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Mediating role of self-perceived aging between social alienation and health promotion behaviors in community-dwelling older adults with chronic co-morbidities
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Lin LI, Jun-xian WU, Si-si ZHANG, Wei-li WANG, Jing YU, Jing-ru SONG, Qin SHEN
Modern Preventive Medicine | 2025, 52(2) : 286 - 291
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Modern Preventive Medicine | 2025, 52(2): 286-291
Primary Health Services
Mediating role of self-perceived aging between social alienation and health promotion behaviors in community-dwelling older adults with chronic co-morbidities
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Lin LI, Jun-xian WU, Si-si ZHANG, Wei-li WANG, Jing YU, Jing-ru SONG, Qin SHEN
Affiliations
  • School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China
Published: 2025-01-25 doi: 10.20043/j.cnki.MPM.202409191
Outline
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Objective

To investigate the relationship between social alienation and health promotion behaviors in community chronic co-morbid older adults, and explore the mediating role of self-perceived aging.

Methods

Using the convenience sampling method, A questionnaire survey was conducted using the General Information Questionnaire, the General Alienation Scale, the Simplified Self-perceived Aging Scale, and the Health Promoting Lifestyle Scale on 611 community-based older adults with chronic co-morbidities in Hangzhou, and structural equation modeling was constructed using AMOS.

Results

The total score of chronic co-morbid social alienation in the community was (36.38±10.41) points, the total score of self-perceived aging was (50.10±14.68) points, and the score of health promotion behavior was (93.79±15.56) points. The results of the mediation effect test showed that the effect value between social alienation and health promotion behavior was -0.205 (95%CI: -0.285 to -0.121), accounting for 45.86% of the total effect; the effect value of self-perceived aging in the mediation effect between social isolation and health promotion behavior was -0.242 (95%CI: -0.299 to -0.191); the total effect value was -0.447 (95%CI: -0.508 to -0.383), and the mediation effect accounted for 54.14% of the total effect.

Conclusion

Social alienation and self-perceived aging of chronic co-morbid older adults directly affect health promotion behaviors, while social alienation can indirectly affect health promotion behaviors through self-perceived aging.

Health promotion behavior  /  Self-perceived aging  /  Social alienation  /  Mediating effect  /  Chronic co-morbidities
Lin LI, Jun-xian WU, Si-si ZHANG, Wei-li WANG, Jing YU, Jing-ru SONG, Qin SHEN. Mediating role of self-perceived aging between social alienation and health promotion behaviors in community-dwelling older adults with chronic co-morbidities[J]. Modern Preventive Medicine, 2025 , 52 (2) : 286 -291 . DOI: 10.20043/j.cnki.MPM.202409191
Year 2025 volume 52 Issue 2
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Article Info
doi: 10.20043/j.cnki.MPM.202409191
  • Receive Date:2024-09-10
  • Online Date:2026-03-18
  • Published:2025-01-25
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  • Received:2024-09-10
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    School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China
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表12种不同金属材料的力学参数

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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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