河南省农村居家养老服务需求的影响因素*
Influencing factors of home-based care service demand of rural elderly in Henan Province

目的:分析河南省农村居家养老服务需求的影响因素。方法:运用郑州大学公共卫生学院自行设计的河南省农村老人居家养老状况调查问卷,根据经济发展水平,采用多阶段分层随机抽样的方法,于2014年6月至10月抽取洛阳市、平顶山市和鹤壁市的450名老人进行居家养老服务需求问卷调查。结果:Logistic回归结果显示,年龄(56～岁、66～岁)和自理能力是生活照料服务需求的影响因素,OR(95%CI)分别为2.099(1.010～4.361)、3.644(1.578～8.416)、0.254(0.145～0.445); 性别、健康状况和自理能力是文化娱乐需求的影响因素,OR(95%CI)分别为2.101(1.322～3.340)、2.032(1.170～3.527)、2.055(1.234～3.423); 年龄(56～岁、66～岁)和慢性病情况是机构养老需求的影响因素,OR(95%CI)分别为2.129(1.127～4.023)、2.051(1.076～3.909)、1.863(1.155～3.007)。结论:在进行居家养老模式设计时,政府需注重整合资源,实现居家养老与医疗保健、生活照料等服务的无缝对接,推进“医养结合”,努力解决老年人的健康养老问题。
Aim: To analyze the influencing factors of home-based care service demands of the elderly in Henan Province rural area.Methods: Using the questionnaire of rural home-based care service situation in Henan Province rural area,according to the economic development, the method of multistage stratified random sampling was used to choose respondent. A total of 450 individuals from the rural area of Luoyang, Pingdingshan, and Hebi were surveyed with the questionnaire during June to October in 2014.Results: Logistic regression showed that age(56- years old,66- years old)and self-care ability were the factors of life care services, OR(95%CI) were separately 2.099(1.010-4.361),3.644(1.578-8.416),0.254(0.145-0.445); sex,health conditions and self-care ability were the factors of entertainment services, OR(95%CI) were separately 2.101(1.322-3.340),2.032(1.170-3.527),2.055(1.234-3.423); age(56- years old,66- years old)and chronic diseases were the factors of institutional care services, OR(95%CI) were separately 2.129(1.127-4.023),2.051(1.076-3.909),1.863(1.155-3.007).Conclusion: The government should integrate resources, and strengthen the medical support when designing the model of home-based care