居家适老化改造及其对老年人生活满意度的影响——基于ICF框架的机制分析

发布时间：2024-11-29 08:03

社区的老年人活动中心有助于提高老年人的生活满意度 #生活乐趣# #生活质量# #生活质量改善# #休闲娱乐设施#

基于2018年中国老年社会追踪调查数据,从适老环境改造和适老用品配置两方面对居家适老化改造进行区分,从区域和群体的视角评估居家适老化改造的现状。进一步,基于世界卫生组织的ICF框架,重点分析居家适老化改造对老年人生活满意度的影响,检验情绪、认知和社会功能的多重中介效应,并补充分析中介效应的城乡差异。结果显示,居家适老化改造显著提高了老年人的生活满意度,在控制活动功能后,情绪、认知和社会功能在其间发挥中介效应,且其中介效应存在城乡差异。鉴于居家适老化改造对老年人功能能力的积极影响,基本养老服务的有效供给应主要针对存在功能障碍的老年人,包括活动、情绪、认知和社会功能在内的整合性功能评估是实现基本养老服务有效供给的起点。

Abstract

This study utilizes data from the 2018 China Longitudinal Ageing Social Survey to evaluate the current situation of these renovations by considering regional and group differences, specifically focusing on environmental renovations and device configurations. Drawing on the International Classification of Functioning, Disability, and Health (ICF) framework proposed by the World Health Organization, this study investigates the effects of home-based aging-adaptation renovations on older adults’ life satisfaction, with a particular emphasis putting on exploring the mediating effects of emotion, cognition, and social functions in these relationships. Additionally, the study examines whether there are urban-rural differences in terms of these mediating effects. The results indicate that home-based aging-adaptation renovations have significantly positive impacts on older adults’ life satisfaction. Emotion, cognition, and social functions play multiple mediating roles in these relationships, after controlling for the effect of activity function. Moreover, urban-rural differences are observed in terms of these mediating effects. Considering the positive effects of home-based aging-adaptation on older adults’ functional abilities, it is crucial to target the effective supply of basic elderly care services towards older adults with functional limitations. Importantly, an integrated functional assessment that encompasses activity, emotion, cognition, and social functions should serve as the foundation for delivering basic elderly care services.

关键词

居家适老化改造 /生活满意度 /ICF框架 /功能能力 /城乡差异{{custom_keyword}} /

Key words

home-based aging-adaptation renovations /life satisfaction /ICF framework /functional abilities /urban-rural differences{{custom_keyword}} /

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