居住及日常照料方式对老年人躯体机能转归的统计分析

The Impact of Living Arrangement and Health Care on the Change Pattern of Functional Status among the Chinese Elders

利用2002-2005年中国老年健康长寿跟踪调查数据,采取Multinomial Logistic回归分析,深入探讨了居住方式及日常照料在老年人ADL转归中的作用。结果提示在调整了年龄、性别、城乡、文化、认知以及患重大疾病次数等作用下,老年人只有在ADL完全自理的状况下,独居才会比其他居住方式使其躯体机能下降风险更小。一旦老年人在ADL相对和完全依赖的状态下,生病时由配偶或子女照顾的比保姆社会服务等对其躯体机能的转归更有利。

Using the data of Chinese Longitudinal Health Longevity Study （CLHLS） in 2002 and 2005, the impact of living arrangement and health care on the change of Activities of daily living （ADL） different pattern is tested by using muhinomial logistic regression analysis. Results show that the baseline of ADL with fully independent, the elders who living with spouse or living with spouse and children, or living with children and others without spouse had worse outcomes in ADL as compared to those living alone from 2002 to 2005 among Chinese elders. On the other hand, once the elders with the ADL relatively or fully dependent at baseline are cared for by the spouse or children, they recover better than those cared for by live-in caregivers or social service agencies.