Luo Min, Jiang Qian, Zhang Ju-Ying, Tan Ling, Ying Gui-Ying, Gan Hua-Ping
Department of Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2011 May;42(3):409-12.
To determine the influence of children migration on the health of rural elderly in Sichuan province, and to provide reference for the subsequent research and health policy making.
Data used in the analysis were extracted from the expanded database for Western China collected in the Fourth National Health Survey in Sichuan province. The prevalence of acute illness in two weeks and the prevalence of chronic illness in the rural elderly were analysed and compared between those with different demographic characteristics and those with and without migrant children using a bivariate multi-level regression model.
The prevalence of acute illness in two weeks and the prevalence of chronic illness in the rural elderly with migrant children were 44.0% and 44.5% respectively, significantly higher than the average level of elderly population in western rural China. No significant differences in the prevalence of two-week acute illness and the prevalence of chronic illness were observed in spite of the differences in the rank orders of diseases between whose with and without migrant children. Gender, children migration and living arrangements had a significant influence on the prevalence of acute illness in two weeks and the prevalence of chronic illness of the rural elderly. The influence of children migration differed between those who shared houses with other children and those who did not (alone or with spouse/grandchildren).
Rural elderly with migrant children have poorer health than those without migrant children, especially those who live alone or with spouses and grandchildren only. The elderly with migrant children bear a greater burden of spinal disk disease perhaps because of their heavier physical workload. Greater attention needs to be paid to the health of the rural elderly with migrant children.
探讨子女外出务工对四川省农村老年人健康状况的影响，为后续研究及卫生政策制定提供参考依据。
分析数据来源于四川省第四次国家卫生服务调查建立的中国西部扩大数据库。采用双变量多层次回归模型，对不同人口学特征、有无外出务工子女的农村老年人两周内急性病患病率和慢性病患病率进行分析比较。
有外出务工子女的农村老年人两周内急性病患病率为44.0%，慢性病患病率为44.5%，均显著高于中国西部农村老年人口平均水平。有无外出务工子女的农村老年人两周内急性病患病率和慢性病患病率无明显差异，但疾病顺位存在差异。性别、子女外出务工情况及居住方式对农村老年人两周内急性病患病率和慢性病患病率有显著影响。子女外出务工对与其他子女同住和未与其他子女同住（独居或仅与配偶/孙子女同住）的老年人影响不同。
有外出务工子女的农村老年人健康状况比无外出务工子女的农村老年人差，尤其是独居或仅与配偶、孙子女同住的老年人。有外出务工子女的老年人腰椎间盘疾病负担较重，可能与其从事较重体力劳动有关。应更加关注有外出务工子女的农村老年人的健康状况。
