中西部地區(qū)老年人社會(huì)參與、自我管理、社會(huì)凝聚力與健康的關(guān)系

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The relationship between social participation，self?management，social cohesion and health among elderly people in central and western regions of China

JIA Bingyun， WANG Zhizhong， YAO Shangman

School of Humanities and Social Sciences， Shanxi Medical University， Shanxi 030001 China

Corresponding Author  WANG Zhizhong， E?mail： 13834200542@163.com

Abstract  Objective：To explore the relationship between social participation，self-management，social cohesion and health among elderly people in central and western parts of China.Methods：Based on the data of China General Social Survey in 2017，the Ordinal Logit nested model and KHB decomposition method were used to examine the effects and mechanisms of informal participation and formal participation on health among elderly people in central and western parts of China.Results：Informal participation and formal participation had significant positive effects on health among elderly people in central and western parts of China，and the effect was more obvious in male and married elderly people.Self-management and social cohesion were mediating variables of mechanism of social participation，but their mechanisms were different in dimension and structure.The mediating effect of self?management was significant in men，while the mediating effect of social cohesion was significant in women. The mediating effect of self?management was significant in both married and unmarried groups，while the mediating effect of social cohesion was significant in married groups.Conclusions：Policies should be implemented and government departments and medical care force should be mobilized to guide the social participation of the elderly people in central and western parts of China，so as to improve their health level.

Keywords    central and western parts of China； elderly people； social participation； self?management； social cohesion； health； nursing

摘要  目的：探討中西部地區(qū)老年人社會(huì)參與、自我管理、社會(huì)凝聚力與健康的關(guān)系。（剩余17759字）