Article(id=1322589958133625061, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202407096, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1720368000000, receivedDateStr=2024-07-08, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793259618551, onlineDateStr=2026-10-29, pubDate=1736438400000, pubDateStr=2025-01-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793259618551, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793259618551, creator=13701087609, updateTime=1793259618551, updator=13701087609, issue=Issue{id=1322589954702688372, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='1', pageStart='1', pageEnd='192', issueExtLink='null', onlineDate='null', pubDate='1736438400000', pubDateStr='2025-01-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793259617734, creator='13701087609', updateTime=1793260023378, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322591656147276425, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322591656147276426, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=92, endPage=96, ext={EN=ArticleExt(id=1322589960641818854, articleId=1322589958133625061, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=The mediating effect of oral frailty on the relationship between health promotion behaviors and healthy aging among rural elderly individuals, columnId=1228016572892119056, journalTitle=Modern Preventive Medicine, columnName=Primary Health Services, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the mediating effect of oral frailty on the relationship between health promotion behaviors and healthy aging among rural elderly individuals.
Methods A multi-stage sampling method was employed to conduct a questionnaire survey involving 439 rural elderly participants in Chengde city, Hebei Province. The general information questionnaire, a healthy aging scale, a health promotion behavior scale, and an oral frailty screening scale were used.
Results The scores for healthy aging among rural elderly individuals in Chengde were (128.64±26.17), (64.01±16.18) for health promotion behaviors, and (6.06±3.05) for oral frailty. Spearman correlation analysis indicated significant correlations among the three variables. Mediation effect testing revealed that oral frailty partially mediated the relationship between health promotion behaviors and healthy aging, accounting for 20.47% of the mediation effect.
Conclusion The level of healthy aging among rural elderly individuals is moderate. It is essential to implement health promotion behaviors and adopt relevant measures to reduce oral frailty to achieve healthy aging.
