南京中医药大学学报（社会科学版）2026，Vol.27Issue(1)：49-56,8.DOI:10.20060/j.cnki.ISSN1009-3222.2026.0049
童年逆境与老年社会适应的关联:有调节的中介模型
The Association of Childhood Adversity with Social Adaptation in Old Age:A Moderated Mediation Model
摘要
Abstract
Based on data from the 2020 China Longitudinal Aging Social Survey(CLASS),this study selected individuals aged 60 and above as the research subjects to explore the relation-ship between childhood adversity and social adaptation in old age.It also analyzed the mediating role of cognitive function and the moderating role of digital literacy.Correlation analysis results showed statistically significant relationships among childhood adversity,cognitive function,digit-al literacy,and social adaptation(P＜0.01).Regression and mediation analysis results indicated a negative association between childhood adversity and social adaptation in old age(β=-0.386,P＜0.01),as well as a negative association between childhood adversity and cognitive function(β=-0.353,P＜0.01).Cognitive function was positively associated with social adaptation in old age(β=0.183,P＜0.01).Cognitive function played a partial mediating role between child-hood adversity and social adaptation in old age,accounting for 14.41% of the total effect.Moder-ated mediation analysis results showed that the interaction term between childhood adversity and digital literacy had a statistically significant impact on cognitive function(β=0.148,P＜0.01),indicating that digital literacy moderated the relationship between childhood adversity and cogni-tive function.Based on these findings,the following recommendations are proposed:utilize com-munity health records and the elderly ability assessment system to identify and support older a-dults with more childhood adversity experiences;deepen digital empowerment by integrating the improvement of digital literacy among the elderly into the cultivation of new smart health and eld-erly care industries;strengthen cross-departmental collaboration and policy integration to estab-lish a long-term support system for promoting social adaptation among the elderly.关键词
童年逆境/老年社会适应/认知功能/数字素养/有调节的中介模型/健康老龄化Key words
childhood adversity/social adaptation in old age/cognitive function/digital litera-cy/moderated mediation model/healthy aging分类
医药卫生引用本文复制引用
彭姚嘉,汤笑语,陈娜..童年逆境与老年社会适应的关联:有调节的中介模型[J].南京中医药大学学报（社会科学版）,2026,27(1):49-56,8.基金项目
江苏省中医药科技发展计划专题(ZT202202) （ZT202202）
江苏省教育科学规划课题重点项目(B-b/2024/01/107) （B-b/2024/01/107）
南京中医药大学养老服务与管理学院(养老产业学院)专项(2024YLFWYGL016) （养老产业学院）
