通讯作者: 曾雁冰, ybingzeng@163.com

DOI：10.12201/bmr.202109.00034

A study on the effects of multiple social participation and family support on the mental health of elderly in China

• 摘要：目的：了解不同社会参与类型和家庭支持对老年人心理健康的影响及交互作用，为促进老年人心理健康提供决策依据。方法：基于2018年中国老年健康影响因素跟踪调查(CLHLS)数据筛选获得12686名老年人，使用描述性分析、Pearson相关性检验、二元logistic回归模型研究不同社会参与、家庭支持特征的老年人心理健康现状及相关性，分析其对老年人积极、消极情绪的影响，探讨多元社会参与类型间的交互作用。结果：有社会参与和家庭支持的老年人心理健康较好的发生比高5.72%-17.50%；休闲娱乐型、社会交往型社会参与及与家人同住对老年人心理健康有显著促进效应，且该两类社会参与间存在显著交互作用，家务型社会参与则对心理健康有负向影响。结论：不同类型社会参与对老年人心理健康的影响存在差异和部分互替性，与家人同住为代表的家庭支持能显著改善老年人的心理健康水平，应鼓励老年人更多地参与社会活动、与家人共同居住，以提高老年人的积极情绪，降低消极情绪的发生风险。

  关键词： 社会参与；心理健康；家庭支持; ; 

   

  Abstract: Objective To investigate the effects and interactions of different types of social participation and family support on the mental health of older adults, and to provide a basis for decision making to promote mental health of older adults. Methods 12686 cases of older adults were extracted from the 2018 data from the Chinese Longitudinal Healthy Longevity Survey(CLHLS) to create nationally representative estimates. Based on the descriptive analysis and Pearson correlation test, we analyzed the current mental health status and correlation of older adults with different social participation and family support characteristics. Binary logistic regression model was used to analyze the effects of individual factors, social participation and family support on the positive and negative emotions of the elderly, and to explore the interaction effects between multiple social participation types. Results The incidence ratios of better mental health among older adults with social participation and family support were 5.72%-17.50% higher. Recreational social participation, interactive social participation and living with family had significant promoting effects on older adults mental health, and there was a significant interaction between these two types of social participation. Domestic social participation had a negative effect on mental health. Conclusion There are differences and partial reciprocity in the effects of different types of social participation on older adults mental health, and the increase of family support represented by living style can significantly improve older adults mental health. Older adults should be encouraged to participate more in social activities and live with family members to improve their positive emotions and reduce the risk of negative emotions.

  Key words: Social participation; Mental health; Family relations

  提交时间：2021-11-29

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• 序号	提交日期	编号	操作
  1	2021-09-07	bmr.202109.00034V1	下载

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