, authors=Qing-jian YANG, Yan-na WANG, Si-hang XU, Jia-yi SONG, Chi ZHANG, Yan ZHANG, Jian-li TIAN, authorsList=Qing-jian YANG, Yan-na WANG, Si-hang XU, Jia-yi SONG, Chi ZHANG, Yan ZHANG, Jian-li TIAN, authorCompany=null, correspAuthors=Jian-li TIAN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322589969495994612, articleId=1322589958133625061, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=口腔衰弱在农村老年人健康促进行为和健康老龄化间的中介效应, columnId=1228016573533847611, journalTitle=现代预防医学, columnName=基层卫生服务, runingTitle=null, highlight=null, articleAbstract=
目的 探讨口腔衰弱在农村老年人健康促进行为和健康老龄化间的中介效应。
方法 采用多阶段抽样方法，使用一般资料问卷、健康老龄化量表、健康促进行为量表、口腔衰弱筛查量表对河北省承德市439名农村老年人进行问卷调查。
结果 承德市农村老年人健康老龄化得分为（128.64±26.17）分，健康促进行为得分为（64.01±16.18）分，口腔衰弱得分为（6.06±3.05）分。Spearman相关分析显示，三者间两两相关。中介效应检验结果表明口腔衰弱在健康促进行为与健康老龄化间起部分中介效应，中介效应占比为20.47%。
结论 农村老年人健康老龄化处于中等水平，应实施健康促进行为，采取相关措施降低口腔衰弱以实现健康老龄化。
, authors=杨青建, 王艳娜, 徐思航, 宋佳怡, 张驰, 张艳, 田建丽, authorsList=杨青建, 王艳娜, 徐思航, 宋佳怡, 张驰, 张艳, 田建丽, authorCompany=null, correspAuthors=田建丽, authorNote=
杨青建（1983—），男，硕士，讲师，研究方向：老年照护
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=UPyMf5547GYqbYUYDjGCOw==, magXml=noprRwRdiyIa4SVlQW5dMQ==, pdfUrl=null, pdf=5Irq2Ioij5tJX+zMkC2lww==, pdfFileSize=541017, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=axNbre40cX/U3MSbesDd0A==, mapNumber=null, fund=null)}, authors=[Author(id=1322589970687176953, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322589970783645947, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, authorId=1322589970687176953, language=EN, stringName=Qing-jian YANG, firstName=Qing-jian, middleName=null, lastName=YANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=School of Nursing, Chengde Medical University, Chengde, Hebei 067000, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322589972440396028, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, authorId=1322589970687176953, language=CN, stringName=杨青建, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=承德医学院护理学院，河北 承德 067000, bio={"content":"
杨青建（1983—），男，硕士，讲师，研究方向：老年照护
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杨青建（1983—），男，硕士，讲师，研究方向：老年照护
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36(11): 1976-1980.(In Chinese), articleTitle=Research progress on oral frailty in the elderly, refAbstract=null)], funds=[Fund(id=1322589978794766639, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, awardId=KY202410, language=CN, fundingSource=河北省省属高等学校基本科研业务费研究项目-重点项目(KY202410), fundOrder=null, country=null), Fund(id=1322589978870264112, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, awardId=SZ2024137, language=CN, fundingSource=河北省教育厅科学研究项目资助(SZ2024137), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1322589970326466805, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, xref=null, ext=[AuthorCompanyExt(id=1322589970339049718, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, companyId=1322589970326466805, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=School of Nursing, Chengde Medical University, Chengde, Hebei 067000, China), AuthorCompanyExt(id=1322589970351632631, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, companyId=1322589970326466805, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=承德医学院护理学院，河北 承德 067000)])], figs=[ArticleFig(id=1322589977905574181, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=EN, label=Table 1, caption=
