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  • 學位論文

高齡者的健康狀態與社會資本相關性

Correlation between Health Status of Geriatric Population and Social Capital

指導教授 : 楊培珊
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摘要


本研究主要目的在探討高齡者的社會資本與健康狀態之間的關係,以次級資料分析為研究方法,2010年中央研究院「台灣社會變遷基本調查計畫」第六期第一次:綜合問卷調查為分析資料。 研究中以社會信任與社會網絡為社會資本的測量變項,老人的健康狀態則以自評健康以及心理健康為不同層面之評估,社會人口變項則加入年齡、性別、婚姻狀況、教育程度、工作狀態以及家戶收入。研究結果證實,社會信任與社會網絡對於老人的自評健康與心理健康有顯著的正面效果,社會信任越佳、社會網絡連結越多,則老人的健康狀態越好,其心理憂鬱的程度越低。而社會人口變項部分,老人的教育程度與工作狀況,在控制其他變項後,亦能影響老人的健康狀態。 因此,在維護與建立老人社會資本的脈絡下,以落實在地老化的概念,在社區中提供老人生活必需的支持性資源來穩定老人的社會網絡發展,並致力消除一般大眾對老人負面的刻板印象,建立友善老人意識形態,有助於老人增進社會參與及培養人際中信任與互惠之關係。更進一步增進老人的健康,以達健康老化的目的。

並列摘要


The objective of this study is to investigate the relationship between social capital and health status of the geriatric population. The material and method utilized is cross-sectional secondary data analysis of the “Taiwan Social Change Survey”, performed by the Academia Sinica. Social trust and social network were defined as the measured variables of social capital. The health status of the geriatric population was assessed via self-rated health and mental health. Society population variables incorporated included age, gender, marriage status, education, employment and household income. The results suggested that social trust and social network had a positive effect on the self-rated health and mental health status of the geriatric population. After controlling for other variables, the education and employment status of the geriatric population also affected their health status. It can be concluded that to establish and maintain the context of social capital of the geriatric population, adapting the concept of aging in place, providing necessary supportive resources in the community and replacing the negative image of the senile in the general population with that of a benevolent elder will not only increase social participation, but also lay grounds for trust and reciprocity in relationships of the elderly; it can be anticipated that such measurements will further promote health forward the goal of healthy aging of the elderly.

參考文獻


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