健康发展与政策研究2024，Vol.27Issue(2)：104-111,8.DOI:10.12458/HDPR.202404054
社会经济因素对老年长期照护方式选择的影响:基于安德森健康行为模型的实证研究
Influence of socioeconomic factors on the choice of long-term care options for the elderly in China:an empirical study based on Andersen's behavioral model
摘要
Abstract
Objective To analyze the basic characteristics of elderly individuals in need of long-term care and to iden-tify the potential factors influencing their choices of long-term care.This study aims to provide a theoretical basis for pre-optimizing care services.Methods Data from the Chinese Longitudinal Healthy Longevity Survey(CLHLS)were employed,with"Social Long-term Care"or"Informal Family Care"selected as the dependent variable,to modify the Andersen's Behavior Model of Health Services Use.Logistic regression was used to investigate the influence of pre-disposing factors,enabling factors,and need factors on the choice of long-term care methods.Results Among elderly individuals aged 65 and above who are in need of long-term care,848(16.68%)chose social long-term care,while 4,236(83.32%)chose family care.Of the 5,084 elderly participants,87.43%were aged 80 and above,64.10%were female,79.85%were unmarried/widowed/divorced,67.54%were from rural areas,80.76%had medical insurance,and 69.81%suffered from chronic diseases.Elderly individuals with education levels above primary school,high income or retire-ment benefits,without medical insurance,unmarried/widowed/divorced,living in the eastern/northeastern or southern re-gions,urban areas,and communities providing daily-life care services were apt to choose social long-term care(P＜0.05).Conclusions Family care is the primary mode of long-term care in China.The choice of long-term care is mainly in-fluenced by factors such as education level,marital status,family size,and medical insurance.It is recommended to set communities as foundational platforms,integrating elderly life care and medical care resources to further enhance the positive role of families in long-term care.关键词
长期照护/老龄化/需求/照护模式/影响因素Key words
long-term care/aging/demand/care model/influencing factor分类
医药卫生引用本文复制引用
曹丽丽,陈鸣声..社会经济因素对老年长期照护方式选择的影响:基于安德森健康行为模型的实证研究[J].健康发展与政策研究,2024,27(2):104-111,8.基金项目
国家自然科学基金面上项目(71874086,72174093) （71874086,72174093）
