摘要
目的:了解家庭代际关系的主要模式,并探讨家庭代际关系模式与我国老年人抑郁症状之间的关系,为改善老年人心理健康状况提供依据。方法:基于中国老年健康影响因素追踪调查数据,通过潜在类别分析对符合条件的10493名老年人的家庭代际关系模式进行识别,利用广义线性方程对不同代际关系模式和老年人抑郁症状之间的关系进行探究。结果:基于潜在类别分析结果和代际团结模型的居住距离、联系、情感、功能4个维度,将家庭代际关系模式分为高联系型、亲密型、疏离型以及高情感功能型4个模式,并通过广义线性模型分析发现疏离的家庭代际关系模式对老年人抑郁症状影响显著(P<0.001);社会参与状况在疏离型代际关系中存在调节作用(P<0.01),更高的社会参与水平能够在一定程度上缓解疏离型家庭代际关系抑郁症状对于老年人抑郁症状的负面影响(r=-0.176,P<0.001)。结论:家庭代际关系模式在性别、居住地等方面存在异质性,疏离型家庭代际关系模式增加了老年人抑郁症状风险。同时,社会参与可在一定程度上缓解老年人的抑郁症状。
Objective:To understand the main patterns of intergenerational relationships in Chinese families and explore the relationship between these patterns and depressive symptoms among the old adults,so as to provide theoretical evidence for improving the psychological well-being of the old adults.Methods:Based on cross-sectional data from Chinese longitudinal healthy longevity survey in 2018,latent class analysis was used to identify the types of intergenerational relationships among a sample of 10493 individuals who met the criteria.Furthermore,generalized linear equations were employed to explore the relationships between inter-generational relationships,social participation,and mental health among the old adults.Results:Based on the results of latent class analysis and the intergenerational solidarity model,intergenerational family relationships were classified into four types:high contact,intimate,disengaged,and high affective functioning.The analysis using generalized linear models found that disengaged intergenerational family relationships,education,self-rated health,and self-rated quality of life significantly influenced depression symptoms in older adults(P<0.001).Social engagement had a moderating effect in disengaged intergenerational relationships(P<0.01),and higher levels of social engagement could partially alleviate the negative impact of disengaged intergenerational family re-lationships on depression symptoms in older adults(r=-0.176,P<0.001).Conclusion:The family intergenerational relationship patterns exhibit heterogeneity in aspects such as gender and urban-rural divide.An alienated family relationship pattern increases the risk of depressive symptoms among older adults.At the same time,social participation can alleviate depressive symptoms among older adults to a certain extent.
作者
张文峥
张良文
方亚
ZHANG Wenzheng(School of Public Health,Xiamen University,Xiamen,Fujian,361102,China)
出处
《医学与社会》
北大核心
2024年第5期93-99,共7页
Medicine and Society
基金
国家自然科学基金资助项目,编号为81973144
2023年健康中国建设揭榜攻关项目,编号为JKZGJBGG2324
2022年福建省社会科学基金项目,编号为FJ2022C047
2021年高端科技创新智库青年项目,编号为2021ZZZLFZB1207146。
关键词
心理健康
抑郁症状
家庭
代际关系
老年人
Mental Health
Depression Symptom
Family
Intergenerational Relationship
Older Adult
作者简介
通讯作者:方亚,fangya@xmu.edu.cn。
