健康研究2024,Vol.44Issue(5) :507-512.DOI:10.19890/j.cnki.issn1674-6449.2024.05.007

家庭支持和社会支持对独居老年人健康的影响:基于CLHLS的实证分析

Effects of family and social support on the health of the elderly living alone:an empirical analysis on the CLHLS

卜胜娟 叶婷 熊季霞 吕艳霞
健康研究2024,Vol.44Issue(5) :507-512.DOI:10.19890/j.cnki.issn1674-6449.2024.05.007

家庭支持和社会支持对独居老年人健康的影响:基于CLHLS的实证分析

Effects of family and social support on the health of the elderly living alone:an empirical analysis on the CLHLS

卜胜娟 1叶婷 1熊季霞 1吕艳霞1
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作者信息

  • 1. 南京中医药大学卫生经济管理学院,江苏南京 210023
  • 折叠

摘要

目的 探索家庭、社会支持对独居老年人健康的影响,为促进老年人健康提供依据.方法 基于2018年CLHLS数据,运用二元Logistic回归法分析家庭、社会支持对独居老年人健康状况的影响,并使用倾向性得分匹配(PSM)方法进行稳健性检验.结果 共纳入有效样本2 131个,61.8%的独居老年人日常生活中积极情绪偏弱,48.5%的老人消极情绪强,86.7%的老人日常活动无需帮助,67.9%的老人工具日常活动能力较差,85.5%的老人自评健康状况一般、较差或差.Logistic回归分析显示,经济支持、家庭的精神慰藉、社会保障或保险及社区服务影响独居老年人健康(P<0.05),倾向性得分匹配检验表明研究结果具有较强稳健性.结论 家庭支持和社会支持对独居老年人的健康均有显著影响,应重视家庭养老,健全高质量社会保障体系,加强社区、医疗机构组织建设.

Abstract

Objective To analyze the influence of family and social support on the health status of the elderly living alone.Methods Based on the CLHLS data in 2018,this paper uses the binary logistic regression method to analyze the impact of family and social support on the health status of the elderly living alone.Additionally,propensity score matching(PSM)methodology was utilized to conduct a robustness test.Results A total of 2 131 valid samples were included in the study.Among the elderly living alone,61.8%had weak positive emotions in their daily lives,48.5%had strong negative emotions,86.7%did not require assistance with daily activities,67.9%had poor instrumental activities of daily living(IADL)capabilities,and 85.5%rated their health status as fair,poor,or very poor.Logistic regression analyses showed that financial support,emotional comfort from family,social security or insurance and community services influenced the health of the elderly living alone(P<0.05).PSM indicating strong robustness of the findings.Conclusions Both family support and social support have a significant impact on the health of elderly living alone.It is essential to value family-based elderly care,improve the quality of the social security system,and strengthen the construction of community and medical institution organizations.

关键词

独居老年人/健康/家庭支持/社会支持

Key words

the elderly living alone/health of the elderly/family support/social support

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出版年

2024
健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
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