School of Nursing, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Department of General Practice, Health Science Center, Shenzhen University, Shenzhen, China.
Front Public Health. 2023 Feb 9;11:1057164. doi: 10.3389/fpubh.2023.1057164. eCollection 2023.
Family services are open to the community at large as well as vulnerable groups; however, little is known about the willingness of communities to attend such services. We investigated the willingness and preferences to attend family services and their associated factors (including sociodemographic characteristics, family wellbeing, and family communication quality) in Hong Kong.
A population-based survey was conducted on residents aged over 18 years from February to March 2021. Data included sociodemographic characteristics (sex, age, education, housing type, monthly household income, and the number of cohabitants), willingness to attend family services to promote family relationships (yes/no), family service preferences (healthy living, emotion management, family communication promotion, stress management, parent-child activities, family relationship fostering, family life education, and social network building; each yes/no), family wellbeing, and family communication quality (both scores 0-10). Family wellbeing was assessed using the average scores of perceived family harmony, happiness and health (each score 0-10). Higher scores indicate better family wellbeing or family communication quality. Prevalence estimates were weighted by sex, age and educational level of the general population. Adjusted prevalence ratios (aPR) for the willingness and preferences to attend family services were calculated in relation to sociodemographic characteristics, family wellbeing, and family communication quality.
Overall, 22.1% (1,355/6,134) and 51.6% (996/1,930) of respondents were willing to attend family services to promote relationships or when facing problems, respectively. Older age (aPR = 1.37-2.30, < 0.001-0.034) and having four or more cohabitants (aPR = 1.44-1.53, = 0.002-0.003) were associated with increased aPR of willingness for both situations. Lower family wellbeing and communication quality were associated with lower aPR for such willingness (aPR = 0.43-0.86, = 0.018-<0.001). Lower family wellbeing and communication quality were associated with preferences for emotion and stress management, family communication promotion, and social network building (aPR = 1.23-1.63, = 0.017-<0.001).
Lower levels of family wellbeing and communication quality were associated with unwillingness to attend family services and preferences for emotion and stress management, family communication promotion, and social network building.
家庭服务面向社区和弱势群体开放；然而，人们对社区参加此类服务的意愿知之甚少。我们在香港调查了人们参加家庭服务的意愿和偏好，以及与其相关的因素（包括社会人口特征、家庭幸福和家庭沟通质量）。
2021 年 2 月至 3 月期间，我们对 18 岁以上的居民进行了一项基于人群的调查。数据包括社会人口特征（性别、年龄、教育程度、住房类型、月家庭收入和同住人数）、促进家庭关系的参加家庭服务的意愿（是/否）、家庭服务偏好（健康生活、情绪管理、家庭沟通促进、压力管理、亲子活动、家庭关系培养、家庭生活教育和社交网络建设；每个都是/否）、家庭幸福感和家庭沟通质量（均为 0-10 分）。家庭幸福感通过感知家庭和谐、幸福和健康的平均分（每项 0-10 分）来评估。分数越高表示家庭幸福感或家庭沟通质量越好。采用一般人群的性别、年龄和教育程度对患病率进行加权。根据社会人口特征、家庭幸福感和家庭沟通质量，计算参加家庭服务的意愿和偏好的调整后患病率比（aPR）。
总体而言，22.1%（1355/6134）和 51.6%（996/1930）的受访者愿意参加家庭服务以促进关系或在面临问题时参加家庭服务。年龄较大（aPR=1.37-2.30，<0.001-0.034）和有四个或更多同住者（aPR=1.44-1.53，=0.002-0.003）与这两种情况下参加意愿的 aPR 增加有关。较低的家庭幸福感和沟通质量与较低的参加意愿的 aPR 相关（aPR=0.43-0.86，=0.018-<0.001）。较低的家庭幸福感和沟通质量与对情绪和压力管理、家庭沟通促进和社交网络建设的偏好相关（aPR=1.23-1.63，=0.017-<0.001）。
较低的家庭幸福感和沟通质量与参加家庭服务的意愿较低以及对情绪和压力管理、家庭沟通促进和社交网络建设的偏好相关。
