四川省农村老人健康状况及影响因素研究

发布时间：2018-06-12 09:30

本文选题：健康状况 + 自评健康　；参考：《四川省社会科学院》2017年硕士论文

【摘要】：老龄化是中国正面临的严峻挑战,农村地区老龄化形势尤其严峻。四川省地处中国西部,自改革开放以来,一直是一个劳务输出大省,农村年轻劳动力大量流出,老龄化速度快、水平高,2015年已经进入“老龄化社会”。“健康老龄化”是应对严峻的老龄化形势的重要方式。但是由于长期城乡二元发展格局,四川农村地区“未富先老”、“未备先老”特征明显,“健康老龄化”面临挑战。关注四川农村老人健康状况及影响因素,促进健康需求满足,对改善农村老人健康状况、应对老龄化具有重要意义。四川省农村地区老龄化具有水平高、高龄化和“未富先老”等特征,社会经济发展存在农民收入水平较低、收入增长速度较慢、贫富差距明显、基础医疗卫生条件需要改善、医疗队伍建设薄弱以及缺乏技术人才等问题。四川农村地区老年人群中亚健康的人群占23.66%,行动、自我照顾、日常活动、心理状态等方面的健康状况都处于弱势地位,然后使用调查样本数据分析了不同特征的农村老人健康状况。文章接着以健康老龄化理论、Grossman健康需求理论、社会支持理论以及其他相关理论为基础,结合前人关于健康状况的研究,提出影响四川农村老人健康状况的人口学特征、社会经济地位特征、社会参与、卫生条件、地区五个维度,使用四川省城乡老年人口健康保障能力与服务供给体系研究课题调查数据,运用二元logistic回归分析模型,分析上述五个维度对四川省农村老人健康状况的影响。logistic回归分析和描述统计分析结果发现四川省农村老人健康状况地区差异明显;高龄、女性农村老人在健康状况满足方面是弱势群体;良好的个人经济状况、有酬的社会参与活动、良好的就医可及性和医保报销水平对满足农村老人健康状况有积极作用。可以从探索农村社区照护体系,提升照护水平;完善医疗保障制度,提高医疗保障水平;提升农村基层医疗服务配置和利用效率,促进就医可及性等方面促进四川省农村老人健康状况的改善。
[Abstract]:Aging is a severe challenge facing China, especially in rural areas. Sichuan Province is located in the western part of China. Since the reform and opening up, Sichuan Province has been a big labor export province. The young labor force in rural areas is flowing out in large numbers, the aging speed is fast and the level is high. In 2015, Sichuan Province has entered an "aging society". Healthy aging is an important way to deal with the severe aging situation. However, due to the long-term dual development of urban and rural areas, Sichuan rural areas "rich first old", "not prepared for the old" characteristics are obvious, "healthy aging" is facing a challenge. It is of great significance to pay attention to the health status and influencing factors of the rural elderly in Sichuan and to promote the satisfaction of the health needs of the rural elderly in order to improve the health status of the rural elderly and cope with the aging. The aging of rural areas in Sichuan Province is characterized by a high level of aging, aging and "getting old before getting rich". In the development of social economy, the income level of farmers is lower, the growth rate of income is slower, the gap between rich and poor is obvious, and the basic medical and health conditions need to be improved. Medical team construction is weak and lack of technical personnel and other problems. In Sichuan rural areas, sub-healthy people account for 23.66. the health status of the elderly in such aspects as action, self-care, daily activities, psychological status, etc., is in a weak position. Then the survey sample data were used to analyze the health status of rural elderly with different characteristics. Based on Grossman's theory of health demand, social support theory and other relevant theories, and combining with the previous studies on health status, the paper puts forward the demographic characteristics that affect the health status of the rural elderly in Sichuan province. Social and economic status characteristics, social participation, health conditions, regional five dimensions, the use of Sichuan urban and rural elderly population health security capacity and service supply system research topic survey data, the use of binary logistic regression model, Logistic regression analysis and descriptive statistical analysis on the health status of the rural elderly in Sichuan Province showed that there were significant differences in the health status of the rural elderly in Sichuan Province. The female rural elderly are a weak group in the aspect of health satisfaction, good personal economic condition, paid social participation, good accessibility to medical treatment and the level of medical insurance reimbursement have positive effects on meeting the health status of the rural elderly. We can explore the rural community care system, improve the level of care, improve the medical security system, improve the level of medical security, improve the allocation and utilization efficiency of rural primary medical services, To improve the health status of the rural elderly in Sichuan Province.
【学位授予单位】：四川省社会科学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R161.7;D669.6

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