Study On Mental Health Status And Influential Factors Of The Oldest Old

Objective To quantitative analyze the relationship between mental health status and influencing factors of the oldest old,and to propose related countermeasures to improve the mental health the oldest old population.Method The data of the 2014 Longitudinal Healthy Longevity Survey(CLHLS)follow-up survey is used as research data.Data is organized and cleaned according to the research purpose.Descriptive analysis is performed by SPPS24.0 software,and variance analysis or t-test is performed according to the nature of the data to analyze the mental health status and influencing factors of the oldest old.The multiple linear regression model is constructed by SPPS24.0 software to analyze the correlation between mental health status and influencing factors of the oldest old.The structural equation model is constructed by AMOS23.0 statistical software to study the effect of the main influencing factors on the mental health status of the oldest old and the interaction between the influencing factors.Results(1)The average mental health status of the oldest old is 11.50±0.03,and the average mental health status is 6.95±0.04.(2)The results of multiple linear regression models show that the factors affecting the positive mental health status of the oldest old are as follows: Among the demographic variables,living alone is negatively correlated with positive mental health status of the oldest old(P<0.05).Among the socioeconomic status variables,there are pensions and living in cities positively correlated with positive mental health status of the oldest old(P<0.05).Among the physiological health variables,health is positively correlated with positive mental health status of the oldest old(P<0.05).In the lifestyle variables,exercise and diet scores ?15 points are positively correlated with positive mental health status of the oldest old(P<0.05).(3)The results of multiple linear regression models show that the factors affecting the negative mental health status of the oldest old are as follows: Among the demographic variables,living alone is positively correlated with negative mental health status of the oldest old(P <0.05).Among the socioeconomic status variables,pension,living in cities,1?6 years of education and more than 7 years of education are negatively correlated with the negative mental health status of the oldest old(P <0.05).Among the physiological health variables,the injury of IADL and limitations of LOA are positively correlated with the negative mental health status of the oldest old(P <0.05).Health is a negatively correlated with the negative mental health status of the oldest old(P <0.05).Among the lifestyle variables,exercise is negatively correlated with the negative mental health status of the oldest old(P <0.05).(4)The structural equation model shows that the total effect of socioeconomic status is 0.201(direct effect: 0.177,indirect effect: 0.024)in terms of the influencing factors of the positive mental health status of the oldest old.The total effect of physical health is 0.238(direct effect: 0.238,indirect effect: 0.000).In terms of the influencing factors of the negative mental health status of the oldest old,the total impact effect of socioeconomic status is-0.241(direct effect:-0.212,indirect effect:-0.029).The total effect of physical health is-0.250(direct effect:-0.250,indirect effect: 0.000).The effect of socioeconomic status on physical health is 0.138(direct effect: 0.138,indirect effect: 0.000).Conclusion The demographic characteristics,socioeconomic status,physical health,and lifestyle have different effects on the positive mental health status and negative mental health status of the oldest old.Socioeconomic status can directly affect the positive mental health status and negative mental health status of the oldest old,and can also indirectly affect the positive mental health status and negative mental health status of the oldest old by physiological health.The main influencing factors of the positive mental health status and negative mental health status of the oldest old are the physiological health factors,and the secondary influencing factors are the socioeconomic status.It is necessary to improve the mental health status of the oldest old from the aspects of strengthening the health management of the oldest old,establishing and improving the security system for the oldest old,actively improving the lifestyle of the oldest old and paying attention to the mental health problems of the oldest old living alone.