社交网络对城市社区老人生活满意度影响

Influence of social network on life satisfaction among urban community elderly

目的探讨社区老年人社交网络与生活满意度的关联。方法2017年11月—2018年5月,在北京、合肥、兰州3个城市各选取1个社区共1148名≥60岁老人作为研究对象,调查内容包括一般情况、社交网络、生活满意度。采用SPSS 20.0软件进行单因素和多因素logistic回归分析。结果社交正常的老人生活满意度(62.65%,379/625)高于社交孤立的老人(46.60%,233/500),家庭社交正常的老人生活满意度(60.84%,491/807)高于家庭社交孤立的老人(41.07%,131/319),朋友社交正常的老人生活满意度(60.27%,361/599)高于朋友社交孤立的老人(49.42%,257/520),差异均有统计学意义(P<0.001)。多因素logistic回归分析显示,家庭社交孤立(OR=2.045,95%CI=1.362~3.071)和较低的生活满意度有关联(P<0.01)。未发现社交孤立、朋友社交孤立和生活满意度的关联,均无统计学意义(P>0.05)。结论相对于朋友社交网络,家庭社交网络与老年人的生活满意度的关系更为密切。

Objective To investigate the association of social network with life satisfaction among urban community elderly.Methods Totally 1200 permanent residents aged 60 years and above were recruited at 3 urban communities in Beijing,Hefei and Lanzhou city for a survey from November 2017 to May 2018.The elderly’s information on demographics,health status,and life satisfaction were collected with a self-designed questionnaire and social work of the elderly was evaluated using Lubben Social Network Scale-6(LSNS-6).Univariate and multivariate logistic regression analysis were performed with SPSS 20.0 software.Results Valid information were collected from 95.7%(1148)of the elderly.The respondents with healthy social network reported a significantly higher ratio of life satisfaction compared to the respondents with social isolation(62.65%[379/625]vs.46.60%[233/500],P<0.001);the respondents with healthy family social network reported a significantly higher ratio of life satisfaction compared to the respondents with family social isolation(60.84%[491/807]vs.41.07%[131/319],P<0.001);the respondents with healthy friend social network reported a significantly higher ratio of life satisfaction compared to the respondents with friend social isolation(60.27%[361/599]vs.49.42%[257/520],P<0.001).Multivariate logistic regression results demonstrated that the respondents with family social isolation were more likely to report lower life satisfaction,with an odds ratio of 2.045(95% confidence interval:1.362–3.071).No significant association of social isolation and friend social isolation with life satisfaction were observed(P>0.05).Conclusion In general,family social network contributes much more than friend social network to life satisfaction among urban community elderly.