上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

641名上海市老年人机构养老意愿及其影响因素

罗梦云 1，梁会刚 2，董媛媛 1，莫丹丹 1，董伟 1，张义 3，王玥 4，蔡泳 1，张智若 1   

  1. 1.上海交通大学 公共卫生学院，上海 200025；2.东卡罗来纳州立大学商学院，格林维尔 27858；3.锦西石化医院医疗保险科，葫芦岛 125001；4.上海平和双语学校，上海 201206
  • 出版日期:2017-05-28 发布日期:2017-05-31
  • 通讯作者: 张智若，电子信箱：zhangzhiruo@sjtu.edu.cn。蔡泳，电子信箱：caiyong202028@hotmail.com。
  • 作者简介:罗梦云（1993—），女，硕士生；电子信箱：my19930220@126.com。
  • 基金资助:

    上海市社会科学基金（2014BGL002）

Investigating predictors of the 641 elders’ willingness to enroll in nursing homes in Shanghai

LUO Meng-yun1, LIANG Hui-gang2, DONG Yuan-yuan1, MO Dan-dan1, DONG Wei1, ZHANG Yi3, WANG Yue4, CAI Yong1, ZHANG Zhi-ruo1   

  1. 1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China; 2. College of Business, East Carolina University, Greenville 27858, US; 3. Department of Medical Insurance, Jinxi Petrochemical Hospital, Huludao 125001, China;4. Shanghai Pinghe Bilingual School, Shanghai 201206, China
  • Online:2017-05-28 Published:2017-05-31
  • Supported by:

    Shanghai Social Science Fund, 2014BGL002

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摘要：

目的 ·了解上海市老年人的机构养老意愿情况，探讨影响其意愿的因素。方法 .采用方便抽样法抽取641名在上海市6个社区卫生服务中心就诊的60周岁及以上的老年人，对其社会人口学因素、机构养老意愿、感知障碍和感知利益进行问卷调查。结果 ·调查问卷的结构效度（KMO统计量为0.862，Bartlett’s球性检验 P=0.000）和内在信度（Cronbach’s α系数取值范围为0.739～0.824）良好。46%的受访者表示将来愿意入住养老机构；在人口学因素中，仅不同年龄层次之间入住意愿差异有统计学意义（P=0.045）。校正年龄后的多因素Logistic回归分析结果表明羞耻感（OR=0.76，95% CI=0.62～0.94）、适应性（OR=0.61， 95% CI=0.50～0.74）以及感知利益（OR=1.63，95% CI=1.32～2.03）与老年人机构养老意愿显著相关（均P<0.05）。结论 ·上海老年人整体对机构养老的接受度已有所提高，其中60～69岁老年人接受度最高；羞耻感、适应性，以及养老机构所能提供的服务质量和种类是影响老年人机构养老意愿的主要影响因素。

关键词: 机构养老意愿, 感知障碍, 感知利益, 上海, 老年人

Abstract:

Objective · To survey the willingness to enroll in nursing homes among the elders in Shanghai and explore its predictors. Methods · A field survey was performed to collect data from 641 elders aged 60 years old and above in six community health centers in Shanghai. Sociodemographic variables, willingness to use nursing home, perceived barriers and perceived benefits were measured. Results · The questionnaire is with good structural validity and good intrinsic reliability. KMO index, P value of Bartlett’s test of sphericity, and the range of Cronbach’s α coefficients were 0.862, 0.000, and 0.739-0.824, respectively. Among the respondents, 46% were willing to enroll in a nursing home in this survey. Age had significant influence on their willingness (P=0.045). After adjusting for age, the multivariate Logistic regression analysis showed that shame (OR=0.76, 95% CI=0.620.94), adaptability (OR=0.61, 95% CI=0.50-0.74) and perceived benefits (OR=1.63, 95% CI=1.32-2.03) were related to willingness (P<0.05). Conclusion · Elders in Shanghai have a relatively high level of willingness to enroll in nursing homes, especially the elders aged from 60 to 69. Shame and adaptability of elders, and the services provided by nursing homes were the predictors of the elders’ willingness.

Key words: willingness to enroll in nursing homes, perceived barriers, perceived benefits, Shanghai, elder