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甘肃省积极老龄化现况及影响因素分析

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目的 分析甘肃省老年人积极老龄化现状及影响因素,为推进欠发达地区积极老龄化提供依据.方法 依据世界卫生组织定义的积极老龄化"健康、参与、保障"测量框架自行设计定量问卷,本研究于2021年12月-2022年9月多阶段分层随机抽取甘肃省东、中、西部60~80岁老年人进行面对面问卷调查,测评积极老龄化现状并分析个体因素与社会因素对积极老龄化的交互影响.结果 2 458例调查对象在积极老龄化"健康、参与、保障"三个维度的百分制得分分别为(79.12±11.19)分、(63.43±16.23)分、(71.82±12.52)分.甘肃省东部区域老年人积极老龄化总得分(77.49±7.61)分,高于中部区域(69.44±10.51)分和西部区域(71.22±10.76)分,差异有统计学意义(F=155.320,P<0.001).个体因素性别、既往职业、婚姻、居住状态分别与社会因素所在区域对积极老龄化影响有交互效应;个体因素中年龄 60~<70 岁(OR=0.53,95%CI:0.36~0.77)、收入>2 000元(OR=1.93,95%CI:1.34~2.78)是积极老龄化的独立保护因素.结论 甘肃省老年人积极老龄化的构成维度中,"健康"和"保障"水平高于"参与"水平,甘肃省内不同区域间积极老龄化发展不平衡,影响因素作用复杂.
Status of active aging and its influencing factors in Gansu Province
Objective To analyze the status quo and influencing factors of active aging among the elderly people in Gansu Province,so as to provide evidence for promoting active aging in underdeveloped areas.Methods According to"health,participation,security"measurement framework of active aging as defined by World Health Organization,a quantitative questionnaire was designed,and used in a face-to-face cross-sectional survey among the people aged 60-80 years selected using multi-stage stratified random sampling from eastern,central and western Gansu Province from December 2021 to September 2022.The current status of active aging of the participants were assessed,and the influence of individual factors on active aging and their interaction with social factors were analyzed.Results A total of 2 458 participants were recruited.The scores(on the scale of 0-100)of the three dimensions of"health,participation,and security"of active aging of the 2 458 respondents were(79.12±11.19),(63.43±16.23),and(71.82±12.52),respectively.The score in the eastern region(77.49±7.61)was higher than that of the central region(69.44±10.51)and the western region(71.22±10.76).Among the individual factors,gender,previous occupation,living status had interaction with region(the social factor)in their effects on active aging.Younger age 60-<70(OR=0.53,95%CI:0.36-0.77)and income>2 000 yuan(OR=1.93,95%CI:1.34-2.78)were two individual factors that were independent protective factors of active aging.Conclusions Among the dimensions of active aging,the levels of"health"and"security"are higher compared to the level of"participation"among the elderly in Gansu Province.The development of active aging is unbalanced across different regions,due to complex influencing factors.

Active agingInteractionCross-sectional surveyUnderdeveloped area

周永兵、张选弟、李苗博、吴松霖、李周坤、戚玉佩、卫宁、曾艳玲、蒋娜、张珂、裴泓波

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兰州大学公共卫生学院流行病与卫生统计学研究所,甘肃兰州 730000

积极老龄化 交互作用 现况调查 欠发达地区

教育部人文社会科学研究规划基金国家级大学生创新创业训练计划

21YJAZH064202110730227

2024

中国预防医学杂志
中华预防医学会

中国预防医学杂志

CSTPCD
影响因子:1.004
ISSN:1009-6639
年,卷(期):2024.25(2)
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