The impact of physical functionality and activity level on the self-rated health status of older adults living alone: An analysis of the mediating effect of social engagement

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-21 DOI:10.1016/j.gerinurse.2025.03.035

Dajung Ryu PhD (Assistant Professor)

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Abstract

This study assessed the influence of depression, chronic diseases, and activities of daily living (ADLs) on the self-rated health (SRH) of older adults living alone, along with the mediating effect of social engagement. Data from 3117 older adult single-person households (aged 65 or older) were analyzed using the 2020 Survey of Living Conditions and Welfare Needs of Korean Older Persons. Data analysis was conducted using SPSS 25.0, with the mediating effect assessed through regression analysis and the Sobel test. Chronic diseases, ADL dependency, and depression negatively impacted SRH, with chronic diseases having the most significant effect. Social engagement positively influenced SRH, and a partial mediating effect was confirmed. Overall, the findings corroborated key factors affecting SRH in older adults living alone and underscored the importance of social engagement. Based on these results, we recommended implementing community-level health support, social engagement programs, and personalized assistance for vulnerable older adult single-person households.

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身体功能和活动水平对独居老年人自评健康状况的影响：社会参与的中介效应分析

本研究评估了抑郁、慢性疾病和日常生活活动（ADLs）对独居老年人自评健康（SRH）的影响，以及社会参与的中介作用。利用“2020年韩国老年人生活条件和福利需求调查”，分析了3117个老年单身家庭（65岁以上）的数据。采用SPSS 25.0进行数据分析，通过回归分析和Sobel检验评估中介效应。慢性疾病、ADL依赖和抑郁对SRH有负面影响，其中慢性疾病的影响最为显著。社会参与正向影响SRH，部分中介效应得到证实。总的来说，研究结果证实了影响独居老年人性健康和生殖健康的关键因素，并强调了社会参与的重要性。基于这些结果，我们建议实施社区层面的健康支持、社会参与计划，并为脆弱的单身老年人家庭提供个性化援助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.