Xing Yanan, Pei Ruijuan, Qu Jing, Wang Juan, Zhou Hao, Wang Zhaoqing, Yan Wenxin, Sun Xinran, Sun Tao, Li Li
Department of Health Management, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China.
Propaganda and United Front Work Department, Harbin Medical University, Harbin, Heilongjiang, China.
BMJ Open. 2018 May 31;8(5):e020225. doi: 10.1136/bmjopen-2017-020225.
Willingness to receive eldercare is an important factor affecting the reasonable allocation of resources and appropriate development of eldercare services. This study aimed to investigate the differences in willingness to receive eldercare and the influencing factors in urban and rural areas.
Cross-sectional survey.
Research was conducted in the urban and rural areas of three cities (Harbin, Qiqihar and Jiamusi) in Heilongjiang province, China.
A total of 1003 elderly were selected through multistage sampling in Heilongjiang province, including 581 in urban areas and 422 in rural areas.
Descriptive statistics were reported for socioeconomic and demographic status, physical health, life satisfaction and social support in urban and rural areas. Mean differences were examined using t-tests, and categorical variable differences were examined using χ tests. The factors influencing willingness to receive eldercare in urban and rural areas were analysed using logistic regression.
The results showed that 51.6% of urban elderly and 59.0% of rural elderly preferred family eldercare. Factors that influenced willingness to receive eldercare for urban elderly were age (OR 2.791, 95% CI 1.644 to 4.737), house property (OR 0.494, 95% CI 0.329 to 0.740) and objective support (OR 0.764, 95% CI 0.681 to 0.858). For rural elderly, the factors were having children (OR 0.368, 95% CI 0.146 to 0.930), house property (OR 0.371, 95% CI 0.231 to 0.596) and living arrangement (OR 3.361, 95% CI 1.436 to 7.866).
More attention should be paid to improving the functioning of family eldercare and promoting the development of varied eldercare services. Investments and targeted policies should be undertaken for different subgroups of urban and rural elderly.
接受老年护理的意愿是影响资源合理分配和老年护理服务适度发展的重要因素。本研究旨在调查城乡地区接受老年护理意愿的差异及其影响因素。
横断面调查。
研究在中国黑龙江省三个城市（哈尔滨、齐齐哈尔和佳木斯）的城乡地区进行。
通过多阶段抽样在黑龙江省共选取了1003名老年人，其中城市地区581名，农村地区422名。
报告城乡地区社会经济和人口状况、身体健康、生活满意度及社会支持的描述性统计数据。采用t检验检验均值差异，采用χ检验检验分类变量差异。采用逻辑回归分析城乡地区接受老年护理意愿的影响因素。
结果显示，51.6%的城市老年人和59.0%的农村老年人更喜欢家庭养老。影响城市老年人接受老年护理意愿的因素有年龄（比值比2.791，95%可信区间1.644至4.737）、房产（比值比0.494，95%可信区间0.329至0.740）和客观支持（比值比0.764，95%可信区间0.681至0.858）。对于农村老年人，影响因素有子女情况（比值比0.368，95%可信区间0.146至0.930）、房产（比值比0.371，95%可信区间0.231至0.596）和居住安排（比值比3.361，95%可信区间1.436至7.866）。
应更加关注改善家庭养老功能，促进多样化老年护理服务的发展。应对城乡老年人群体的不同亚组进行投资并制定针对性政策。
