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刘萌, 马伟, 伊向仁, 王淑康, 张丙银, 王春萍, 郭丽花, 王束玫. 济南市城市社区不同自理能力老年人养老意愿及其影响因素[J]. 中国公共卫生, 2016, 32(10): 1301-1308. DOI: 10.11847/zgggws2016-32-10-03
引用本文: 刘萌, 马伟, 伊向仁, 王淑康, 张丙银, 王春萍, 郭丽花, 王束玫. 济南市城市社区不同自理能力老年人养老意愿及其影响因素[J]. 中国公共卫生, 2016, 32(10): 1301-1308. DOI: 10.11847/zgggws2016-32-10-03
LIU Meng, MA Wei, YIN Xiang-ren.et al, . Endowment intentions and their influencing factors among community elderly people with different abilities of daily living in urban Ji'nan[J]. Chinese Journal of Public Health, 2016, 32(10): 1301-1308. DOI: 10.11847/zgggws2016-32-10-03
Citation: LIU Meng, MA Wei, YIN Xiang-ren.et al, . Endowment intentions and their influencing factors among community elderly people with different abilities of daily living in urban Ji'nan[J]. Chinese Journal of Public Health, 2016, 32(10): 1301-1308. DOI: 10.11847/zgggws2016-32-10-03

济南市城市社区不同自理能力老年人养老意愿及其影响因素

Endowment intentions and their influencing factors among community elderly people with different abilities of daily living in urban Ji'nan

  • 摘要: 目的 了解山东省济南市城市社区不同自理能力老年人的养老意愿及其影响因素,为政府合理配置养老资源提供参考依据。方法 于2011年3月-2015年11月采用方便抽样方法在山东省济南市5个城市社区抽取887名父母和(或)配偶父母居住在济南市城区的≥40岁居民进行问卷调查,调查其居住在济南市城区的父母和(或)配偶父母共1381名老年人的养老意愿,分析不同自理能力老年人养老意愿的主要影响因素。结果 1 381名城市老年人中,完全自理者418人(30.3%),基本自理者478人(34.6%),部分自理者358人(25.9%),不能自理者127人(9.2%);期望“与子女同住,不雇人照料”者805人(58.3%),期望“与子女同住,雇人照料”者151人(10.9%),期望“不与子女同住,不雇人照料”者317人(23.0%),期望“不与子女同住,雇人照料”者68人(4.9%),期望“与子女同住,白天在日托中心”者17人(1.2%),期望“住养老公寓”者23人(1.7%);期望在家养老者1 341人(97.1%),不期望在家养老者40人(2.9%)。多因素非条件logistic回归分析结果显示,年龄≥70岁和与(孙)子女同住的完全自理老年人更倾向于与子女同住,年龄≥70岁、无配偶、与(孙)子女同住和思维明显减退或混乱的基本自理老年人更倾向于与子女同住,经济不独立的不能自理老年人更倾向于与子女同住;文化程度高中或中专及以上和与其他人同住的基本自理老年人更倾向于雇人照料,无配偶的基本自理老年人更倾向于不雇人照料,男性和文化程度高中/中专及以上的部分自理老年人更倾向于雇人照料,经济不独立的不能自理老年人更倾向于不雇人照料。结论 与子女同住、不雇人照料是当前城市社区老年人的主流意愿,但随自理能力的下降,老年人养老意愿也有所改变;性别、年龄、文化程度、婚姻状况、居住方式、经济来源、思维能力是城市社区老年人养老意愿的主要影响因素。

     

    Abstract: Objective To investigate endowment intentions and their influencing factors among urban elderly people with different abilities of daily living,and to provide evidences for endowment resource allocation.Methods A total of 887 residents aged ≥40 years whose parents or parents-in-law lived in urban communities were selected from five urban communities in Ji'nan city of Shandong province with convenience sampling and investigated through a questionnaire survey during March 2011 to December 2015.Endowment intentions and their influencing factors among 1 381 elderly people with different abilities of daily living who lived in Ji'nan urban community were analyzed.Results Of all the elderly people,418 (30.3%)were reported with complete ability of daily living (ADL),478 (34.6%) with basic ADL,358 (25.9%) with partial ADL,and 127 (9.2%) with ADL disability.Based on the presentation of their children,almost all the elderly people (1341,97.1%) would choose home-based care and only a few elderly people (40,2.9%) select institution-based care,with 805 (58.3%) expecting to live with their children and not to hire a caregiver,151 (10.9%) with their children and to hire a caregiver,317 elderly (23.0%) with only themselves,68 (4.9%) with themselves but to hire a caregiver,17 (1.2%) with their children and go to a day-care center,and 23 (1.7%) expecting to live in an institution endowment,respectively.The results of unconditioned logistic regression analysis showed that the elderly aged ≥70 years and living with their children or grandchildren were more likely to choose to live with their children;the elderly aged ≥70 years,being single,living with their children or grandchildren,and with obvious mental retardation were more likely to choose to live with their children;the elderly without economic independence were more likely to choose to live with their children;while,the elderly people with senior high school or vocational school or higher education,living with someones other than their children were more likely to choose to hire a caregiver;the elderly being single but with basic ADL were more unlikely to choose to hire a caregiver;the elderly of male,with the education of senior high school or vocational school,and with basic ADL were more likely to choose to hire a caregiver;and the elderly without economic independence were more unlikely to choose to hire a caregiver.Conclusion Among the elderly people in urban Ji'nan,living with their children and not hiring a caregiver is a predominant endowment intention but the intention varies with the decline of their ability of daily living and the intention is mainly influenced by gender,age,education,marital status,residential pattern,economic condition,and mental status of the elderly.

     

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