摘要
[目的]分析农村老年人日间照料中心养老意愿及影响因素。[方法]以Andersen行为模型为指导,于2022年9-11月,通过问卷调查收集农村老年人资料,运用Logistic回归模型从倾向性因素、使能因素、需求性因素分析农村老年人养老意愿的影响因素。[结果]490位老年人中,有270位老年人愿意日间照料中心养老。多因素logistic回归分析结果显示:与男性老年人相比,女性老年人日间照料养老意愿是其2.477倍;与养老观念的开放程度中不赞同及非常不赞同相比,不确定、比较赞同、非常赞同老年人日间照料养老意愿是其20.883倍、86.527倍和161.23倍;与家人不赞同相比,家人赞同的老年人日间照料养老意愿是其89.204倍;与子女往来不密切的相比,与子女关系良好,节假日均会探望的老年人日间照料养老意愿是其0.255倍;与步行老年人日间照料中心不到15分钟相比,步行到中心需要30~45分钟、45分钟以上老年人日间照料养老意愿是其0.18倍和0.096倍;与无慢性病老年人相比,患有3种慢性病的老年人日间照料养老意愿是其0.173倍。[结论]农村老年人日间照料中心养老意愿一般,性别、养老观念的开放程度、家人的态度、子女关系、步行到老年人日间照料中心时间、慢性病患病种数对农村老年人日间照料中心养老意愿有显著影响。
Objective To analyze rural elderly s willingness to go to elderly day care centers and its influencing factors.Methods Guided by Andersen behavior model,data of rural elderly people were collected through questionnaire survey from September to November 2022.Logistic regression model was used to analyze influencing factors of rural elderly s willingness to go to elderly care centers from tendency factors,enabling factors and demand factors.Results Among 490 elderly people,270 elderly people were willing to go to elderly day care centers.Multivariate Logistic regression analysis showed that the willingness of female elderly people to go to elderly day care centers was 2.477 times than that of male elderly people.In terms of cceptability of elderly care services,the number of uncertainty,relative approval and very approval about going to elderly day care centers were 20.883 times,86.527 times and 161.23 times than that of disapproval and very disapproval.The willingness of the elderly who were supported by family to go to elderly day care centers was 89.204 times than that of the elderly who were unsupported by family.The willingness of the elderly who had a good relationship with their children and were visited by children on holidays to go to elderly day care centers was 0.255 times than that of the elderly who were not closely related to their children.The willingness of the elderly who walked to elderly day care centers between 30 and 45 minutes,and the willingness of the elderly who walked more than 45 minutes were 0.18 times and 0.096 times than that of the elderly who walked less than 15 minutes.The willingness of the elderly with three chronic diseases to go to elderly day care centers was 0.173 times than that of the elderly without chronic diseases.Conclusions Rural elderly s willingness to go to elderly day care centers is general.Gender,the cceptability of the concept of elderly care,the attitude of the family,the relationship with children,the time to walk to elderly day care centers,and the number of chronic diseases have a significant impact on the willingness of the rural elderly to go to elderly day care centers.
作者
冉甜甜
吴爽
RAN Tiantian;WU Shuang(College of Economics and Management,North China University of Science and Technology,Tangshan Hebei 063210,China;Health Policy and Management Research Center,North China University of Science and Technology,Tangshan Hebei 063210,China)
出处
《卫生软科学》
2023年第9期89-94,共6页
Soft Science of Health
基金
河北省高等学校人文社会科学研究项目资助(SD201013)。
关键词
日间照料中心
安德森模型
农村老年人
养老意愿
day care centers
Andersen s behavior model
the rural elderly
willingness of elderly care
作者简介
冉甜甜(1995-),女,河北沧州人,硕士,主要从事卫生政策与管理方面的工作;通信作者:吴爽(1985-),女,河北唐山人,硕士,主要从事卫生政策与管理方面的工作。