Scores of health-promoting behavior, oral frailty and healthy aging of rural elderly ［n=439，（
）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 总分（分） | 条目均分（分） |
|---|
| 健康促进行为 | 64.01±16.18 | 2.91±0.74 |
| 健康饮食 | 15.02±3.22 | 3.00±0.64 |
| 健康责任 | 10.64±4.31 | 2.66±1.08 |
| 健康锻炼 | 5.18±2.02 | 2.59±1.01 |
| 健康习惯 | 17.50±2.59 | 3.50±0.52 |
| 社会参与 | 10.33±3.76 | 2.58±0.94 |
| 口腔保健 | 5.35±2.45 | 2.67±1.22 |
| 口腔衰弱 | 6.06±3.05 | 0.76±0.38 |
| 咀嚼能力 | 1.68±1.37 | 0.84±0.68 |
| 吞咽功能 | 1.44±1.25 | 0.72±0.63 |
| 社会参与度 | 0.48±0.36 | 0.48±0.36 |
| 是否使用义齿 | 1.46±0.89 | 1.46±0.89 |
| 口腔健康相关行为 | 1.11±0.87 | 0.56±0.44 |
| 健康老龄化 | 128.64±26.17 | 3.68±0.75 |
| 躯体功能正常 | 15.44±3.65 | 3.86±0.91 |
| 认知功能正常 | 13.44±4.27 | 3.36±1.07 |
| 生活充足且简单 | 19.97±3.44 | 3.99±0.69 |
| 接受年老 | 7.48±1.79 | 3.74±0.90 |
| 自我照护 | 13.48±3.48 | 3.37±0.87 |
| 拥有社交关系及支持 | 16.62±3.85 | 4.16±0.96 |
| 行善助人 | 15.57±3.99 | 3.89±1.00 |
| 社交参与 | 9.05±4.17 | 3.02±1.39 |
| 压力管理 | 17.58±5.00 | 3.52±1.00 |
), ArticleFig(id=1322589977997848870, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=CN, label=表1, caption=
农村老年人健康促进行为、口腔衰弱、健康老龄化得分［n=439，（
）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 总分（分） | 条目均分（分） |
|---|
| 健康促进行为 | 64.01±16.18 | 2.91±0.74 |
| 健康饮食 | 15.02±3.22 | 3.00±0.64 |
| 健康责任 | 10.64±4.31 | 2.66±1.08 |
| 健康锻炼 | 5.18±2.02 | 2.59±1.01 |
| 健康习惯 | 17.50±2.59 | 3.50±0.52 |
| 社会参与 | 10.33±3.76 | 2.58±0.94 |
| 口腔保健 | 5.35±2.45 | 2.67±1.22 |
| 口腔衰弱 | 6.06±3.05 | 0.76±0.38 |
| 咀嚼能力 | 1.68±1.37 | 0.84±0.68 |
| 吞咽功能 | 1.44±1.25 | 0.72±0.63 |
| 社会参与度 | 0.48±0.36 | 0.48±0.36 |
| 是否使用义齿 | 1.46±0.89 | 1.46±0.89 |
| 口腔健康相关行为 | 1.11±0.87 | 0.56±0.44 |
| 健康老龄化 | 128.64±26.17 | 3.68±0.75 |
| 躯体功能正常 | 15.44±3.65 | 3.86±0.91 |
| 认知功能正常 | 13.44±4.27 | 3.36±1.07 |
| 生活充足且简单 | 19.97±3.44 | 3.99±0.69 |
| 接受年老 | 7.48±1.79 | 3.74±0.90 |
| 自我照护 | 13.48±3.48 | 3.37±0.87 |
| 拥有社交关系及支持 | 16.62±3.85 | 4.16±0.96 |
| 行善助人 | 15.57±3.99 | 3.89±1.00 |
| 社交参与 | 9.05±4.17 | 3.02±1.39 |
| 压力管理 | 17.58±5.00 | 3.52±1.00 |
), ArticleFig(id=1322589978090123559, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=EN, label=Table 2, caption=
Comparison of differences in health aging scores among rural elderly ［n=439，（
）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 人数 | 健康老龄化（分） | 统计量 | P值 |
|---|
| 性别 | | | t=3.676 | <0.001 |
| 男 | 222 | 133.12±25.56 | | |
| 女 | 217 | 124.06±26.06 | | |
| 年龄（岁） | | | F=13.140 | <0.001 |
| 60～69 | 151 | 120.54±25.13 | | |
| 70～79 | 240 | 134.05±25.52 | | |
| ≥80 | 48 | 127.04±26.33 | | |
| 居住地 | | | F=214.160 | <0.001 |
| 围场 | 153 | 125.31±23.30 | | |
