农村老年人健康现状与期望养老模式的关系

发布时间：2018-04-05 16:24

本文选题：健康现况　切入点：养老模式　出处：《中国老年学杂志》2017年13期

【摘要】：目的探讨农村老年人健康现状及其与养老模式的关系。方法分层整群抽取1 393名农村老人,对其个人特征、健康状况及养老模式进行调查。结果农村老年人生活自理能力(ADL)明显障碍的发生率为23.69%,认知功能障碍发生率为31.30%,自报慢性病发生率为40.46%,自评健康差的占25.84%。期望养老模式的选择中,51.69%更愿意和子女住一起,33.81%想要与子女分居,住自己房养老,仅有11.92%愿意住养老院,其他占2.58%,提示家庭养老为主占85.59%。多分类Logistic回归分析显示婚姻状况、慢性病、ADL分级是对老年人期望养老模式的主要影响因素;相关分析显示慢性病、ADL分级、认知功能均与养老模式有关(r=0.165、0.134、0.116,均P0.05)。结论发展以家庭为主的综合性农村养老服务体系,提高老年人的经济收入和精神慰藉,是实现健康老龄化的保证。
[Abstract]:Objective to explore the health status of the elderly in rural areas and its relationship with the pension model.Methods 1 393 rural elderly were selected by stratified cluster, and their personal characteristics, health status and pension model were investigated.Results the incidence of ADL) was 23.699.The incidence of cognitive dysfunction was 31.30. the incidence of self-reported chronic disease was 40.46.The poor self-rated health accounted for 25.84.51.69% preferred to live with their children and 33.81% wanted to live apart from their children, only 11.92% were willing to live in nursing home, and the rest accounted for 2.58, suggesting that family old-age care accounted for 85.59%.Multiple classification Logistic regression analysis showed that marital status, chronic disease and ADL grade were the main factors influencing the elderly's expected old-age model, and correlation analysis showed that chronic disease and cognitive function were all related to the old-age model (P < 0.05).Conclusion it is the guarantee of healthy aging to develop the comprehensive rural old-age service system which is based on the family and to improve the income and spiritual comfort of the elderly.
【作者单位】：滨州医学院流行病学教研室;
【基金】：烟台市社科规划研究项目(No.ytsk2013-070)
【分类号】：C913.6;R161.7

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