| 引用本文：郝晓宁, 郑研辉, 李岩静, 许金鹏, 孙佳乐.社会支持网络对老年流动人口健康影响研究[J].中国卫生政策研究,2022,15(10):54-61 |
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| 社会支持网络对老年流动人口健康影响研究 |
| 投稿时间：2022-09-02 修订日期：2022-10-10 PDF全文浏览 HTML全文浏览 |
| 郝晓宁1, 郑研辉1, 李岩静2, 许金鹏3, 孙佳乐2 |
1. 国家卫生健康委卫生发展研究中心 北京 100044;
2. 南京医科大学医政学院 江苏南京 211100;
3. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150081 |
| 摘要:目的：分析老年流动人口社会支持网络和健康状况，探究社会支持网络特征对其健康状况的影响。方法：采用多阶段分层抽样法开展问卷调查。利用描述性统计和结构方程模型分析社会支持网络对健康的影响机制。结果：老年流动人口的自评健康状态相对较好，但健康问题不容忽视。社会支持水平偏低，社会支持网络呈现“规模偏小、紧密度高、异质性较低、趋同性较高”特征。社会支持网络对老年流动人口的健康有直接正向作用，其中网络关系构成的影响效应最大。社会支持在社会支持网络→健康状况和流动情况→健康状况两条路径上起中介作用。建议：通过强化老年流动人口的家庭健康支持力度，充分发挥社区的基础与平台作用，提升流动老人主动健康能力等措施，促进老年流动人口健康支持网络的重建或拓展，提升老年流动人口健康水平。 |
| 关键词:老年流动人口 健康状况 社会支持 社会支持网络 |
| 基金项目:国家自然科学基金项目(71774034) |
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| Research on the effect of the social support network on the health of the elderly migrant population |
| HAO Xiao-ning1, ZHENG Yan-hui1, LI Yan-jing2, XU Jin-peng3, SUN Jia-le2 |
1. China National Health Development Research Center, National Health Commission, Beijing 100044, China;
2. School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211100, China;
3. School of Health Management, Harbin Medical University, Haerbin Heilongjiang 150081, China |
| Abstract:Objective:To analyze the current health condition of the migrant elderly and relevant social support network in hope to explore how the characteristics of social support network influence health of the migrant elderly so that more resources are absorbed into health support network. Methods:Carry out questionnaire survey with multi-stage stratified sampling method and analyze the influence mechanism of social support network on health with descriptive statistics and structural equation model.Results:Health issue remains though self-rated health status of the migrant elderly is relatively good.The social support network is characterized as "small scale, high compactness, low heterogeneity and high convergence", with a low level of social support. Social support network has a direct positive effect on health of the migrant elderly, especially the relationship structure.In addition, social support acts as amediator in the relationship of both social support and health status as well as that of mobility and health status.Conclusion:It is suggested that family health support tothe migrant elderly be strengthened, and role of community as the foundation and platform be fully utilized, meanwhile active health ability of the migrant elderly be improved, so as to promote the reconstruction or expansion of health support network for the migrant elderly, and in turn improve their health level. |
| Key words:Migrant elderly Health conditions Social support Social support network |
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