山东省农村老年人生活照料需求及其影响因素
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摘要
目的探讨山东省农村老年人照料需求及其影响因素。方法利用2013年第五次国家卫生服务调查中的山东省数据,分析调查了60岁及以上的农村老年人基本情况及照料需求现状,利用单因素分析和Logistic回归分析山东省农村老年人口照料需求影响因素。结果有照料需求的老年人占12.1%,97.4%由子女或孙子女提供需求照料。Logistic回归结果显示,年龄、就业状况、每周锻炼次数、低保户、慢病数、说话、听力、视力状况是老年人照料需求的主要影响因素。结论农村老年人照料需求较大,且家庭仍然是最主要的照料资源。高龄、慢病、低保户且缺乏锻炼以及失能老年人对照料需求更大。
Objective To investigate the demands of living care of the rural elderly and the influencing factors.Methods Based on the data of the 5 th National Health Service Investigation in 2013,rural elder residents aged 60 years and above in Shandong Province were selected as the research objects. Their basic information and situation of care demands were analyzed,and single-factor analysis and Logistic regression were adopted to analyze the influencing factors. Results Of all rural elders investigated,12.1% needed living care,and 97.4% were cared for by their children or grandchildren. Logistic regression results indicated that age,employment,times of weekly exercises,household with lowincome,number of chronic diseases,speaking ability,listening ability and eyesight could impact the demands of living care of the rural elders. Conclusion The demands of living care of rural elderly are great. Families are still the most important care givers. The elderly with chronic diseases,lowincome,sedentary life style and disability demand intensive living care.
Objective To investigate the demands of living care of the rural elderly and the influencing factors.Methods Based on the data of the 5 th National Health Service Investigation in 2013,rural elder residents aged 60 years and above in Shandong Province were selected as the research objects. Their basic information and situation of care demands were analyzed,and single-factor analysis and Logistic regression were adopted to analyze the influencing factors. Results Of all rural elders investigated,12.1% needed living care,and 97.4% were cared for by their children or grandchildren. Logistic regression results indicated that age,employment,times of weekly exercises,household with lowincome,number of chronic diseases,speaking ability,listening ability and eyesight could impact the demands of living care of the rural elders. Conclusion The demands of living care of rural elderly are great. Families are still the most important care givers. The elderly with chronic diseases,lowincome,sedentary life style and disability demand intensive living care.
引文
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[20]刘晓婷,侯雨薇.子女经济支持与失能老年人的非正式照料研究-基于CLHLS的分析[J].浙江大学学报(人文社会科学版),2016,46(4):144-157.
[21]Park S,Kim B,Kim S.Poverty and working status in changes of unmet health care need in old age[J].Health Policy,2016,120(6):638-645.
[22]蒋承,顾大男,柳玉芝,等.中国老年人照料成本研究-多状态生命表方法[J].人口研究,2009,33(3):81-88.
[23]张海杰,董胜莲.体育锻炼与兴趣爱好对养老院老年人心理健康的影响[J].中国老年学杂志,2016,36(11):2773-2774.
[24]Heyn P,Abreu BC,Ottenbacher KJ.The effects of exercise training on elderly persons w ith cognitive impairment and dementia:a meta-analysis[J].Arch Phys Med Rehabil,2004,85(10):1694-1704.
[25]刘晓燕.济南市某社区65岁及以上老年人健康状况及其影响因素研究[D].济南:山东大学,2015.
[26]Kemper P.The use of formal and informal home care by the disabled elderly[J].Health Serv Res,1992,27(4):421-451.
[2]翟振武,陈佳鞠,李龙.中国人口老龄化的大趋势、新特点及相应养老政策[J].山东大学学报(哲学社会科学版),2016(3):27-35.
[3]刘运东,冯雅楠,王玉环.失能老年人长期照护需求及影响因素[J].中国老年学杂志,2016,36(6):1482-1484.
[4]丁玲,吴炳义,郑晓瑛,等.山东省老年人心理健康状况及影响因素分析[J].中国卫生事业管理,2014,31(12):948-951.
[5]Luo Y,Hawkleyb LC,Waite LJ,et al.Loneliness,health,and mortality in old age:a national longitudinal study[J].Soc Sci Med,2012,74(6):907-914.
[6]Marc LG,Raue PJ,Bruce ML.Screening performance of the 15-item geriatric depression scale in a diverse elderly homecare population[J].Am J Geriatr Psychiatry,2008,16(11):914-921.
[7]景跃军,李元.中国失能老年人构成及长期护理需求分析[J].人口学刊,2014,36(2):55-63.
[8]张思锋,唐敏,周淼.基于我国失能老人生存状况分析的养老照护体系框架研究[J].西安交通大学学报(社会科学版),2016,36(2):83-90.
[9]武佳琳,王君俏,陆美玲,等.居家高龄老年人照护需求及满足情况调查[J].护理学杂志,2013,28(12):89-91.
[10]章芸芸.农村地区老年人日常生活照料及影响因素研究[D].武汉:华中科技大学,2007.
[11]李明晖,罗南.欧洲五维健康量表(EQ-5D)中文版应用介绍[J].中国药物经济学,2009(1):49-57.
[12]国家卫生计生委统计信息中心.2013第五次国家卫生服务调查分析报告[M].北京:中国协和医科大学出版社,2015.
[13]刘娜,董丽娟,孙鹏鹏,等.农村老年人日常照料需求及影响因素研究[J].中国卫生事业管理,2016,33(7):535-537,549.
[14]张乐,赵延芳,关素珍.乌鲁木齐市某区老年人健康相关生命质量及影响因素[J].中国老年学杂志,2017,37(1):200-202.
[15]周伟,崔颖,杨丽,等.中西部农村地区老年人健康相关生命质量及其影响因素[J].中国老年学杂志,2012,32(19):4252-4255.
[16]王新军,郑超.老年人健康与长期护理的实证分析[J].山东大学学报(哲学社会科学版),2014(3):30-41.
[17]孙菲,汤哲,刁丽军,等.老年人社区非医疗照料需求调查[J].中国老年学杂志,2005,25(2):151-152.
[18]邓明,张歆,谢欣,等.基于EQ-5D效用值积分体系的老年人自评健康状况研究[J].中国卫生经济,2016,35(12):18-20.
[19]Hoi le V,Thang P,Lindholm L.Elderly care in daily living in rural Vietnam:need and its socioeconomic determinants[J].BMC Geriatr,2011,11:81.doi:10.1186/1471-2318-11-81.
[20]刘晓婷,侯雨薇.子女经济支持与失能老年人的非正式照料研究-基于CLHLS的分析[J].浙江大学学报(人文社会科学版),2016,46(4):144-157.
[21]Park S,Kim B,Kim S.Poverty and working status in changes of unmet health care need in old age[J].Health Policy,2016,120(6):638-645.
[22]蒋承,顾大男,柳玉芝,等.中国老年人照料成本研究-多状态生命表方法[J].人口研究,2009,33(3):81-88.
[23]张海杰,董胜莲.体育锻炼与兴趣爱好对养老院老年人心理健康的影响[J].中国老年学杂志,2016,36(11):2773-2774.
[24]Heyn P,Abreu BC,Ottenbacher KJ.The effects of exercise training on elderly persons w ith cognitive impairment and dementia:a meta-analysis[J].Arch Phys Med Rehabil,2004,85(10):1694-1704.
[25]刘晓燕.济南市某社区65岁及以上老年人健康状况及其影响因素研究[D].济南:山东大学,2015.
[26]Kemper P.The use of formal and informal home care by the disabled elderly[J].Health Serv Res,1992,27(4):421-451.