黄佳妮,熊敬花,李金潞,黄列玉
HUANG Jia'ni,XIONG Jinghua,LI Jinlu,HUANG Lieyu

• 1:贵州医科大学医学人文学院

摘要(Abstract)：

目的 分析老年人个体社会资本对健康自评的影响、探讨抑郁及睡眠时长的调节作用。方法 于“中国健康与养老追踪调查”官网下载2018年的CHARLS调查数据，筛选有效被试2 747人，利用Pearson积差相关法检验个体社会资本、健康自评、抑郁以及睡眠时长变量之间的相关性；并利用Process v4.2插件中的Model7检验抑郁的中介作用和睡眠时长的调节作用。结果 不同文化程度老年人健康自评(F=3.506,P<0.01)、个体社会资本(F=6.865,P<0.01)、抑郁(F=7.087,P<0.001)的得分比较，差异有统计学意义(P<0.01);老年人个体社会资本(r=0.120,P<0.01)、抑郁(r=-0.085,P<0.01)与健康自评有显著相关性，个体社会资本与抑郁呈显著负相关(r=-0.064,P<0.01)、睡眠时长与健康自评呈显著正相关(r=0.143,P<0.01);老年人个体社会资本对健康自评的预测作用显著(β=0.120,t=6.356,P<0.001),将抑郁做中介变量后、老年人个体社会资本对健康自评的预测作用依然显著(β=0.115,t=6.100,P<0.01,95%CI为0.001～0.007);睡眠时长与个体社会资本的交互项调节了个体社会资本对抑郁的预测路径(β=-0.139,P<0.05,95%CI为-0.266～0.112)。结论 老年人个体社会资本通过抑郁对健康自评产生影响，睡眠时长在其中起调节作用。
Objective To analyze the influence of individual social capital on self-assessment of health and explore the regulation of depression and sleep duration. Method The 2018 CHARLS survey data was downloaded from the official website of the "China Health and Pension Tracking Survey", and 2 747 valid subjects were screened. The correlations between individual social capital, self-assessment health, depression, and sleep duration variables were examined by the correlation method of Pearson product-difference. Mediating effects of depression and modulation of sleep length were tested by Model7 in the Process v4.2 plugin. Result The self-assessment of health(F=3.506,P<0.01), individual social capital(F=6.865,P<0.01) and depression(F=7.087,P<0.001) scores of the elderly with different educational levels were compared, and the difference was statistically significant(P<0.01). The individual social capital of the elderly(r=0.120,P<0.01) and depression(r=-0.085,P<0.01) were significantly associated with self-assessment of health.Individual social capital showed a significant and negative correlation with depression(r=-0.064,P<0.01), and sleep length was significantly and positively associated with self-assessment of health(r=0.143,P<0.01). Individual social capital of the elderly had a significant prediction effect on self-assessment of health(β=0.120,t=6.356,P<0.001), and the prediction effect of individual social capital on self-assessment of health remained significant after using depression as the intermediary variable. After using depression as the intermediary variable, the predictive effect of individual social capital in the elderly on the self-assessment of health was still significant(β=0.115,t=6.100,P<0.01,95%CI was 0.001-0.007).The interaction term of sleep duration with individual social capital regulated the prediction path of individual social capital on depression(β=-0.139,P<0.05,95%CI was-0.266-0.112). Conclusion Individual social capital of the elderly affects health self-assessment through depression, and sleep duration plays a regulatory role.

关键词(KeyWords)： 老年人;个体社会资本;健康自评;抑郁;睡眠时长
the elderly;individual social capital;self-assessment of health;depression;sleep duration

Abstract:

Keywords:

基金项目(Foundation): 2021年贵州省卫生健康委科学技术基金项目(gzwkj2021-410)

