摘要
目的分析某社区老年人对社区嵌入式养老服务综合体中不同养老方式选择意愿及其影响因素。方法采用自设问卷通过分层变比抽样法抽取广州市某社区500例老年人进行社区嵌入式养老服务综合体养老方式选择意愿调查,应用多分类logistic回归分析方法对数据进行分析。结果社区嵌入式养老服务综合体涉及服务中,家庭、社区居家和社区机构养老选择意愿分别为57.6%、31.2%、11.2%。logistic回归分析显示,大学及以上学历(OR=2.514)、由家属照料(OR=3.345)或无人照料(OR=4.229)、每月经济收入为3000~5000元(OR=1.891)、每月为养老支付1000~3000元(OR=2.572)、健康状况一般(OR=3.716)的老年人更愿意选择社区居家养老服务(均P<0.05);退休前有较好职业(OR=9.813)、每月经济收入3000~5000元(OR=3.222)、养老支付能力在3000元以上(OR=6.902)、健康状况较差(OR=1.000)、无人照料(OR=4.386)的老年人更倾向选择社区机构养老(均P<0.05)。结论老年人仍以家庭养老为主,但是利用社会化养老的意愿更加主动和积极,文化程度、职业、经济状况、有无照料者和健康状况是影响老年人对社区嵌入式养老服务综合体中不同养老方式选择的主要因素。
Objective To analyze the willingness of elderly individuals from a certain community to choose different retirement care methods and factors influencing this in the community-embedded elderly care service complex.Methods Stratified variable ratio sampling was used to select 500 elderly people from a certain community in Guangzhou.A self-developed questionnaire regarding willingness to choose retirement care in the community-embedded elderly care service complex was administered.Data were analyzed by multi-category logistic regression analysis.Results Among the services involved in the community-embedded elderly care service complex,57.6%,31.2%,and 11.2% of the elderly selected family,community home,and institution care,respectively.Logistic regression analysis showed that seniors with college degrees or above(OR=2.514),who were cared for by family(OR=3.345),with a monthly income of 3000-5000 yuan(OR=1.891),with monthly pension payments of 1000-3000 yuan(OR=2.572),or with average health status(OR=3.716)were more willing to choose community based retirement services(all P<0.05).Meanwhile,seniors with a better occupation before retirement(OR=9.813),a monthly income of 3000-5000 yuan(OR=3.222),monthly pension payment above 3000 yuan(OR=6.902),poor health status(OR=1.000),or who were unattended(OR=4.386)were more inclined to choose community institution care(all P<0.05).Conclusion The elderly still rely mainly on family based retirement life,but their willingness to use socialized retirement is more prevalent.Educational level,occupation,economic status,caregivers,and health status are the main factors affecting the elderly's choice of different pension methods in the community-embedded elderly care service complex.
作者
范迎迎
陈静
谢红
Fan Yingying;Chen Jing;Xie Hong(School of Nursing,Peking University,Beijing 100191,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2022年第7期478-483,共6页
Chinese Journal of Health Management
关键词
社区
老年人
养老服务
养老综合体
因素分析
Community
Aged
Services for the aged
Senior centers
Factor analysis,statistics