中国全科医学2018，Vol.21Issue(16)：1949-1953,5.DOI:10.3969/j.issn.1007-9572.2018.16.009
失独家庭父母的养老意愿及影响因素研究
Status and Influencing Factors for Self-reported Elderly Care Options among Chinese People Bereaved of Their Only Child
摘要
Abstract
Objective To explore the status and influencing factors of the self-reported elderly care options among Chinese people who lost their only child.Methods We conducted a survey among a multi-stage sample of 235 cases aged 45 or older who lost their only child from a city under provincial jurisdiction in eastern China between July and August 2017 with a self-developed questionnaire consisting of questions about sociodemographic characteristics,social support〔assessed by Social Support Rating Scale(SSRS)〕,mental status〔assessed by Geriatric Depression Scale(GDS)〕,as well as preferred type of elderly care and caregivers during the aging period.Multivariate Logistic regression analysis was carried out for investigating the influencing factors for self-reported elderly care options.Results The survey achieved a response rate of 83.0% (195/235).In terms of type of elderly care,85(43.6%) preferred community and home-based care,while 110(56.4%) preferred institution-based care.With regard to caregivers,73(37.4%) preferred family members,87(44.6%) preferred nurses/nursing assistants,and 35(18.0%) preferred nannies/ volunteers.Multivariate Logistic regression analysis showed that SSRS score was the influencing factor for the preferred type of elderly care(P<0.05);educational level,number of comorbidities,and third-generation family members were associated with the choice of caregivers(P<0.05).Conclusion The bereaved parents with high educational level were more likely to choose institution-based care.Educational level,number of comorbidities,and third-generation family members were associated with the choice of caregivers.It is suggested to develop a community and home-based elderly care platform for bereaved parents with low level of social support;strengthen the training of nurses and nursing assistants for elderly care;enrich the contractual services provided by community-based physicians and incentivize them to increase the necessary service frequencies.关键词
失独家庭/医养结合/养老类型/照护者/影响因素分析Key words
Families bereaved of their only child/Integrated medical and nursing care/Type of elderly care/Caregivers/Root cause analysis分类
医药卫生引用本文复制引用
荣超,赵峰,谢蓉蓉,傅传喜,王晓鸣,沈淑华,郑卫军,陈如程,谭建刚..失独家庭父母的养老意愿及影响因素研究[J].中国全科医学,2018,21(16):1949-1953,5.基金项目
国家社会科学基金项目(16CSH071) （16CSH071）