作者(Author): 黄佳妮,熊敬花,李金潞,黄列玉
HUANG Jia'ni,XIONG Jinghua,LI Jinlu,HUANG Lieyu

DOI: 10.19367/j.cnki.2096-8388.2024.10.009

参考文献(References)：

• [1] 杨菊华，刘轶锋，王苏苏.人口老龄化的经济社会后果——基于多层面与多维度视角的分析[J].中国农业大学学报(社会科学版),2020,37(1):48-65.
• [2] 孙玉华.老年人的健康自评状况及其影响因素研究[D].长春：吉林大学，2013.
• [3] MADDOX G L,DOUGLASS E B.Self-assessment of health:a longitudinal study of elderly subjects[J].Health Soc Behavior,1973,14(1):87-93.
• [4] 黑龙江省统计局，黑龙江第六次人口普查办公室.黑龙江省2010年人口普查资料[G].北京：中国人口出版社，2012.
• [5] 何蕾，高博，柴琪，等.微观社会资本对农转非居民主客观健康认知一致性的影响研究[J].中国卫生事业管理，2022,39(1):41-43,65.
• [6] BOURDIEU P.The forms of capital[M].Westport CT:Greenwood Press,1986:241-258.
• [7] 托马斯·福特·布朗，木子西.社会资本理论综述[J].马克思主义与现实，2000(2):41-42.
• [8] LIN N.Social capital:a theory of social structure and action[M].Cambridge:Cambridge University Press,2002:152-170.
• [9] HARPHAM T,GRANT E,THOMAS E.Measuring social capital within health surveys:key issues[J].Health Policy Planning,2002,17(1):106-111.
• [10]黄嘉文，傅文欣.邻里社会资本、城市医疗卫生服务体系与自评健康——基于中国劳动力动态调查的实证研究[J].南方人口，2022,37(1):27-37.
• [11]位秀平.中国老年人自评健康影响因素分析[J].南京人口管理干部学院学报，2013,29(4):9-15.
• [12]陈彬，张仁鹏，陈济生.社会参与、自评健康评价与社会心态关系研究——基于CGSS2015数据[J].井冈山大学学报(社会科学版),2019,40(5):78-84.
• [13]温兴祥，文凤，叶林祥.社会资本对农村中老年人精神健康的影响——基于CHARLS数据的实证研究[J].中国农村观察，2017(4):130-144.
• [14]张文宏，张君安.老年人健康自评差异的影响因素研究——基于虚拟情境锚定法的CHOPIT模型分析[J].东岳论丛，2020,41(4):60-70,192.
• [15]ZHAI L,ZHANG H,ZHANG D.Sleep time and depression in adults:a meta-analysis of prospective studies[J].Depression and Anxiety,2015,32(9):664-670.
• [16]陈琛，李江平，张佳星，等.中老年人睡眠时间与认知、抑郁关系及影响因素[J].中华疾病控制杂志，2020,24(8):919-922.
• [17]FANG H,TU S,SHENG J,et al.Depression in sleep disturbance:a review on a bidirectional relationship,mechanisms and treatment[J].J Cell Mol Med,2019,23(4):2324-2332.
• [18]LO J C,GROEGER J A,CHENG G H,et al.Self-reported sleep duration and cognitive performance in older adults:a systematic review and meta-analysis[J].Sleep Medicine,2016,17(1).
• [19]薛新东，刘国恩.社会资本决定健康状况吗——来自中国健康与养老追踪调查的证据[J].财贸经济，2012(8):113-121.
• [20]高红，王光臣.社会资本与农村中老年人主观幸福感——基于CHARLS数据的分层线性模型分析[J].重庆理工大学学报(社会科学),2022:1-14.
• [21]ANDRESEN E M,MALMGREN J A,CARTER W B,et al.Screening for depression in well older adults:Evaluation of a short form of the CES-D[J].Am J Prev Med,1994,10(2):77-84.
• [22]孙丹丹，孙朵朵，索靖东，等.抑郁在老年人社会参与和认知功能间的中介作用[J].中华疾病控制杂志，2022,26(2):212-217.
• [23]HIRSHKOWITZ M,WHITON K,ALBERT S M,et al.National sleep foundation's sleep time duration recommendations:methodology and results summary[J].Sleep Health,2015,1(1):40-43.
• [24]胡斌，钱香玲，王琦，等.家庭支持对城市老年人健康自评的影响[J].中国老年学杂志，2022,42(6):1487-1490.
• [25]谷琳，杜鹏.我国老年人健康自评的差异性分析——基于2002年和2005年全国老年跟踪调查数据[J].南方人口，2007(2):58-64.
• [26]陈璟，李红，张仲明.论青春期慢性反社会行为的生物心理社会模型[J].贵州师范大学学报(社会科学版),2004(5):82-85.
• [27]齐冰，王颖丽.上海市杨浦区老年人健康自评的影响因素分析[J].健康教育与健康促进，2016,11(2):81-83.
• [28]李自强，戈英男，苏彤，等.睡眠剥夺对个体情绪图片认知评估的影响[J].第二军医大报，2017,38(2):161-165.

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