压力性生活事件对中老年人社交活动参与度影响的队列研究  

A cohort study on the impact of stressful life events on social activity participation among middle-aged and elderly adults

作　　者：张玉静 李姗姗 张育铭 任旭超 左思怡 张子琪 程琳媛 翟子杰 徐攀 李栋 Zhang Yujing;Li Shanshan;Zhang Yuming;Ren Xuchao;Zuo Siyi;Zhang Ziqi;Cheng Linyuan;Zhai Zijie;Xu Pan;Li Dong(School of Public Health,Shandong First Medical University&Shandong Academy of Medical Science,Jinan 250000,China;School of Clinical and Basic Medicine,Shandong First Medical University&Shandong Academy of Medical Science,Jinan 250000,China;School of Public Health,Jining Medical University,Jining 272000,China)

机构地区：[1]山东第一医科大学公共卫生与健康管理学院,济南250000 [2]山东第一医科大学基础医学院,济南250000 [3]济宁医学院公共卫生学院,济宁272000

出　　处：《中华行为医学与脑科学杂志》2025年第1期60-65,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(82301696)。

摘　　要：目的分析我国中老年人经历压力性生活事件对其社交活动参与度的影响,为改善中老年人生活质量提供科学依据。方法于2024年1月对来源于2011—2020年中国健康与养老追踪调查(CHARLS)的数据进行分析。使用SPSS 25.0软件进行统计分析。采用有序Logistic回归分析,探讨近十年经历压力性生活事件与社交活动参与度的关联性。按照年龄、性别和居住地进行分层分析。结果共有10838名中老年人纳入本研究。无社交活动参与度、较低社交活动参与度和较高社交活动参与度人群所占比重分别为52.07%(5643/10838)、24.21%(2624/10838)和23.72%(2571/10838)。在调整社会人口学特征和健康相关行为后,相比未经历压力性生活事件的研究对象,经历者参与社交活动的可能性下降了15.2%(RR=0.848,95%CI=0.786~0.915)。分层分析显示,经历压力性生活事件后,城市地区的研究对象社交活动参与可能性的降低程度明显高于农村地区的研究对象(P交互=0.004)。结论中老年人近十年经历压力性生活事件可能会降低其社交活动的参与度。建议加强对中老年人的心理疏导,鼓励其积极参与社交活动。ObjectiveTo analyze the impact of stressful life events on the social activity participation of middle-aged and elderly adults in China,providing a scientific basis for improving their quality of life.MethodsThis study was conducted in January 2024.Data were derived from the China health and retirement longitudinal study(CHARLS)conducted from 2011 to 2020.SPSS 25.0 software was used for statistical analysis.Ordered Logistic regression analysis was employed to explore the association between stressful life events experienced over the past decade and the level of social activity participation,with stratified analysis by age,gender,and place of residence.ResultsA total of 10838 middle-aged and elderly adults were included in this study.The proportions of individuals with no social activity participation,low social activity participation,and high social activity participation were 52.07%(5643/10838),24.21%(2624/10838),and 23.72%(2571/10838),respectively.After adjusting for sociodemographic characteristics and health-related behaviors,individuals who experienced stressful life events were 15.2%less likely to participate in social activities compared to those who did not(RR=0.848,95%CI=0.786-0.915).Stratified analysis revealed that the decrease in the likelihood of social activity participation following stressful life events was significantly greater in urban residents than that in rural residents(P interaction=0.004).ConclusionExperiencing stressful life events over the past decade may reduce the level of social activity participation among middle-aged and elderly adults.It is recommended to strengthen psychological counseling for this population and encourage active social engagement.

关 键 词：中老年人 压力性生活事件 社交活动参与度 中国健康与养老追踪调查 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]