| 滦平 | 169 | 149.22±14.26 | | |
| 承德 | 117 | 103.26±17.29 | | |
| 婚姻状况 | | | t=-3.127 | 0.002 |
| 无配偶 | 101 | 121.56±28.76 | | |
| 有配偶 | 338 | 130.75±25.01 | | |
| 文化程度 | | | F=19.811 | <0.001 |
| 未上学 | 160 | 118.89±24.17 | | |
| 小学 | 218 | 135.27±25.76 | | |
| 初中及以上 | 61 | 130.51±25.21 | | |
家庭人均月收入
（元） | | | F=23.552 | <0.001 |
| <1 000 | 139 | 118.37±24.80 | | |
| 1 000～2 999 | 255 | 135.54±25.33 | | |
| ≥3 000 | 45 | 121.24±22.83 | | |
| 子女数量（个） | | | F=6.076 | <0.001 |
| 0 | 11 | 115.00±42.01 | | |
| 1 | 27 | 111.59±28.71 | | |
| 2 | 243 | 128.74±24.76 | | |
| ≥3 | 158 | 132.35±25.31 | | |
| 饮酒 | | | t=3.639 | <0.001 |
| 是 | 182 | 133.82±23.30 | | |
| 否 | 257 | 124.97±27.49 | | |
| 慢性病数量（种） | | | F=55.571 | <0.001 |
| 0 | 136 | 145.66±22.42 | | |
| 1 | 134 | 125.01±24.78 | | |
| ≥2 | 169 | 117.82±23.09 | | |
| 体育锻炼 | | | F=148.394 | <0.001 |
| 不参加 | 61 | 103.33±24.59 | | |
| 偶尔参加 | 129 | 113.01±21.69 | | |
| 经常参加 | 249 | 142.94±18.19 | | |
| 自评健康状况 | | | F=83.660 | <0.001 |
| 较好 | 224 | 142.08±20.14 | | |
| 一般 | 114 | 116.22±25.76 | | |
| 较差 | 101 | 112.86±22.69 | | |
| 医保类型 | | | F=2.972 | 0.032 |
| 无 | 7 | 104.29±25.70 | | |
| 新农合医保 | 410 | 128.65±26.28 | | |
| 商业医保 | 5 | 126.20±23.12 | | |
| 新农合医保+商业医保 | 17 | 139.06±18.43 | | |
), ArticleFig(id=1322589978178203944, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=CN, label=表2, caption=
农村老年人健康老龄化得分的差异性比较［n=439，（
）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 人数 | 健康老龄化（分） | 统计量 | P值 |
|---|
| 性别 | | | t=3.676 | <0.001 |
| 男 | 222 | 133.12±25.56 | | |
| 女 | 217 | 124.06±26.06 | | |
| 年龄（岁） | | | F=13.140 | <0.001 |
| 60～69 | 151 | 120.54±25.13 | | |
| 70～79 | 240 | 134.05±25.52 | | |
| ≥80 | 48 | 127.04±26.33 | | |
| 居住地 | | | F=214.160 | <0.001 |
| 围场 | 153 | 125.31±23.30 | | |
| 滦平 | 169 | 149.22±14.26 | | |
| 承德 | 117 | 103.26±17.29 | | |
| 婚姻状况 | | | t=-3.127 | 0.002 |
| 无配偶 | 101 | 121.56±28.76 | | |
| 有配偶 | 338 | 130.75±25.01 | | |
| 文化程度 | | | F=19.811 | <0.001 |
| 未上学 | 160 | 118.89±24.17 | | |
| 小学 | 218 | 135.27±25.76 | | |
| 初中及以上 | 61 | 130.51±25.21 | | |
家庭人均月收入
（元） | | | F=23.552 | <0.001 |
| <1 000 | 139 | 118.37±24.80 | | |
| 1 000～2 999 | 255 | 135.54±25.33 | | |
| ≥3 000 | 45 | 121.24±22.83 | | |
| 子女数量（个） | | | F=6.076 | <0.001 |
| 0 | 11 | 115.00±42.01 | | |
| 1 | 27 | 111.59±28.71 | | |
| 2 | 243 | 128.74±24.76 | | |
| ≥3 | 158 | 132.35±25.31 | | |
| 饮酒 | | | t=3.639 | <0.001 |
| 是 | 182 | 133.82±23.30 | | |
| 否 | 257 | 124.97±27.49 | | |
| 慢性病数量（种） | | | F=55.571 | <0.001 |
| 0 | 136 | 145.66±22.42 | | |
| 1 | 134 | 125.01±24.78 | | |
| ≥2 | 169 | 117.82±23.09 | | |
| 体育锻炼 | | | F=148.394 | <0.001 |
| 不参加 | 61 | 103.33±24.59 | | |
| 偶尔参加 | 129 | 113.01±21.69 | | |
| 经常参加 | 249 | 142.94±18.19 | | |
| 自评健康状况 | | | F=83.660 | <0.001 |
| 较好 | 224 | 142.08±20.14 | | |
| 一般 | 114 | 116.22±25.76 | | |
