shaanxi 10061,China;School of Medical Humanities and Management,Wenzhou Medical University,Wenzhou,Zhejiang 325035,China)

机构地区：[1]西安交通大学公共卫生学院,陕西西安710061 [2]温州医科大学医学人文与管理学院,浙江温州325035

出　　处：《中国农村卫生事业管理》2024年第9期658-663,668,共7页Chinese Rural Health Service Administration

基　　金：温州市社会科学重点研究基地课题(18jd07)。

摘　　要：目的探讨农村老年人线上线下社会参与对健康的影响及作用机制。方法2022年11月—2023年1月,采用横断面调查法,应用自制的结构化问卷对贵州省毕节市55岁以上的农村老年人进行调查。结果最终纳入研究的320名农村老年人中,男女比例约为1∶1,60~64岁老年人占比最多。中介分析显示,线上社会参与是线下社会参与对生理健康、心理健康和社会适应力作用的中介因素,间接效应分别为0.436、0.328、0.350。结论不同年龄、文化程度、平均月收入、婚姻状况、有无医疗保险和慢性病数量的农村老年人健康状况存在差异,线上社会参与对生理健康的影响是通过线下社会参与实现的;线上社会参与对心理健康、社会适应力有直接影响,也有间接影响。相关部门应当培养农村老年人线上社会参与意识,关注并提高线下社会参与率,提升农村老年人的健康水平。Objective To explore the impact and mechanisms of online and offline social participation on the health of rural elderly.Methods A cross-sectional survey was conducted from November 2022 to January 2023 using a structured questionnaire designed specifically for rural residents aged 55 and over in Bijie City,Guizhou Province.Results The sample comprised 320 rural elderly with a gender ratio of approximately 1∶1,and the majority being between 60 and 64 years of age.Mediation analysis indicated that online social participation was a mediating factor in the association between offline social participation and physical health,mental health,and social adaptability,with indirect effects of 0.436,0.328,and 0.350,respectively.Conclusions There are variations in health status among the rural elderly based on age,educational level,average monthly income,marital status,the presence of medical insurance,and the number of chronic diseases.The influence of online social participation on physical health is achieved through offline social interactions;it also directly and indirectly affects mental health and social adaptability.It is recommended that relevant departments cultivate an awareness of online social participation among the rural elderly and enhance the rate of offline social participation to improve their health level.

关 键 词：农村老年人 线上社会参与 线下社会参与 健康 积极老龄化 中介分析 

分 类 号：R193[医药卫生—卫生事业管理]