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A socially embedded structural model of quality of life in urban older adults with comorbidity
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Xin ZHOU1, Si-han XUN1, Si-yu CHEN1, Qing-wen WEN1, Xiao-jian DUAN2, Rao-qi FAN1, Jia-yi SHANG1, Tao SUN3, Yu SHI4, Hui YIN1, Shu-e ZHANG1
Modern Preventive Medicine | 2025, 52(10) : 1813 - 1817
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Modern Preventive Medicine | 2025, 52(10): 1813-1817
Primary Health Services
A socially embedded structural model of quality of life in urban older adults with comorbidity
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Xin ZHOU1, Si-han XUN1, Si-yu CHEN1, Qing-wen WEN1, Xiao-jian DUAN2, Rao-qi FAN1, Jia-yi SHANG1, Tao SUN3, Yu SHI4, Hui YIN1, Shu-e ZHANG1
Affiliations
  • Department of Health Management, School of Health Management, Harbin Medical University, Harbin 150081, China
Published: 2025-05-25 doi: 10.20043/j.cnki.MPM.202412007
Outline
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Background With the deepening of the aging society, the comorbidity phenomenon increasingly threatens the quality of life of the older adults, but the discussion of its influence mechanism is still incomplete.

Objective

To evaluate the quality of life of the urban older adults with comorbidity from a multi-dimensional perspective, and to verify the influencing factors of the quality of life of the urban older adults with comorbidity by combining the theory of social embeddedness mechanisms.

Methods

The questionnaire data of 465 urban older adults with comorbidity were selected as the study sample. One-way ANOVA and independent samples t-test analysis were used to test the differences of different demographic characteristics in the quality of life of the urban older adults with comorbidity, and AMOS 28.0 was used to construct a social embedding structure model of the quality of life of the urban older adults with comorbidity.

Results

The perceived quality of life among urban older adults with comorbidity was rated at a moderate level. In addition, there were significant differences in the quality of life of urban older adults with comorbidity with different genders, ages, marital status, education level, work status, and retirement status. Social support (β=0.10, P<0.001) and social resources (β=0.20, P<0.001) demonstrated positive effects on the quality of life of urban older adults with comorbidity.

Conclusion

Self-reported quality of life are generally higher among urban older adults with comorbidity. Social scenario has a positive effect on social support, and the quality of life of the urban older adults with comorbidity is indirectly improved by strengthening social support. At the same time, social resources not only directly contribute to the quality of life, but also indirectly have a positive impact through social support paths.

Urban older adults with comorbidity  /  Quality of life  /  Social embeddedness mechanisms  /  Social support  /  Social scenario  /  Social resources
Xin ZHOU, Si-han XUN, Si-yu CHEN, Qing-wen WEN, Xiao-jian DUAN, Rao-qi FAN, Jia-yi SHANG, Tao SUN, Yu SHI, Hui YIN, Shu-e ZHANG. A socially embedded structural model of quality of life in urban older adults with comorbidity[J]. Modern Preventive Medicine, 2025 , 52 (10) : 1813 -1817 . DOI: 10.20043/j.cnki.MPM.202412007
Year 2025 volume 52 Issue 10
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Article Info
doi: 10.20043/j.cnki.MPM.202412007
  • Receive Date:2024-12-01
  • Online Date:2026-03-18
  • Published:2025-05-25
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  • Received:2024-12-01
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    Department of Health Management, School of Health Management, Harbin Medical University, Harbin 150081, China
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表12种不同金属材料的力学参数

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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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