Research on the chain mediating effect of medical inquiry ability and attitude toward aging on socioeconomic status and mental health of the elderly
10.3760/cma.j.issn.0254-9026.2025.02.014
- VernacularTitle:老年人询医能力和养老心态在社会经济地位与心理健康中的链式中介作用研究
- Author:
Ruijia TAO
1
;
Yuting KANG
;
Minying LI
;
Pengjun ZHANG
;
Chen WANG
Author Information
1. 北京中医药大学管理学院，北京 100029
- Publication Type:Journal Article
- Keywords:
Socioeconomic factors;
Health status;
Medical inquiry ability;
Attitude toward aging;
Chain mediation effect
- From:
Chinese Journal of Geriatrics
2025;44(2):194-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the mediating effects of medical inquiry ability and attitudes toward aging on the relationship between socioeconomic status and mental health among the elderly.Methods:Utilizing data from the 2021 China General Social Survey(CGSS), a sample of 957 individuals aged 60 years and older was selected for analysis.The influence of each variable was assessed through regression analysis, and the mediating effects were evaluated using the Bootstrap method.Results:The study samples ranged in age from 60 to 95 years, including 479 females and 478 males.Socioeconomic status significantly positively influenced mental health( β=0.208, P<0.001).Additionally, socioeconomic status had a notable positive effect on medical inquiry ability( β=0.244, P<0.001)and attitudes toward aging( β=0.163, P<0.001)among the elderly population.Furthermore, medical inquiry ability positively affected both attitudes toward aging( β=0.158, P<0.001)and mental health( β=0.139, P<0.001).The attitude toward aging also had a significant positive impact on mental health( β=0.216, P<0.001).Notably, both medical inquiry ability and attitudes toward aging served as significant mediators between socioeconomic status and mental health in the elderly, with a total indirect effect value of 0.091(95% CI: 0.063-0.123).The chain mediating effect of medical inquiry ability and pension mentality was also significant, with an effect size of 0.010(95% CI: 0.005-0.017). Conclusions:Enhancing the socioeconomic status of older adults can foster their medical inquiry ability, positively influence their attitudes toward aging, and ultimately contribute to the promotion of their mental health.
