河北省60岁及以上老年人精神卫生就诊情况及影响因素

Mental health visits and the influencing factors among elderly people over 60 years old in Hebei Province

目的对河北省60岁及以上老年人进行精神卫生就诊情况现状及影响因素分析，为提高老年人精神卫生服务利用程度提供参考。方法在全省范围内进行多阶段分层整群抽样，分析60岁及以上老年患者的基本人口学资料、健康状况及精神卫生服务利用情况，并利用Logistic回归进行影响因素分析。结果60岁及以上的老年患者共946例，其中就诊人数只有83例，就诊率为8．77％，女性就诊率（10．29％）高于男性（6．96％）；女性、低保户、参加新农合、需要照顾、有健康档案是就诊的保护因素。结论河北省老年人的精神卫生就诊率较低，需进一步完善针对老年人的精神卫生服务制度。

Objective To analyze the current situation of mental health visits and the influencing factors for people over 60 in Hebei Province, so as to provide reference for improving the utilization level of mental health services for the elderly. Methods Multistage stratified cluster sampling was carried out throughout the province. Chi-square test was used to analyze the basic demographic data, health condition and mental health service utilization of the elderly patients over 60, and Binary logistic regression was used to analyze the influencing factors. Results Among the 946 elderly patients with the age 60 and above, the number of visits was only 83, the rate of visit was 8.77%. The rate of female visits （10.29%） was higher than that of men （6.96%）. Female, participating in Rural Subsistence Security System, participating in NCMS, care demand, having health records were the protective factors of visits. Conclusions The rate of mental health visits for the elderly in Hebei is relatively low. It is necessary to improve the mental health service system for the elderly.