The mediating effect of self-rated health on the relationship between the living space and social frailty among elderly people in the community
10.3760/cma.j.cn211501-20241226-03549
- VernacularTitle:自评健康在社区老年人生活空间与社会衰弱间的中介效应
- Author:
Yuxi ZHANG
1
;
Weihua YU
;
Xia YANG
;
Man DENG
Author Information
1. 安徽医科大学护理学院，合肥 230601
- Publication Type:Journal Article
- Keywords:
Aged;
Community;
Self-rated health;
Social frailty;
Living space;
Intermediary effect
- From:
Chinese Journal of Practical Nursing
2025;41(19):1472-1478
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of self-rated health status between living space and social frailty of the elderly in community, and to provide reference for intervention strategies.Methods:From December 2023 to March 2024, 550 community elderly in Yandun Community, Yicheng Community and Binhu Community in Baohe District of Hefei City were selected as the research objects by convenient sampling method. The general information questionnaire, self-rated health questionnaire, social frailty index and living space assessment scale were used to investigate a cross-sectional survey. Spearman correlation analysis was used to explore the correlation between self-rated health, living space and social frailty of community elderly. Bootstrap method was used to test the mediating effect.Results:A total of 542 valid questionnaires were collected. Among the 542 elderly residents in the community, aged 65-94 (71.69 ± 6.54) years, there were 267 males and 275 females. Among the 542 community elderly, the self-rated health score, living space score and social frailty index were (2.52 ± 0.95), (73.39 ± 16.77) and 0.0 (0.0, 3.0), respectively. Spearman analysis showed that the total score of living space was negatively correlated with the scores of self-rated health and social frailty ( r=-0.477, -0.538, both P<0.01), and the score of self-rated health was positively correlated with the score of social frailty ( r=0.711, P<0.01).The mediating effect results showed that the living space could play a partial mediating effect on social frailty through the mediating variable of self-rated health (-0.028), accounting for 49.12% of the total effect. Conclusions:The self-rated health status of the elderly in the community has an indirect mediating effect between living space and social frailty. Medical workers should take the improvement of the living space mobility of the elderly as the starting point, and improve their self-rated health level through diversified intervention means, so as to reduce the occurrence of social frailty and promote active aging.
