目的: 探讨老化态度在农村社区老年人社会隔离和自我感知老化的中介作用。方法: 采用便利抽样法,应用一般资料问卷、老化态度量表(AAQ)、社会网络量表(LSNS-6)、简版自我感知老化量表(B-APQ)于2021年6月至2022年5月对成都市422例农村社区老年人进行问卷调查。结果: 农村社区老年人自我感知老化得分为(51.80±5.21)分,社会隔离得分为(16.59±3.05)分,老化态度得分为(78.24±6.03)分;自我感知老化与社会隔离呈正相关(r=0.535,P＜0.01),与老化态度呈负相关(r=-0.526,P＜0.01);老化态度在农村社区老年人社会隔离和自我感知老化间起部分中介作用,中介效应量为0.39[95%CI(0.245~0.432)],占总效应的52.0%。结论: 老化态度在农村社区老年人社会隔离和自我感知老化关系中起部分中介作用,社区应帮助老年人建立积极心理状态,减少社会隔离造成的负面影响,促进其获得更多积极的自我感知老化,进而促进健康老龄化。
Objective: To explore the mediating effect of attitudes toward aging on social isolation and self-perception aging of the elderly in rural communities. Methods: The convenience sampling method was used to investigate 422 elderly people in rural communities in Chengdu from June 2021 to May 2022 by using general data questionnaire, Aging Attitude Questionnaire(AAQ), Lubben Social Network Scale (LSNS-6) and the Brief Ageing Perceptions Questionnaire(B-APQ). Results: The B-APQ score of the elderly in the rural community was (51.80±5.21) scores, the LSNS-6 score was (16.59±3.05) scores, and the AAQ score was (78.24±6.03) scores. Self-perceived aging was positively correlated with social isolation (r=0.535, P＜0.01) and negatively correlated with attitudes toward aging (r=-0.526, P＜0.01); attitudes toward aging played a part of the mediating role between social isolation and self-perceived aging among the elderly in rural communities, and the amount of mediating effect was 0.39 [95%CI(0.245~0.432)], accounting for 52.0% of the total effect. Conclusion: Attitudes toward aging plays a part of the mediating role in the social isolation and self-perception aging relationship of the elderly in rural communities, and the community should help the elderly to establish a positive psychological state and reduce the negative impact caused by social isolation, so as to help the elderly in rural communities get more positive self-perception aging and promote healthy aging.
[1] 宁吉喆. 第七次全国人口普查主要数据情况[J]. 中国统计,2021(5):4-5.
[2] 王莉莉. 新时代我国老龄健康产业界定、现状及发展趋势[J]. 行政管理改革,2022,3(3):19-28.
[3] Beyer AK, Wolff JK, Freiberger E, et al. Are self-perceptions of ageing modifiable? Examination of an exercise programme with vs. without a self-perceptions of ageing-intervention for older adults[J]. Psychol Health, 2019,34(6):661-676.
[4] Brown KE, Kim J, Stewart T, et al. Positive, but not negative, self-perceptions of aging predict cognitive function among older adults[J]. Int J Aging Hum Dev, 2021,93(1):543-561.
[5] Tully-Wilson C, Bojack R, Millear PM, et al. Self-perceptions of aging: a systematic review of longitudinal studies[J]. Psychol Aging, 2021,36(7):773-789.
[6] Gu R, Zhang DD, Jin XH, et al. The self-perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension[J]. Psychogeriatrics, 2019,19(4):391-398.
[7] Imamura K, Kamide N, Ando M, et al. Social isolation is associated with future decline of physical performance in community-dwelling older adults: a 1-year longitudinal study[J]. Aging Clin Exp Res, 2022,34(6):1391-1398.
[8] 程新峰,葛廷帅,姜全保. 社会隔离对中国老年人老化态度的影响及作用机制研究[J]. 西北人口,2021,42(4):93-102.
[9] Chen LJ, Guo W, Perez C. The effect of aging attitudes on the quality of life of older adults in China[J]. Res Aging, 2021,43(2):96-106.
[10] 秦琼,孟爽,唐启群. 抑郁对养老机构老年人自我老化感知的影响:社会隔离的调节作用[J]. 中国老年学杂志,2022,42(4):977-980.
[11] 李茜,易子涵,张海茹,等. 社会隔离在社区老年人自我感知老化和成功老龄化之间的中介效应[J]. 现代预防医学,2020,47(22):4125-4128.
[12] 邱永亮,程智方,温红娟. 长春市社区老年高血压患者自我感知老化状况及其影响因素[J]. 医学与社会,2021,34(12):10-14.
[13] 秦琼,孟爽,唐启群. 应对方式在养老机构老年人主观幸福感与自我感知老化间的中介效应[J]. 护理研究,2020,34(24):4394-4397.
[14] 黄一帆,王大华,刘永广,等. 老化态度问卷(AAQ)中文版的初步试用[J]. 中国临床心理学杂志,2010,18(4):447-450.
[15] Lubben J, Blozik E, Gillmann G, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations[J]. Gerontologist, 2006,46(4):503-513.
[16] 扈娜,孟令弟,刘堃. 简版自我感知老化量表在社区老年人中应用的信效度研究[J]. 现代预防医学,2018,45(4):655-658,682.
[17] 温忠麟,叶宝娟. 中介效应分析:方法和模型发展[J]. 心理科学进展,2014,22(5):731-745.
[18] Yang RM, Wang HC, Edelman LS, et al. Loneliness as a mediator of the impact of social isolation on cognitive functioning of Chinese older adults[J]. Age Ageing, 2020,49(4):599-604.
[19] 李茜,张海茹,易子涵,等. 社区老年人社会隔离及自我感知老化现状调查[J]. 广西医学,2021,43(6):763-767.
[20] 徐铁飞,鞠梅,张杰兰,等. 老化态度在社区老年人代际支持与生活质量间的作用[J]. 现代预防医学,2022,49(11):1999-2002.
[21] Deshayes M, Corrion K, Zory R, et al. Relationship between personality and physical capacities in older adults: the mediating role of subjective age, aging attitudes and physical self-perceptions[J]. Arch Gerontol Geriatr, 2021,95:104417.
[22] 张智月,董奥,冉明,等. 孤独在老年慢性病患者社会支持与自我感知老化间的中介效应[J]. 护理学报,2022,29(4):59-63.
[23] Jaafar MH, Villiers-Tuthill A, Sim SH, et al. Validation of the brief ageing perceptions questionnaire (B-APQ) in Malaysia[J]. Aging Ment Health, 2020,24(4):620-626.
[24] 陆子健,徐俊. 乡村振兴背景下农村养老服务体系研究[J]. 南京工程学院学报(社会科学版),2021,21(1):34-38.
