童年逆境与老年社会适应的关联:有调节的中介模型OA
The Association of Childhood Adversity with Social Adaptation in Old Age:A Moderated Mediation Model
基于2020年中国老年社会追踪调查(China Longitudinal Aging Social Survey,CLASS)数据,选取60岁及以上的老年人作为研究对象,探讨童年逆境与老年社会适应之间的关系,并分析认知功能的中介作用以及数字素养的调节作用.相关性分析结果显示,童年逆境、认知功能、数字素养、社会适应之间具有相关关系,且有统计学意义(P<0.01).回归分析和中介效应分析结果显示,童年逆境与老年社会适应呈负向关联(β=-0.386,P<0.01)、与认知功能呈负向关联(β=-0.353,P<0.01);认知功能与老年社会适应呈正向关联(β=0.183,P<0.01);认知功能在童年逆境和老年社会适应之间起部分中介作用,中介效应量占总效应量的14.41%.有调节的中介效应分析结果显示,童年逆境与数字素养的交互项对认知功能的影响有统计学意义(β=0.148,P<0.01),即数字素养调节了童年逆境与认知功能之间的关系.据此提出以下建议:通过社区健康档案与老年人能力评估体系,识别并关注童年逆境经历较多的老年群体;深化数字赋能,将老年人数字素养提升全面融入智慧健康养老新业态培育中;强化跨部门协同与政策整合,建立促进老年人社会适应的长效支撑体系.
Based on data from the 2020 China Longitudinal Aging Social Survey(CLASS),this study selected individuals aged 60 and above as the research subjects to explore the relation-ship between childhood adversity and social adaptation in old age.It also analyzed the mediating role of cognitive function and the moderating role of digital literacy.Correlation analysis results showed statistically significant relationships among childhood adversity,cognitive function,digit-al literacy,and social adaptation(P<0.01).Regression and mediation analysis results indicated a negative association between childhood adversity and social adaptation in old age(β=-0.386,P<0.01),as well as a negative association between childhood adversity and cognitive function(β=-0.353,P<0.01).Cognitive function was positively associated with social adaptation in old age(β=0.183,P<0.01).Cognitive function played a partial mediating role between child-hood adversity and social adaptation in old age,accounting for 14.41% of the total effect.Moder-ated mediation analysis results showed that the interaction term between childhood adversity and digital literacy had a statistically significant impact on cognitive function(β=0.148,P<0.01),indicating that digital literacy moderated the relationship between childhood adversity and cogni-tive function.Based on these findings,the following recommendations are proposed:utilize com-munity health records and the elderly ability assessment system to identify and support older a-dults with more childhood adversity experiences;deepen digital empowerment by integrating the improvement of digital literacy among the elderly into the cultivation of new smart health and eld-erly care industries;strengthen cross-departmental collaboration and policy integration to estab-lish a long-term support system for promoting social adaptation among the elderly.
彭姚嘉;汤笑语;陈娜
南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023
医药卫生
童年逆境老年社会适应认知功能数字素养有调节的中介模型健康老龄化
childhood adversitysocial adaptation in old agecognitive functiondigital litera-cymoderated mediation modelhealthy aging
《南京中医药大学学报(社会科学版)》 2026 (1)
49-56,8
江苏省中医药科技发展计划专题(ZT202202)江苏省教育科学规划课题重点项目(B-b/2024/01/107)南京中医药大学养老服务与管理学院(养老产业学院)专项(2024YLFWYGL016)
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