健康重要性、独自就医障碍对老龄化焦虑的影响:基于CGSS2021的实证分析
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R749.72

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四川省南充市社会科学研究“十四五”规划青年项目(NC25C023);


Research on the impact of health importance and barriers to independent medical care on anxiety about aging: an empirical analysis based on CGSS2021
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    摘要:

    目的:基于CGSS2021的实证分析,探讨健康重要性、独自就医障碍对老龄化焦虑的影响。方法:采集1 190名中国老年人综合社会调查数据,采用单因素分析不同人口学特征老龄化焦虑的差异;采用Pearson相关系数分析健康重要性、独自就医障碍、老龄化焦虑的相关性;采用单因素和多元线性回归分析影响老龄化焦虑的因素。结果:老龄化焦虑量表测评结果显示,中国老年人焦虑评分为(3.35±1.02)分,焦虑程度处于中等偏上水平。单因素分析显示,不同性别、文化程度、健康状况自评、是否患慢性病或长期存在健康问题的老年人老龄化焦虑程度比较,差异有统计学意义(P<0.05),其中女性、文化程度越低、健康状况自评结果越差、患有慢性病或长期存在健康问题的老年人更容易产生老龄化焦虑(P<0.05)。多元线性回归分析结果显示,健康状况自评、是否患慢性病或长期存在健康问题、健康重要性、独自就医障碍对老龄化焦虑有影响(P<0.05),其中自评健康状况越好,老年人老龄化焦虑越低(P<0.05);患慢性病或长期存在健康问题会加剧老龄化焦虑(P<0.05);健康重要性认识越深入,老龄化焦虑越高(P<0.05);独自就医障碍越大,老龄化焦虑越高(P<0.05)。相关性分析显示,老龄化焦虑与健康重要性、独自就医障碍均呈正相关关系(P<0.05);健康重要性与独自就医障碍负相关(P<0.05)。结论:健康重要性、独自就医障碍与老年人老龄化焦虑密切相关,相关部门应构建完善的健康服务体系,优化适老化医疗支持,开展精准健康宣教,以缓解老年人老龄化焦虑情绪。

    Abstract:

    Objective: To explore the impact of health importance and barriers to independent medical care on aging anxiety based on the empirical analysis of CGSS 2021. Methods: Collected comprehensive social survey data from 1,190 elderly people in China and the univariate analysis was used to investigate the differences in aging anxiety among different demographic characteristics. The correlation between the importance of health, barriers to independent medical care, and aging anxiety was analyzed by Pearson’s correlation analysis, and the influencing factors of aging anxiety was analyzed by multivariate linear regression method. Results: Measurement of the Aging Anxiety Scale showed that the mean value of the anxiety level of the elderly in China was (3.35?±?1.02) points, and the anxiety level was at a moderately high level. Univariate analysis showed that there was a statistically significant difference in the level of aging anxiety among elderly people of different genders, educational levels, self-rated health status, and whether they had chronic diseases or long-term health problems (P<0.05). Among them, women, those with lower educational levels, poorer self-rated health status, and chronic diseases or long-term health problems were more likely to experience aging anxiety (P<0.05). The results of multiple linear regression analysis showed that self-assessment of health status, presence of chronic diseases or long-term health problems, health importance, and barriers to seeking medical treatment alone had an impact on aging anxiety (P<0.05). Among them, the better the self-assessment of health status, the lower the aging anxiety of the elderly (P<0.05); suffering from chronic diseases or long-term health problems could exacerbate aging anxiety (P<0.05); the deeper the understanding of the importance of health, the higher the aging anxiety (P<0.05); the greater the obstacle of seeking medical treatment alone, the higher the anxiety of aging (P<0.05). Correlation analysis showed that aging anxiety was positively correlated with the importance of health and the difficulty of seeking medical treatment alone (P<0.05); the importance of health was negatively correlated with the difficulty of seeking medical treatment alone (P<0.05). Conclusion: The importance of health, obstacles to seeking medical treatment alone, and anxiety related to aging in the elderly are closely related. Relevant departments should construct a perfect health service system, optimize age-appropriate medical support, and carry out accurate health education to alleviate aging anxiety in the elderly.

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贺颐婷;夏晓红;.健康重要性、独自就医障碍对老龄化焦虑的影响:基于CGSS2021的实证分析[J].川北医学院学报,2025,40(12):1629-1632.

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  • 在线发布日期: 2026-01-07
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