成年精神残疾人分层服务需求满足的关联因素

发布时间：2018-03-29 14:31

本文选题：精神残疾　切入点：分层服务需求　出处：《中国心理卫生杂志》2014年10期

【摘要】：目的:了解成年精神残疾人需求满足度的现状及关联因素。方法:基于2006年全国残疾人抽样调查数据获得成年精神残疾人样本15 155例,研究人口、健康、社会、经济4个方面的变量,分别与个体服务需求满足得分、健康服务需求(第Ⅰ类)、基本生存服务需求(第Ⅱ类)、自我提升及发展服务需求(第Ⅲ类)、环境支持性服务需求(第Ⅳ类)满足与否之间的关联关系。结果:成年精神残疾人第I、Ⅱ、Ⅲ、Ⅳ类服务需求满足度分别为46.1%、17.5%、0.6%和5.9%。家庭人均收入水平较高(OR=1.89)、参加失业保险(OR=1.73)、领取救济(OR=1.42)等11项因素是成年精神残疾人第I类需求获得满足的有利因素。领取救济(OR=14.61)、领取低保(OR=3.47)、年龄15~59岁(OR=1.20)是第Ⅱ类服务需求获得满足的有利因素,家庭人均收入水平较高(OR=0.79)是不利因素。年龄15~59岁(OR=25.18)、居住在城市地区(OR=3.08)、女性(OR=1.99)是第Ⅲ类服务需求获得满足的有利因素,当前无工作(OR=0.55)是不利因素。领取救济(OR=1.78)、参加养老保险(OR=1.57)、鉴定为一级精神残疾(OR=1.36)和家庭人均收入水平较高(OR=1.25)是成年精神残疾人第Ⅳ类服务需求获得满足的有利因素。领取救济(β=0.28)、领取低保(β=0.11)和人均家庭年收入升高(β=0.08)是成年精神残疾人需求满足得分上升的最重要的三项关联因素。结论:成年精神残疾人的需求满足程度按照健康服务、基本生存服务、环境支持服务和自我发展服务的顺序依次递减。需要重点关注的关联因素为经济因素,应加大对成年精神残疾人的外部经济支持,"按需"为其提供相应的服务。
[Abstract]:Objective: to understand the status quo and related factors of adult mental disability needs satisfaction. Methods: 15 155 adult mental disability samples were obtained based on the data of the National sample Survey of the disabled in 2006, and the population, health and society were studied. Four variables of economy, and individual service demand satisfaction score, The relationship between the needs for health services (class I), basic survival services (category II), self-promotion and development services (category III) and environmental support services (category IV). Results:. Persons with mental disabilities No. I, II, III, The satisfaction of type IV service demand was 46.1% and 5.9%, respectively. The income per capita income of families was higher than 1.89%, the unemployment insurance was 1.73, and the relief was 1.42) and 11 factors were favorable factors for the adult mental disabled persons to be satisfied with the type I needs. Ori 14.61, receiving a minimum security of 3.47, aged 15 to 59, OR1.20) are favorable factors for meeting the needs of Class II services. The higher level of per capita income of households (0.79) is a negative factor, and the age of 1559 years is 25.180.98, living in urban areas, and women 1.99) are favorable factors for meeting the needs of category III services. 0. 55) is a disadvantage factor. Receiving relief, participating in old-age insurance (OR1. 57, identified as OR1. 36) and the higher level of per capita income of the family (OR1. 25) are favorable factors for the adult mental disabled persons to be satisfied with their type IV service needs. ... receiving relief (尾 0.28), receiving a minimum allowance (尾 0.11) and increasing per capita household income (尾 0.08) are the three most important factors associated with an increase in the scores of demand satisfaction for adults with mental disabilities. Conclusion: the level of demand satisfaction of adults with mental disabilities is based on health services. The order of basic survival services, environmental support services and self-development services is decreasing in turn. The related factors that need to be paid more attention to are economic factors, and the external economic support for the adult mental disabled persons should be increased, and the corresponding services should be provided "on demand".
【作者单位】：北京大学人口研究所;
【基金】：国家社科基金青年项目——中国分区域残疾人口需求与服务利用研究(09CRK007) 北京高校“青年英才计划”(YETP0041)
【分类号】：R749

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