| 较差 | 101 | 112.86±22.69 | | |
| 医保类型 | | | F=2.972 | 0.032 |
| 无 | 7 | 104.29±25.70 | | |
| 新农合医保 | 410 | 128.65±26.28 | | |
| 商业医保 | 5 | 126.20±23.12 | | |
| 新农合医保+商业医保 | 17 | 139.06±18.43 | | |
), ArticleFig(id=1322589978270478633, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=EN, label=Table 3, caption=
Correlation between health-promoting behavior, oral frailty and healthy aging of rural elderly (n=439)
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| 项目 | 健康老龄化 | 健康促进行为 | 口腔衰弱 |
|---|
| 健康老龄化 | 1.000 | | |
| 健康促进行为 | 0.716** | 1.000 | |
| 口腔衰弱 | -0.589** | -0.615** | 1.000 |
), ArticleFig(id=1322589978375336234, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=CN, label=表3, caption=
农村老年人健康促进行为、口腔衰弱、健康老龄化的相关性（n=439）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 健康老龄化 | 健康促进行为 | 口腔衰弱 |
|---|
| 健康老龄化 | 1.000 | | |
| 健康促进行为 | 0.716** | 1.000 | |
| 口腔衰弱 | -0.589** | -0.615** | 1.000 |
), ArticleFig(id=1322589978459222315, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=EN, label=Table 4, caption=
Analysis of mediating effects of oral frailty
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| 方程 | 因变量 | 自变量 | B | t值 | P值 | F值 | R2值 | 调整R2值 |
|---|
| 1 | 健康老龄化 | 健康促进行为 | 1.158 | 21.448 | <0.001 | 459.999 | 0.513 | 0.512 |
| 2 | 口腔衰弱 | 健康促进行为 | -0.116 | -16.314 | <0.001 | 266.144 | 0.379 | 0.377 |
| 3 | 健康老龄化 | 健康促进行为 | 0.921 | 13.948 | <0.001 | 264.367 | 0.548 | 0.546 |
| | 口腔衰弱 | -2.043 | -5.831 | <0.001 | | | |
), ArticleFig(id=1322589978530525484, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=CN, label=表4, caption=
口腔衰弱的中介效应分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 方程 | 因变量 | 自变量 | B | t值 | P值 | F值 | R2值 | 调整R2值 |
|---|
| 1 | 健康老龄化 | 健康促进行为 | 1.158 | 21.448 | <0.001 | 459.999 | 0.513 | 0.512 |
| 2 | 口腔衰弱 | 健康促进行为 | -0.116 | -16.314 | <0.001 | 266.144 | 0.379 | 0.377 |
| 3 | 健康老龄化 | 健康促进行为 | 0.921 | 13.948 | <0.001 | 264.367 | 0.548 | 0.546 |
| | 口腔衰弱 | -2.043 | -5.831 | <0.001 | | | |
), ArticleFig(id=1322589978610217261, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=EN, label=Table 5, caption=
Verification of mediating effect of oral frailty
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| 效应 | 路径 | 效应值（95%CI） | 效应占比(%) |
|---|
| 直接效应 | 健康促进行为→健康老龄化 | 0.921（0.792～1.051） | 79.53 |
| 中介效应 | 健康促进行为→口腔衰弱→健康老龄化 | 0.237（0.141～0.351） | 20.47 |
| 总效应 | 健康促进行为→健康老龄化 | 1.158（1.052～1.265） | 100 |
), ArticleFig(id=1322589978698297646, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589958133625061, language=CN, label=表5, caption=
口腔衰弱的中介效应验证
, figureFileSmall=null, figureFileBig=null, tableContent=
| 效应 | 路径 | 效应值（95%CI） | 效应占比(%) |
|---|
| 直接效应 | 健康促进行为→健康老龄化 | 0.921（0.792～1.051） | 79.53 |
| 中介效应 | 健康促进行为→口腔衰弱→健康老龄化 | 0.237（0.141～0.351） | 20.47 |
| 总效应 | 健康促进行为→健康老龄化 | 1.158（1.052～1.265） | 100 |
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