农村老年人的社会排斥体验与健康状况:有调节的中介作用

基于社会排斥的多元动机模型、负性情绪影响健康的四通路模型，通过对一项覆盖中国31个省级行政区（不含港澳台）农村居民社会调查数据的分析，考察了1803名农村老年人社会排斥体验与健康状况的关系，以及负性情绪、人际信任、经济状况在两者中的作用。结果表明，农村老年人的社会排斥体验负向预测其健康状况；负性情绪在农村老年人社会排斥体验和健康状况之间起中介作用；人际信任、经济状况均在农村老年人社会排斥体验和负性情绪之间起调节作用；经济状况还在农村老年人负性情绪和健康状况之间起调节作用。该结果不仅验证并拓展了上述两个理论模型，还为农村的养老服务体系建设、农村老年人的健康服务工作提供了启示。

Social Exclusion Experience and Health Condition among the Rural Elders: The Moderated Mediating Effect

Based onthe multimotive model of social exclusion and the model of pathways linking affective disturbances to physical disorders, the current study investigated 1803 rural elders from the 31 provinces (excluding Hong Kong, Macao, and Taiwan) in China, in order to test the influence of social exclusion experience on health condition, and the effects of negative emotional states, interpersonal trust, and economic conditions between them. The results showed that:(1) social exclusion experience negatively predicted health condition; (2) Negative emotional states mediated social exclusion experience and health condition; (3) Interpersonal trust moderated the link between social exclusion experience and negative emotional states; (4) Economic condition moderated the link between social exclusion experience and negative emotional states; (5) Economic condition moderated the link between negative emotional states and health condition. The current study not only verifies and extends the two theoretical models but also provides some implications for the construction of rural elderly care and health services.