我国城乡居家失能老人未满足照料需求的影响因素分析

Urban and Rural Differences in Determinants of Unmet Need among Community Dwelling Disabled Seniors in China

基于2011-2018年中国老年健康影响因素跟踪调查数据,构建Logistic混合回归分析模型,分析我国城乡居家失能老人未满足照料需求的影响因素差异。结果显示,城镇居家失能老人部分未满足和完全未满足照料需求比例低于农村,且影响因素体现出异质性。经济状况、照护者照料意愿、独居、孤独感、失能程度、婚姻状况是城乡居家失能老人未满足照料需求的共同影响因素;不孤独、社区提供生活服务是城镇居家失能老人部分未满足照料需求的特有影响因素;中、西部地区的农村居家失能老人部分未满足和完全未满足照料需求均显著高于东部地区。居家失能老人未满足照料需求的影响因素存在城乡差异,应对城乡居家失能老人采取针对性的干预措施。

Based on the data of Chinese Longitudinal Healthy Longevity Survey from 2011 to 2018,the multi classification logistic hybrid regression model was used to analyze urban and rural differences in determinants of unmet need among community dwelling disabled seniors in China.The results showed that the proportions of under met needs and completely unmet needs of community dwelling disabled seniors in urban areas are lower than that in rural areas,and the influencing factors reflect heterogeneity.Economic status,caregivers'willingness to take care of them,living alone,loneliness,disability and marital status are the common influencing factors of the unmet needs of the disabled seniors in urban and rural areas.Not being lonely and providing life services in the community are unique influence factors for under met needs of the disabled seniors in urban areas.The under met needs and completely unmet needs of the disabled seniors in rural areas in the central and western regions are significantly higher than those in the eastern regions.There are differences between urban and rural areas in the unmet care needs of community dwelling disabled seniors in China.It is suggested that targeted intervention measures should be taken for urban and rural community dwelling disabled seniors.