中国医学科学院学报2024，Vol.46Issue(2)：193-203,11.DOI:10.3881/j.issn.1000-503X.15750
珠三角地区老年人养老需求、服务偏好及养老倾向的城乡差异性分析
Differences in the Elderly Care Service Demand,Preference,and Tendency Between Urban and Rural Areas in the Pearl River Delta
摘要
Abstract
Objective To understand the differences in the demand,preference,and tendency for elderly care services between urban and rural areas in the Pearl River Delta(PRD),and to provide reference for the planning and balanced allocation of elderly care resources in urban and rural areas.Methods Using the multi-stage stratified random sampling method,we selected 7 community health service centers in 2 prefecture-level cities in the PRD and conducted a questionnaire survey on the elderly care service demand,preference,and tendency among 1919 regular residents aged 60 years and above who attended the centers.Results A total of 641 urban elderly residents(33.4%)and 1278 rural elderly residents(66.6%)were surveyed in the PRD.The urban and rural elderly residents showed differences in the child number(χ2 =43.379,P<0.001),willingness to purchase socialized elderly care services(χ2 =104.141,P<0.001),and attitudes to the concept of raising child to avoid elderly hardship(χ2 =65.632,P<0.001).The proportion(71.8%)of rural elderly residents who prefer family-based elderly care was higher than that(57.1%)of urban elderly residents(χ2 =41.373,P<0.001).The proportion(62.2%)of urban elderly residents clearly expressing their willingness to choose institutions for elderly care was higher than that(44.0%)of rural elderly residents(χ2 =57.007,P<0.001).Compared with family-based elderly care,the willingness to choose institutional or community-based in-house elderly care was low among the urban elderly residents with surplus monthly household income or balanced income and expenditure;urban males,those with college education background or above,and those who purchased so-cialized elderly care services tended to prefer community-based in-house elderly care.In rural areas,the elderly residents who had local household registry were prone to choose institutional or community-based in-house elderly care,while those who had more than one child and those who were satisfied with the current living conditions were less willing to choose community-based in-house elderly care.Conclusions It is suggested that the urban-rural differences in the elderly care service demand,preference and tendency should be fully considered in the planning and allocation of urban and rural elderly care resources.Efforts remain to be made to develop diversified social elderly care services tailored to the characteristics of urban and rural areas.关键词
城乡差异/养老需求/养老服务偏好/养老倾向Key words
urban-rural difference/elderly care service demand/elderly care service preference/elderly care service tendency分类
医药卫生引用本文复制引用
杨华杰,黄翔,梁家斌,贾至慧,卫庆国,王皓翔..珠三角地区老年人养老需求、服务偏好及养老倾向的城乡差异性分析[J].中国医学科学院学报,2024,46(2):193-203,11.基金项目
国家自然科学基金组织间国际合作研究项目(72061137002)、广东省哲学社会科学规划项目(GD19CGL12)和中山市医学科研项目(2021J447) （72061137002）
