中国临床心理学杂志2025，Vol.33Issue(1)：104-111,144,9.DOI:10.16128/j.cnki.1005-3611.2025.01.020
慢性病对老年人主观幸福感的影响机制研究
Mechanisms of the Impact of Chronic Illness on Subjective Well-being Among Older Adults
摘要
Abstract
Objective:To explore the impact of chronic diseases on the subjective well-being of older adults and its mechanism of action.Methods:Data from the 2018 and 2020 China Health and Retirement Longitudinal Survey(CHARLS)were used to empirically test the correlates of heterogeneity using the instrumental variable method and condi-tional mixed process estimation.Results:Chronic diseases have a significant negative effect on the subjective well-being of older adults,and the higher the number of chronic diseases older adults suffer from,the lower their level of subjective well-being.Individual heterogeneity analyses showed that the above negative effects were more significant in male,younger,and rural elderly groups.Disease heterogeneity analysis showed that the effect of chronic disease multimorbidity on subjective well-being was not significant for patients with malignant tumors,gastric diseases,liver diseases,kidney dis-eases,and emotional and mental problems.Conclusion:Chronic diseases reduce the subjective well-being of the elderly mainly through three pathways:lowering the level of physical health and mental health,increasing the burden of outpatient medical care,and reducing the supply time of agricultural labor.关键词
老年人主观幸福感/慢性病/工具变量法/条件混合过程估计Key words
Subjective well-being of older adults/Chronic disease/Instrumental variables approach/Conditional mix-ing process estimation分类
医药卫生引用本文复制引用
欧阳宇明,申曙光..慢性病对老年人主观幸福感的影响机制研究[J].中国临床心理学杂志,2025,33(1):104-111,144,9.基金项目
国家社会科学基金重大项目"预防为主的大健康格局与健康中国建设研究"(项目号:17ZDA080). （项目号:17ZDA080）
