当老年移民从社区获得卫生服务时，社会融合是如何起作用的？来自中国国家数据库的证据。
How does social integration work when older migrants obtain health services from community? Evidence from national database in China.
机构信息
Department of Disease Control and Prevention, General Hospital of Central Theater Command, Wuhan, China.
Hubei Key Laboratory for Kidney Disease Pathogenesis and Intervention, Hubei Polytechnic University School of Medicine, Huangshi, China.
出版信息
Front Public Health. 2023 Dec 12;11:1283891. doi: 10.3389/fpubh.2023.1283891. eCollection 2023.
BACKGROUND
The roles of community are often overlooked when studying the older migrants' health issues, and more importantly, the mediating effect of social integration on the health of older migrants were rarely investigated empirically.
METHODS
This study developed comprehensive index to explore this relationship. With data from the 2017 China Migrants Dynamic Survey, the study first examined the potential linkage between community-based health services and the health of older migrants. Ordered logit regressions was carried to investigate whether the self-rated health of older migrants is related to health education and health records provided by community, then the Causal Stepwise Regression and bootstrap method was used to looked into the potential mediation effect.
RESULTS
The findings showed that older migrants with more community-based health education had higher self-rated health (β = 0.038, SE = 0.009, < 0.001). However, the community-based health records were not associated with older migrants' health. Moreover, higher levels of social integration were associated with community health education (β = 0.142, SE = 0.014, < 0.001), and social integration was positively associated with older migrants' health (β = 0.039, SE = 0.002, = 0.024), indicating the mediation role of social integration.
CONCLUSION
The vital role of community-based health education in improving the health of older migrants was found, and social integration plays a mediating role.
背景
在研究老年移民的健康问题时，往往忽视了社区的作用，更重要的是，实证研究很少探讨社会融合对老年移民健康的中介作用。
方法
本研究开发了综合指数来探索这种关系。利用 2017 年中国流动人口动态监测调查的数据，本研究首先考察了基于社区的卫生服务与老年移民健康之间的潜在联系。采用有序逻辑回归来调查老年移民的自评健康是否与社区提供的健康教育和健康记录有关，然后采用因果逐步回归和自举法来调查潜在的中介效应。
结果
研究结果表明，接受更多社区健康教育的老年移民自评健康状况较好（β=0.038，SE=0.009， < 0.001）。然而，基于社区的健康记录与老年移民的健康状况无关。此外，较高的社会融合水平与社区健康教育有关（β=0.142，SE=0.014， < 0.001），社会融合与老年移民的健康呈正相关（β=0.039，SE=0.002， = 0.024），表明社会融合具有中介作用。
结论
研究发现，基于社区的健康教育对改善老年移民健康具有重要作用，社会融合起着中介作用。
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