社会参与和子女数量对老年人心理弹性和认知功能中介作用的性别差异

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-09 DOI:10.1016/j.gerinurse.2025.03.014

Zhang Yu BS , Pan Jiawen BS , Mao Jia BS , Xei Kaixuan BS , Guo Youpeng BS , Li Ting BS , Lu Dongyan MN , Zhang Lixiu MNAssociate Professor

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引用次数: 0

摘要

本研究旨在探讨中国老年人子女数量与其认知功能之间的关系。2017-2018年中国健康与寿命纵向调查（CLHLS）共纳入15862名老年人，并使用结构方程模型（SEM）和限制三次样条（RCS）进行了研究。研究发现，社会参与和心理弹性对孩子数量对认知功能的影响有调节作用，其中对女性参与者的影响更大。RCS显示，孩子的数量和较差的认知能力之间呈u型关系，但低生育率只与女性较差的认知功能有关。认知功能随着社会参与和心理弹性的降低而降低。为了对抗有多个孩子的老年人的认知能力下降，必须考虑到社会和心理影响，并整合一套互补的干预策略。

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Gender differences in the mediating effects of social participation and number of children on psychological resilience and cognitive function in older adults

The aim of this study is to explore the relationship between the number of children of older adults in China and their cognitive function. A total of 15862 older adults were included in the 2017-2018 China Health and Longevity Longitudinal Survey(CLHLS), and were explored using Structural Equation Modeling(SEM) and restricted cubic splines(RCS).

Research has found that social participation and psychological resilience have a moderating effect on the impact of child numbers on cognitive function, with a greater impact observed in female participants. RCS shows a U-shaped relationship between the number of children and poorer cognitive outcomes, but low fertility rates are only associated with poorer cognitive function in women. Cognitive function decreases with decreasing social participation and psychological resilience. To combat cognitive decline in older adults with multiple children, it is imperative to take into account the societal and psychological impacts and to integrate a suite of complementary intervention strategies.

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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.