Factors Affecting Trust in the Elderly Based on Data from the Second Phase of the Urban Health Equity and Response Tool

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Abstract

Introduction: Trust is among the social determinants of health in the elderly. Considering the importance of trust, this study was conducted to investigate demographic, economic, social, and health factors affecting trust in the elderly over 60 years old. Method: This cross-sectional study was based on the data of the second phase of the Urban Health Equity and Response Tool (Urban HERAT-2) on 5,760 elderly people. The economic status of the household was measured by principal component analysis and based on the variables of living supplies and facilities. Then, demographic and socio-economic variables such as the economic score of the household, ethnicity, occupation, education, and self-reported physical and mental health were presented in the linear regression of the explanatory model of trust using STATA software. Results: Based on the findings of this study, The living supplies and facilities explained 0.58 of the variances of the economic score of the household. Furthermore, it was observed that being married, having seasonal and permanent labor jobs, and being relatively poor was associated with a decrease in trust in the elderly and the ability to read and write, good self-reported physical health, and unchanged with an increase in trust in the elderly. The variables of age, gender, retirement, ethnicity, and mental health were not related to trust in the elderly. Conclusion: The variables such as labor jobs, low education, and poor economic status affected trust in the elderly. The findings of this study showed the lack of institutional and intergroup trust in the elderly, and it requires the attention of policymakers
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基于城市卫生公平与应对工具第二阶段数据的老年人信任影响因素
引言:信任是老年人健康的社会决定因素之一。考虑到信任的重要性,本研究旨在调查影响60岁以上老年人信任的人口、经济、社会和健康因素。方法:本横断面研究基于城市健康公平与反应工具(Urban HERAT-2)第二阶段对5,760名老年人的数据。家庭的经济状况是通过主成分分析和基于生活用品和设施的变量来衡量的。然后,利用STATA软件对信任解释模型进行线性回归,将家庭经济得分、种族、职业、教育程度和自我报告的身心健康等人口统计学和社会经济变量进行线性回归。结果:根据本研究的结果,生活用品和设施解释了0.58的家庭经济得分差异。此外,还观察到,已婚、有季节性和永久性劳动工作以及相对贫穷与对老年人的信任度下降、读写能力下降、自我报告的身体健康状况良好有关,并且与对老年人信任度的增加保持不变。年龄、性别、退休年龄、种族、心理健康等变量与对老年人的信任无关。结论:劳动岗位、受教育程度低、经济状况差等因素影响老年人的信任。本研究的结果表明,老年人缺乏机构和群体间的信任,这需要政策制定者的关注
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