河北省城乡老年人家庭功能现状及其影响因素

Status and influential factors of family functioning among the elderly in urban and rural Hebei

目的了解河北省城乡居家老年人家庭功能现状及其影响因素,为促进老年人家庭功能的发挥,完善老年健康服务体系提供科学依据。方法采用多阶段分层整群抽样方法对在河北省唐山、石家庄、张家口3市抽取的6 173名≥60岁城乡老年人进行问卷调查。结果河北省城乡居家老年人家庭功能良好842人(13.64%),一般5305人(85.94%),差26人(0.42%);多因素非条件logistic回归分析结果显示,年龄、离异、居住在农村、医保类型、无固定收入或无收入、无养老保险是河北省城乡居家老年人家庭功能的影响因素。结论河北省城乡居家老年人家庭功能弱化,年龄、婚姻状况、居住地、经济情况、医保类型和养老保险情况是河北省城乡居家老年人家庭功能的主要影响因素。

Objective To examine the status and influential factors of family functioning among elderly people in urban and rural areas of Hebei province and to provide scientific bases for improvement of health care system for the eld- erly. Methods Investigations were carried out among 6 173 elderly people aged 60 years and above in three regions of Hebei province with multi-stage stratified cluster sampling method. Results Among the elderly, 842 （ 13.64% ） had families with a good family function; 5 305 （ 85.94 % ） had families with normal family function; and 26 （ 0.42 % ） had families with low family fruction. Multivariate logistic regression analyses showed that living in rural area, divorced, hav- ing no income or stable income, and without pension insurance were risk factors of low family functioning, whereas aged 70 year or older and with rural cooperative medical insurance were protective factors for family functioning among the elderly. Conclusion The family functioning of the elderly is at a low level and income, health care, and pension insur- ance are main influencing factors of family functioning in the elderly living in the urban and rural of Hebei.