摘要
目的:系统评价我国居民对时间银行养老模式参与意愿。方法:2022年1月31日,计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普数据库、PubMed、Web of Science、Wiley数据库中有关我国居民对时间银行养老模式参与意愿的横断面研究。由2名研究者根据纳入和排除标准独立筛选文献、提取数据,并根据美国卫生保健质量和研究机构(AHRQ)推荐的横断面研究质量评价标准评价纳入文献偏倚后,采用R软件4.1.2软件进行Meta分析。结果:共纳入31项横断面研究,涉及16500名有效研究对象,愿意参与时间银行养老模式的居民9442人。采用AHRQ进行文献质量评价,28项研究质量为中等以上。我国居民时间银行养老模式的参与意愿率为64.65%[95%CI(59.01%,69.90%)]。亚组分析显示,个体层面中,女性(50.2%)参与意愿高于男性(46.3%),55~<60岁的居民愿意参与率80.9%,高于60~<70岁(73.8%)、70~<80岁(76.6%)、≥80岁(37.5%)年龄段居民(P<0.001);中共党员愿意参与率(82.9%)高于非中共党员(69.1%)(P<0.001);专科及以上学历水平者参与意愿最高(62.0%),但参与意愿与学历水平未呈现完全线性相关(P=0.004);经济宽裕(42.0%)或者贫困(44.0%)的居民参与率高于经济水平一般者(18.7%)(P<0.001);身体健康者参与意愿(79.2%)高于一般(68.4%)或较差(42.5%)者(P<0.001)。家庭层面中,有配偶者参与意愿(48.7%)高于无配偶者(38.0%)(P<0.001);子女数量为1个或2个者参与意愿(79.4%)高于多个者(71.3%)(P<0.001);只与配偶同住者参与意愿较高(51.1%),高于与配偶子女同住者(47.1%)、独居者(45.8%)和只与子女同住者(45.1%)(P<0.001)。社会层面中,东北部(69.3%)和中部(61.0%)居住居民参与意愿高于东部(53.5%)及西部(49.9%)居民(P<0.001);了解时间银行项目者(62.1%)相较不了解者(35.1%)更愿意参与(P<0.001)。结论:现有证据表明,我国居民对时间银行养老模式参与意愿处于中等稍高水平。女性、55~>60岁、中共党员、学历层次专科及以上、经济宽裕/贫困、健康水平较高、有配偶、子女数量较少(1个或2个)、只与配偶同住、东北部/中部地区、了解时间银行的居民参与时间银行养老模式的意愿相对更强。以上结论需要未来更多高质量的研究进行验证。
Objective:To systematically evaluate the willingness of Chinese residents to participate in the time bank pension model.Methods:Cross-sectional studies about the willingness to participate in the time bank pension model among Chinese residents were searched in databases including CNKI,WanFang Database,CBM,VIP,PubMed,Web of Science and Wiley in January 31,2022.Two investigators independently screened the literature according to the inclusion and exclusion criteria,extracted data,and evaluated the included literature bias according to the cross-sectional study quality evaluation criteria recommended by the Agency for Healthcare Research and Quality′s(AHRQ).R 4.1.2 software was used for Meta-analysis.Results:A total of 31 cross-sectional studies were included,with 16500 valid subjects and 9442 residents willing to participate in the time bank pension model.AHRQ was used to evaluate the quality of the literature,and 28 articles were of medium quality or above.The willingness rate to participate in the time bank pension model for residents in my country was 64.65%[95%CI(59.01%,69.90%)].Subgroup analysis showed that at the individual level,women(50.2%)were more willing to participate than men(46.3%).The willingness to participate rate in the age group of 55-<60 was 80.9%,which was higher than that in the age group of 60-<70(73.8%),70-<80(76.6%),and≥80(37.5%)(P<0.001).The willingness to participate rate of Chinese Communist Party(CCP)members(82.9%)is higher than that of non-CCP members(69.1%)(P<0.001).With college degree or above educational level,the participants had the highest willingness to participate(62.0%),but the willingness to participate was not completely linearly related to the educational level(P=0.004).The residents who were economically well-off(42.0%)or poor(44.0%)had a higher participation rate than the average economic level(18.7%)(P<0.001).Healthy people(79.2%)were more willing to participate than average(68.4%)or poor(42.5%)(P<0.001).At the family level,those with spouse(48.7%)were more willing to participate than those without spouse(38.0%)(P<0.001).Those with one or two children were more willing to participate(79.4%)than those with more(71.3%)(P<0.001).Those who only live with their spouse were more willing to participate(51.1%),higher than those who live with their spouse and children(47.1%),those who live alone(45.8%)and those who only live with their children(45.1%)(P<0.001).At the social level,residents in the northeast(69.3%)and central(61.0%)had higher willingness to participate than those in the east(53.5%)and west(49.9%)(P<0.001).Those who knew about the time bank program(62.1%)were more willing to participate than those who did not(35.1%)(P<0.001).Conclusion:Current evidence shows that the willingness of Chinese residents to participate in the time bank pension model is at a moderately high level.Female,young elderly(55-<60 years old),CCP members,college education level or above,financially affluent or poor,relatively healthy,have spouse,have fewer children,only live with a spouse,live in northeast or central region,and residents who understand time bank are more willing to participate in the time bank pension model.The above conclusions need to be verified by more high-quality studies in the future.
作者
王思远
杨睿博
许婧睿
李鹏
刘笑梅
WANG Siyuan;YANG Ruibo;XU Jingrui;LI Peng;LIU Xiaomei(Tianjin Medical University,Tianjin 300070 China)
出处
《循证护理》
2023年第8期1350-1358,共9页
Chinese Evidence-Based Nursing
基金
天津市教委科研计划项目,编号:2020SK174。
关键词
时间银行
养老模式
意愿
横断面研究
META分析
循证护理
time bank
pension model
willingness
cross-sectional study
Meta-analysis
evidence-based nursing
作者简介
王思远,讲师,硕士研究生,E-mail:wangsiyuan8951@126.com。
