子女代际支持对老年人就医行为的影响研究

Effect of Intergenerational Support from Children on Older Adults'Healthcare Seeking Behaviors

目的探究子女代际支持对老年人就医行为的影响,为促进老年人合理就医提供建议。方法使用中国家庭追踪调查(China Family Panel Studies,CFPS)2016年基线数据与2018年全国追踪数据,选择60岁及以上、有健在子女的居民5690人。使用logistic回归分析子女代际支持对老年人就医行为的影响。结果子女提供经济支持的老年人两周就诊的概率相对较高(OR=1.129,95%CI:1.004~1.271,P<0.05),但子女是否提供经济支持对于老年人过去一年住院服务利用的影响不显著(P>0.05)。子女提供日常照料支持对老年人两周就诊和过去一年住院服务利用均有促进作用(OR=1.155,95%CI:1.021~1.307,P<0.05;OR=1.204,95%CI:1.053~1.378,P<0.05)。是否每天与子女见面对于老年人两周就诊、过去一年是否住院的影响均不显著(P>0.05)。结论子女代际支持对老年人就医行为有着重要的影响。应发挥子女代际支持的优势作用,同时完善正式社会支持渠道以缓解子女代际支持压力,为促进老年人合理就医提供建议,以进一步提高老年人整体健康水平。

Objective To investigate the impact of intergenerational support from children on older adults'healthcare seeking behaviors and to provide suggestions to help promote sensible healthcare seeking behaviors in older adults.Methods Based on the data from the 2016 baseline data and the 2018 national tracking survey of China Family Panel Studies(CFPS),a total of 5690 respondents aged 60 years and older with surviving children were selected for the study.Logistic regression was used to analyze the effect of children's intergenerational support on older adults'healthcare seeking behavior.Results The probability of seeing a doctor in the last two weeks was relatively higher among older adults whose children provided financial support(odds ratio[OR]=1.129,95%confidence interval[CI]:1.004-1.271,P<0.05),but the effect of whether children provided financial support on one-year hospitalization was not significant(P>0.05).Daily care support from children contributed positively to both seeing a doctor in the last two weeks and oneyear hospitalization among older adults(OR=1.155,95%CI:1.021-1.307,P<0.05;OR=1.204,95%CI:1.053-1.378,P<0.01),while whether or not older adults saw their children daily had no significant effect on either seeing a doctor in the last two weeks or one-year hospitalization among older adults(P>0.05).Conclusion Intergenerational support from children has an important influence on the healthcare seeking behaviors of older adults.The advantageous role of children's intergenerational support should be made full use of.In addition,formal channels of social support should be improved to alleviate the pressure on children to provide intergenerational support and suggestions should be provided to promote sensible healthcare seeking behaviors in older adults,so as to further improve the overall health level of older adults.