老年人自养金与身心健康关系

Relationship between physical-mental health and self-financing pension in elder of Kunming city

目的探索老年人自养金水平与身心健康的关系,为促进健康老龄化提供依据。方法采用自测健康评定量表(SRHMS),对云南省昆明市18个社区中815名60～90岁的老年人进行入户问卷调查。以自养金水平分A组<300元/月、B组300～800元/月、C组>800元/月,并进行各组老年人生理、心理与社会健康、病患及卫生服务可及性的比较。结果A、B、C3组老年人身心健康的得分(5.82±1.83),(6.09±1.86),(6.27±1.69)分,与自养金数额呈正相关;自养金数额与其受教育水平(χ2=202.53)、职业(χ2=271.71)及养老金来源(χ2=215.72)密切相关(P<0.01)。A组仅31.43%享有医保,低于C、B2组(90.59%和73.68%),缺乏医疗卫生服务的公平性和可及性。结论经济支持是改善公共卫生服务,促进健康老龄化的根本保障。

Objective To explore the relationship between the strength of self-financing pension and physical-mental health of elder persons and provide basis for promoting aging health.Methods Using self-rated health rating scale（SRHMS）,815 elder persons of 60-90-year-old at households of 18 communities in Kunming were surveyed.The subjects were divided into group A（〈300 Yuan/m）,group B（300-800 Yuan/m）,and group C（〉800 Yuan/m） according to their self-financing pension status.The status of physical-mental health and the accessibility of health service in different groups were compared.Results The physical-mental health scores of group A,group B and group C were 5.82±1.83,6.09±1.86 and 6.72±1.69,respectily,and were positively correlated with the amount of self-financing pension.The amount of selt-financing pension was closely related to education（χ^2=202.53）,occupation（χ^2=271.71）,as well as to retirement pension（χ^2=215.72） and the difference between the groups was significant（P〈0.01）.The percentage of the subjects with medical assurance in group A,group B and group C was 31.43%,73.68% and 90.59%,respectively.Conclusion Economic support is the fundamental factor to improve public health services and promotion of aging health