| 摘要: |
| 失能老人面临着严峻的心理健康问题,帮助失能老人重建自我价值感,提升心理健康水平刻不
容缓。 基于第五轮中国健康与养老追踪调查数据 ( China Health and Retirement Longitudinal Study,
CHARLS),构建失能老人心理健康的社会决定因素分析模型,并采用多元线性回归分析方法进行分析。
研究发现,失能老人心理健康平均得分为(15. 43±6. 62)分,近六成失能老人存在抑郁问题,心理健康状
况较差。 基于健康的社会决定因素模型和回归分析结果表明:需要从关注特殊失能老人群体、发挥健康
行为方式的由身至心效应、挖掘家庭和社区力量、改善物质条件的同时推动城乡心理健康医疗服务资源
均衡配置、不断缩小医疗保障差距等五个维度预防失能老人心理健康问题。 |
| 关键词: 失能老人 心理健康 老龄化 健康的社会决定因素 |
| DOI： |
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| Influencing Factors and Multidimensional Coping Strategies for theMental Health of the Disabled Elderly: Based on theSocial Determinants of Health Model |
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LI Bin, HAN Jing
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| Abstract: |
| The disabled elderly face serious mental health problems, and it is urgent to help them rebuild a
sense of self-worth and improve their psychological well-being. Based on data from the fifth round of the China
Health and Retirement Longitudinal Study (CHARLS), this study constructed an analytical model of the social
determinants of mental health of disabled elderly and analyzed the data using multiple linear regression. The
study finds that the average mental health score of the disabled elderly was (15. 43 ± 6. 62), with nearly 60%
exhibiting depressive symptoms, indicating poor mental health. Based on the social determinants of health model
and the regression analysis results, strategies to prevent mental health problems among the disabled elderly
should be pursued across five dimensions: focusing on specific subgroups within the disabled elderly population,
leveraging the physical-to-psychological benefits of healthy behaviors, mobilizing support from families and
communities, improving material conditions while promoting equitable allocation of mental health service
resources between urban and rural areas, and continuously narrowing gaps in medical security. |
| Key words: disabled elderly mental health aging social determinants of health |
