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学者姓名：阮韵晨
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Abstract ：
Objectives While previous studies have explored the link between a spouse's social participation and their partner's general physical health among Chinese middle-aged and older adults, none have examined its association with partner chronic disease or potential gender differences. Our study aims to address this gap.Methods This study used data from the 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS). The sample comprised 3,072 couples where both partners were aged 45 or older. Chronic disease was defined as the count of self-reported chronic conditions. Social participation was measured as the number of distinct social activity types engaged in. Analyses employed the actor-partner interdependence model (APIM).Results Spousal social participation was significantly associated with partner chronic disease, with significant gender differences. Specifically, the wife's social participation was positively associated with the husband's chronic diseases, whereas the husband's social participation was negatively associated with the wife's chronic diseases. Furthermore, the wife's depressive symptoms significantly mediated both of these associations.Conclusion Spousal social participation is associated with partner chronic disease among Chinese middle-aged and older adults, with the nature of this association varying significantly by gender. These findings suggest that developing and strengthening social support networks, alongside implementing gender-sensitive interventions to promote social participation, could improve health outcomes.
Keyword ：
actor-partner interdependence model actor-partner interdependence model China China chronic diseases chronic diseases middle-aged and older adults middle-aged and older adults social participation social participation spouse spouse
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| GB/T 7714 | Ruan, Yunchen , Li, Yan , Wang, Qingbao . Spousal associations between social participation and chronic diseases among Chinese middle-aged and older adults: an actor-partner interdependence model analysis [J]. | FRONTIERS IN PUBLIC HEALTH , 2025 , 13 . |
| MLA | Ruan, Yunchen 等. "Spousal associations between social participation and chronic diseases among Chinese middle-aged and older adults: an actor-partner interdependence model analysis" . | FRONTIERS IN PUBLIC HEALTH 13 (2025) . |
| APA | Ruan, Yunchen , Li, Yan , Wang, Qingbao . Spousal associations between social participation and chronic diseases among Chinese middle-aged and older adults: an actor-partner interdependence model analysis . | FRONTIERS IN PUBLIC HEALTH , 2025 , 13 . |
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Abstract ：
重视老年人身心健康，对于实施积极应对人口老龄化国家战略和健康中国战略具有重要意义。基于中国健康与养老追踪调查(CHARLS)2013年、2015年和2018年的个体层面追踪数据，利用固定效应模型和交叉滞后面板模型，对老年人失能程度与抑郁程度之间的因果关系进行量化考察。研究发现，失能程度与老年人当期的抑郁程度存在显著的正相关关系；控制未被观测到的混淆因素后，失能程度变化会显著影响抑郁程度变化；老年人失能程度与抑郁程度之间存在着双向因果关系，且无论使用Nagi指数、ADL指数还是IADL指数等指标来测量失能程度，二者之间的双向因果关系都显著。因此，应当加强老年人失能预防和失能康复工作，并构建覆盖身体健康与心理健康等多方面的综合性老年人健康服务体系。
Keyword ：
交叉滞后面板模型 交叉滞后面板模型 双向因果关系 双向因果关系 失能程度 失能程度 抑郁程度 抑郁程度
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| GB/T 7714 | 阮韵晨 , 陆杰华 . 中国老年人失能程度与抑郁程度双向关系的探究——基于CHARLS数据的实证分析 [J]. | 人口研究 , 2024 , 48 (02) : 104-117 . |
| MLA | 阮韵晨 等. "中国老年人失能程度与抑郁程度双向关系的探究——基于CHARLS数据的实证分析" . | 人口研究 48 . 02 (2024) : 104-117 . |
| APA | 阮韵晨 , 陆杰华 . 中国老年人失能程度与抑郁程度双向关系的探究——基于CHARLS数据的实证分析 . | 人口研究 , 2024 , 48 (02) , 104-117 . |
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Abstract ：
重视老年人身心健康,对于实施积极应对人口老龄化国家战略和健康中国战略具有重要意义.基于中国健康与养老追踪调查(CHARLS)2013年、2015年和2018年的个体层面追踪数据,利用固定效应模型和交叉滞后面板模型,对老年人失能程度与抑郁程度之间的因果关系进行量化考察.研究发现,失能程度与老年人当期的抑郁程度存在显著的正相关关系;控制未被观测到的混淆因素后,失能程度变化会显著影响抑郁程度变化;老年人失能程度与抑郁程度之间存在着双向因果关系,且无论使用Nagi指数、ADL指数还是IADL指数等指标来测量失能程度,二者之间的双向因果关系都显著.因此,应当加强老年人失能预防和失能康复工作,并构建覆盖身体健康与心理健康等多方面的综合性老年人健康服务体系.
Keyword ：
交叉滞后面板模型 交叉滞后面板模型 双向因果关系 双向因果关系 失能程度 失能程度 抑郁程度 抑郁程度
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| GB/T 7714 | 阮韵晨 , 陆杰华 . 中国老年人失能程度与抑郁程度双向关系的探究 [J]. | 人口研究 , 2024 , 48 (2) : 104-117 . |
| MLA | 阮韵晨 等. "中国老年人失能程度与抑郁程度双向关系的探究" . | 人口研究 48 . 2 (2024) : 104-117 . |
| APA | 阮韵晨 , 陆杰华 . 中国老年人失能程度与抑郁程度双向关系的探究 . | 人口研究 , 2024 , 48 (2) , 104-117 . |
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Abstract ：
(1) Objectives: This study aims to investigate the bidirectional relationship between depressive symptoms and cognitive function among older adults in China, addressing a research gap in the context of developing nations. (2) Methods: A total of 3813 adults aged 60 and older participating in 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS) were included. A fixed-effects model and cross-lagged panel model (CLPM) was utilized. (3) Results: First, the results indicated that a significant negative correlation existed between depressive symptoms and cognitive function in older adults during the study period (beta = -0.084, p < 0.001). Second, after controlling for unobserved confounding factors, the deterioration and improvement of depressive symptoms still significantly affected cognitive function (beta = -0.055, p < 0.001). Third, using the cross-lagged panel model, we observed a reciprocal relationship between depressive symptoms (Dep) and cognitive function (Cog) among Chinese older adults (Dep2013 -> Cog2015, beta = -0.025, p < 0.01; Dep2015 -> Cog2018, beta = -0.028, p < 0.001; Cog2013 -> Dep2015, beta = -0.079, p < 0.01; Cog2015 -> Dep2018, beta = -0.085, p < 0.01). (4) Discussion: The reciprocal relationship between depressive symptoms and cognitive functioning in older adults emphasizes the need for integrated public health policies and clinical interventions, to develop comprehensive intervention strategies that simultaneously address depressive symptoms and cognitive decline.
Keyword ：
Chinese older adults Chinese older adults cognitive function cognitive function cross-lagged panel model cross-lagged panel model depressive symptoms depressive symptoms reciprocal relationship reciprocal relationship
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| GB/T 7714 | Lu, Jiehua , Ruan, Yunchen . Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults [J]. | HEALTHCARE , 2023 , 11 (21) . |
| MLA | Lu, Jiehua 等. "Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults" . | HEALTHCARE 11 . 21 (2023) . |
| APA | Lu, Jiehua , Ruan, Yunchen . Exploring the Reciprocal Relationship between Depressive Symptoms and Cognitive Function among Chinese Older Adults . | HEALTHCARE , 2023 , 11 (21) . |
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