Centre for Health Management and Policy Research, School of Public Health, Shandong University, Jinan, China.
NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.
Front Public Health. 2022 Oct 10;10:957619. doi: 10.3389/fpubh.2022.957619. eCollection 2022.
Due to the acceleration of China's urbanization, the number of migrant older with children (MOC) continued to increase. This study aimed to clarify the effects of childcare disagreement with children, social support, and health status on unmet healthcare-seeking behavior among the MOC to Jinan, China. A cross-sectional study included 656 MOC (36.3% men and 63.7% women) using multi-stage cluster random sampling in Jinan, China. Childcare disagreement was evaluated by the differences between parents and grandparents on the diet, dressing, education, and childcare consumption. Social support was assessed using the social support rating scale (SSRS). Descriptive analysis, chi-squared test, and binary logistic regression were applied to analyze the association between childcare disagreement with children, social support, health status, and unmet healthcare-seeking behavior of the MOC. Approximately 41.3% of participants had unmet healthcare-seeking behavior. Logistic regression analysis showed that the MOC whose health status compared to last year get better were more likely to have unmet healthcare-seeking behavior, while who were women, had partial will of migration, hired a nanny, had smaller childcare disagreement with children on dressing, had smaller childcare disagreement with children on consumption, and had moderate social support, were less likely to experience unmet healthcare-seeking behavior. Recommendations were given to the government and family members to improve the health services-seeking behavior of the MOC.
由于中国城市化进程的加速,有子女的流动老年人(MOC)的数量持续增加。本研究旨在阐明育儿分歧、社会支持和健康状况对济南市 MOC 未满足医疗保健需求行为的影响。这是一项横断面研究,采用多阶段聚类随机抽样方法,在中国济南纳入了 656 名 MOC(36.3%为男性,63.7%为女性)。育儿分歧通过父母和祖父母在饮食、穿衣、教育和育儿消费方面的差异来评估。社会支持采用社会支持评定量表(SSRS)进行评估。采用描述性分析、卡方检验和二元逻辑回归分析来分析父母与子女的育儿分歧、社会支持、健康状况与 MOC 未满足医疗保健需求行为之间的关联。大约 41.3%的参与者存在未满足的医疗保健需求行为。逻辑回归分析显示,与去年相比健康状况有所改善的 MOC 更有可能出现未满足的医疗保健需求行为,而女性、有部分迁移意愿、雇佣保姆、在穿衣方面与子女的育儿分歧较小、在消费方面与子女的育儿分歧较小、社会支持程度适中的 MOC,不太可能出现未满足的医疗保健需求行为。研究结果为政府和家庭成员提出了建议,以改善 MOC 的健康服务寻求行为。