首页|基于安德森模型的农村老年人养老方式选择及影响因素研究——以CHARLS 2020年数据为例

基于安德森模型的农村老年人养老方式选择及影响因素研究——以CHARLS 2020年数据为例

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[目的]基于安德森模型,以农村老年人为研究对象,探讨其养老方式选择及影响因素,为制定更贴合农村老年人实际需求的养老政策和服务提供参考.[方法]利用CHARLS 2020 年数据,纳入 451 例样本,采用SPSS 26.0 进行克鲁斯卡尔-沃利斯单因素非参数检验和多分类Logistic回归,探讨各因素与农村老年人养老方式选择之间的关系.[结果]农村老年人养老方式以家庭养老为主(占 76.9%),社区养老次之(占14.9%),机构养老最少(占 8.2%).单因素分析显示,性别、年龄、文化程度、婚姻状况、社交活动、家庭总收入、是否有医疗保险和ADL显著影响农村老年人养老方式选择(P<0.05).多因素回归分析显示,以家庭养老方式为参照,倾向因素中的性别和婚姻状况、需求因素中ADL对农村老年人机构养老选择具有显著性影响(P<0.05),倾向因素中的性别、使能因素中社交活动对于农村老年人社区养老选择具有显著性影响(P<0.05).[结论]我国农村老年人养老方式以家庭养老为主,不同养老方式的选择受到倾向因素、使能因素和需求因素的综合影响,在制定养老政策和服务时,应进一步优化农村社区和机构养老服务,充分考虑老年人的需求差异,提供多元化、个性化的养老选择.
Study on the eldercare options for elderly people in rural areas and influencing factors based on Anderson model—taking CHARLS 2020 data as an example
Objective Based on Anderson model,this paper takes the elderly in rural areas as the research object to explore their options of types of elderly care and influencing factors,so as to provide references for formulating elderly care policies and services that better meet the actual needs of the elderly in rural areas.Methods Using the data of CHARLS 2020,451 samples were included,and Kruskal-Wallis Test and multinomial logistic regression were carried out by SPSS 26.0 to reveal the relationship between various factors and eldercare options for elderly people in rural areas.Results Home-based senior care was the main way of elderly care for elderly people in rural areas(accounting for 76.9%),followed by community-based elderly care services(accounting for 14.9%),and facility-based care was the least(accounting for 8.2%).Univariate analysis showed that gender,age,education levels,marital status,social activities,total household income,availability of medical insurance,and activity of daily living(ADL)significantly influenced the eldercare options for elderly people in rural areas(P<0.05).The results of multivariate logistic regression analysis showed that taking home-based senior care as reference,gender and marital status in preference factors and ADL in demand factors had a significant impact on the choice of facility-based care for elderly people in rural areas(P<0.05).Gender in demand factors and social activities in enabling factors had a significant impact on the choice of community-based elderly care for elderly people in rural areas(P<0.05).Conclusions Home-based senior care is the main way for elderly people in rural areas of China.The different eldercare options are affected by a combination of preference factors,enabling factors and demand factors.In the formulation of elderly care policies and services,it is necessary to further optimize community-based elderly care services and facility-based care services in rural areas,fully consider the different needs of the elderly,and provide diversified and personalized eldercare options.

Anderson modelelderly people in rural areaseldercare optionsinfluencing factors

邰心怡、雒敏

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南京医科大学医政学院,江苏 南京 211166

江苏省健康研究院,江苏 南京 211166

安德森模型 农村老年人 养老方式选择 影响因素

2025

卫生软科学
中国卫生经济学会,云南省卫生厅

卫生软科学

影响因子:0.655
ISSN:1003-2800
年,卷(期):2025.39(1)