首页|居家适老化改造及其对老年人生活满意度的影响——基于ICF框架的机制分析

居家适老化改造及其对老年人生活满意度的影响——基于ICF框架的机制分析

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基于2018年中国老年社会追踪调查数据,从适老环境改造和适老用品配置两方面对居家适老化改造进行区分,从区域和群体的视角评估居家适老化改造的现状.进一步,基于世界卫生组织的ICF框架,重点分析居家适老化改造对老年人生活满意度的影响,检验情绪、认知和社会功能的多重中介效应,并补充分析中介效应的城乡差异.结果显示,居家适老化改造显著提高了老年人的生活满意度,在控制活动功能后,情绪、认知和社会功能在其间发挥中介效应,且其中介效应存在城乡差异.鉴于居家适老化改造对老年人功能能力的积极影响,基本养老服务的有效供给应主要针对存在功能障碍的老年人,包括活动、情绪、认知和社会功能在内的整合性功能评估是实现基本养老服务有效供给的起点.
This study utilizes data from the 2018 China Longitudinal Ageing Social Survey to evaluate the current situa-tion of these renovations by considering regional and group differ-ences,specifically focusing on environmental renovations and device configurations.Drawing on the International Classification of Functioning,Disability,and Health(ICF)framework pro-posed by the World Health Organization,this study investigates the effects of home-based aging-adaptation renovations on ol-der adults'life satisfaction,with a particular emphasis putting on exploring the mediating effects of emotion,cognition,and so-cial functions in these relationships.Additionally,the study ex-amines whether there are urban-rural differences in terms of these mediating effects.The results indicate that home-based aging-adaptation renovations have significantly positive impacts on older adults'life satisfaction.Emotion,cognition,and social functions play multiple mediating roles in these relationships,af-ter controlling for the effect of activity function.Moreover,urban-rural differences are observed in terms of these mediating effects.Considering the positive effects of home-based aging-adaptation on older adults'functional abilities,it is crucial to target the effective supply of basic elderly care services towards older adults with functional limitations.Importantly,an integrat-ed functional assessment that encompasses activity,emotion,cognition,and social functions should serve as the foundation for delivering basic elderly care services.

home-based aging-adaptation renova-tionslife satisfactionICF frameworkfunctional abilitiesur-ban-rural differences

史珈铭、蒋潮鑫

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西南财经大学公共管理学院

华东师范大学社会发展学院

居家适老化改造 生活满意度 ICF框架 功能能力 城乡差异

中央高校基本科研业务费专项资金项目

JBK2406096

2024

城市问题
北京市社会科学院

城市问题

CSTPCDCSSCICHSSCD北大核心
影响因子:1.27
ISSN:1002-2031
年,卷(期):2024.(6)
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