互联网使用情况对我国中老年人主动健康意识的影响机制研究

Research on Mechanism of Influence of Internet Use Situation on Proactive Health Consciousness Among Middle-aged and Elderly People in China

目的:分析我国中老年人互联网使用情况对其主动健康意识的影响机制,为促进健康老龄化提供参考。方法:基于2021年中国社会状况综合调查数据,选取45岁及以上中老年人为研究对象,运用logistic回归、广义结构方程模型、分样本回归等方法分析互联网使用情况对中老年人主动健康意识的影响及作用机制。结果:互联网使用情况能够影响我国中老年人主动健康意识。中老年人使用互联网对其主动关注身体健康和心理健康两方面的主动健康意识均有促进作用(P<0.05)。对影响机制的检验结果表明,互联网使用情况会通过社会参与强化中老年人对身体健康(8.2%)和心理健康(6.9%)的主动关注,但通过社会信任会弱化中老年人对身体健康(-2.4%)和心理健康(-2.8%)的主动关注。使用互联网可以显著提升城镇中老年人两方面的主动健康意识,但只对农村中老年人主动关注身体健康方面有影响(P<0.05)。结论:互联网使用情况对我国中老年人主动健康意识有积极影响,应充分利用互联网媒介开展健康信息传播和健康促进教育,同时注意扩大中老年人的社会参与,不断提升中老年人的主动健康意识。

Objective:To analyze the influence mechanism of the Internet use situation on the proactive health consciousness status in middle-aged and elderly people in China,so as to provide reference for the realization of healthy aging.Methods:Based on the Chinese social survey in 2021,middle-aged and elderly people aged 45 and above were selected as the research objects and logistic regression,generalized structural equation model and sub sample regression were used to analyze the influence of Internet use situation on the proactive health consciousness and its mechanism.Results:Internet use situation can effectively affect the proactive health consciousness of middle-aged and elderly people in China,and can improve both physical and mental health(P<0.05).The results of influencing mechanism shows that Internet use situation can strengthen the two dimensions of proactive attention of middle-aged and elderly people to physical health(8.2%)and mental health(6.9%)through social participation,but weaken the proactive attention of middle-aged and elderly people to physical health(-2.4%)and mental health(-2.8%)through social trust.Internet use situation can significantly improve the proactive health consciousness of urban elderly people,but only has an impact on the proactive physical health consciousness of rural elderly people(P<0.05).Conclusion:The Internet use situation has a positive impact on the proactive health consciousness status among middle-aged and elderly people in China.It is necessary to make full use of Internet media to carry out health information dissemination and health promotion education,and pay attention to expanding social participation of middle-aged and elderly people to continuously improve their proactive health consciousness.