摘要
目的:探讨农村贫困人口日常生活能力对生活满意度的影响,以及健康自评在两者之间的中介效应,为提高农村贫困人口的生活满意度提供参考依据。方法:于2019年6月调查江苏省定经济薄弱村的58个县(区),每个县(区)随机抽取2个村,每个村随机抽取10户一般贫困户调查健康自评、日常生活能力(ADL)和生活满意度(SWL)等情况,采用AMOS 24.0构建结构方程模型进行中介效应分析。结果:健康自评得分为(3.36±1.20)分,ADL量表的评分分别为(2.70±0.64)、(2.76±0.62)、(2.80±0.50)、(2.82±0.47)、(2.91±0.37)、(2.84±0.45)分。SWL量表的评分分别为(4.86±1.66)、(4.85±1.68)、(4.89±1.68)、(4.73±1.67)分。ADL、SWL和健康自评两两之间均呈正相关(P<0.001)。结构方程模型结果显示,P<0.05,95%CI不包括0,中介效应显著,健康自评在ADL和SWL之间起着部分中介作用,中介效应为0.283。结论:农村一般贫困人口的日常生活能力、健康自评和生活满意度不佳,三者之间均存在正向的预测作用,健康自评在日常生活能力和生活满意度之间起着部分中介作用。日常生活能力越高,生活满意度越高。通过提高健康自评,可加强日常生活能力对生活满意度的影响。
Objective:To explore the impact of activity of daily living on the satisfaction with life for the rural poor,and the mediation of self-rated health fall in between,so as to provide a reference for improving the satisfaction with life for the rural poor.Methods:In June 2019,58 poverty-stricken counties(districts)in Jiangsu Province were investigated.Each county(district)randomly selected 2 villages,and each village randomly selected 10 general poor households.All of them were surveyed with self-rated health,satisfaction with life(SWL)scale,and activity of daily living(ADL)and so on.We constructed a structural equation model for mediation analysis with AMOS 24.0.Results:The score for self-rated health was(3.36±1.20),and the score for the ADL scale were(2.70±0.64),(2.76±0.62),(2.80±0.50),(2.82±0.47),(2.91±0.37),(2.84±0.45).The score for the SWLS were(4.86±1.66),(4.85±1.68),(4.89±1.68),(4.73±1.67).There were positive correlations between ADL,SWL and self-rated health(P<0.001).The structural equation model showed that P<0.05 and 95%CI not including 0,which indicated that the mediating effect was significant.The self-rated health played a partial mediator role between ADL and SWL,and the effect size was 0.283.Conclusion:The activity of daily living,self-rated health and satisfaction with life of poor people in rural areas are not good.There are positive predictive effects among the three.Self-rated health plays a part in mediation between activity of daily living and satisfaction with life.The higher the activity of daily living,the higher the satisfaction of life.Self-rated health can be improved to enhance the impact of activity of daily living on satisfaction with life.
作者
高男
姚俊
GAO Nan;YAO Jun(The School of Health Policy and Management,Nanjing Medical University,Jiangsu Nanjing,211166)
出处
《江苏卫生事业管理》
2020年第4期534-539,共6页
Jiangsu Health System Management
基金
江苏省社会科学基金专项项目(17ZTB028)
江苏省高校哲学社会科学研究重点项目(2017ZDIXM122)。
关键词
日常生活能力
健康自评
生活满意度
农村贫困人口
中介效应
Activity of daily living
Self-rated health
Satisfaction with life
Rural poor people
Mediating effect
