Wang Chengcheng, Zhang Fanyu, Pan Chao, Guo Shuyi, Gong Xianghong, Yang Dong
School of Humanities and Foreign Languages, Qingdao University of Technology, Qingdao, China.
School of Business Administration, Shandong University of Finance and Economics, Jinan, China.
Front Psychol. 2022 Mar 11;13:865276. doi: 10.3389/fpsyg.2022.865276. eCollection 2022.
With the accelerating aging of the population and the worsening psychological conditions of older people, the traditional mode of family support for the elderly in China does not always meet the physical and psychological needs of the elderly, and more social support modes for the elderly are needed. Based on 3,513 valid questionnaires on the long-term care and protection needs of Chinese residents, this paper uses a logit regression model to analyze the factors influencing the willingness of the elderly to choose nursing care. The results show that intergenerational family support for the elderly is a significant psychological driver on the willingness of the elderly to choose nursing care. Compared with the elderly living with family, empty nesters or older people living alone are more inclined to select nursing care when they have difficulties taking care of themselves. The physical health of the elderly affects their willingness to choose nursing care, and elderly individuals with more hospitalizations are less likely to select nursing care. In addition, elderly females who are relatively young, have a high level of education, have a high income, have a nursing home near the residence, and are already covered by medical insurance are more willing to choose nursing care. The results of this study are of great importance for improving the medical services and aging care services for the elderly and providing theoretical support for alleviating the psychological and social pressure brought by population aging.
随着人口老龄化加速以及老年人心理状况的恶化,中国传统的家庭养老模式已难以完全满足老年人的身心需求,需要更多的老年社会支持模式。基于3513份关于中国居民长期护理与保障需求的有效问卷,本文运用logit回归模型分析影响老年人选择护理意愿的因素。结果表明,家庭代际养老支持是影响老年人选择护理意愿的重要心理驱动因素。与与家人同住的老年人相比,空巢老人或独居老人在生活自理困难时更倾向于选择护理服务。老年人的身体健康状况影响其选择护理服务的意愿,住院次数较多的老年人选择护理服务的可能性较小。此外,相对年轻、受教育程度高、收入高、住所附近有养老院且已参加医疗保险的老年女性更愿意选择护理服务。本研究结果对于改善老年人医疗服务和养老服务、为缓解人口老龄化带来的心理和社会压力提供理论支持具有重要意义。