Dwyer J W, Lee G R, Coward R T
College of Health Related Professions, University of Florida.
J Rural Health. 1990 Oct;6(4):379-98. doi: 10.1111/j.1748-0361.1990.tb00679.x.
Research from the 1980s on several dimensions of health and health care among the rural elderly is reviewed. Following a brief discussion of the demographic patterns and life conditions of the rural elderly, the current state of knowledge regarding health status, health services utilization, and the potential for informal and familial care of the elderly is examined. The review concentrates on studies that include comparisons between rural and urban populations and/or control for additional variables that are known to covary with residence. Such analyses permit the documentation of the effects of residential location on health indicators net of other factors. The review concludes that the rural elderly are relatively disadvantaged in terms of both health status and access to health care services, and have little if any advantage over the urban elderly in their access to informal sources of care. Following the review, an agenda for future research is identified.
回顾了20世纪80年代以来关于农村老年人健康及医疗保健多个方面的研究。在简要讨论农村老年人的人口结构模式和生活状况之后，考察了关于健康状况、医疗服务利用以及老年人非正式和家庭护理潜力的现有知识状态。该综述集中于那些包括农村和城市人口比较以及/或者控制已知与居住相关的其他变量的研究。此类分析能够记录居住地点对健康指标的影响，同时排除其他因素。综述得出结论，农村老年人在健康状况和获得医疗保健服务方面相对处于劣势，并且在获得非正式护理来源方面相对于城市老年人几乎没有优势。综述之后，确定了未来研究的议程。
