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[子女代际支持对老年人医疗寻求行为的影响]

[Effect of Intergenerational Support from Children on Older Adults' Healthcare Seeking Behaviors].

作者信息

Ren Qing-Man, Ren Xiao-Hui

机构信息

Department of Health Behavioral and Social Medicine, West China School of Public Healthand and West China Fourth Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 May;54(3):614-619. doi: 10.12182/20230560505.

Abstract

OBJECTIVE

To investigate the impact of intergenerational support from children on older adults' healthcare seeking behaviors and to provide suggestions to help promote sensible healthcare seeking behaviors in older adults.

METHODS

Based on the data from the 2016 baseline data and the 2018 national tracking survey of China Family Panel Studies (CFPS), a total of 5690 respondents aged 60 years and older with surviving children were selected for the study. Logistic regression was used to analyze the effect of children's intergenerational support on older adults' healthcare seeking behavior.

RESULTS

The probability of seeing a doctor in the last two weeks was relatively higher among older adults whose children provided financial support (odds ratio [ ]=1.129, 95% confidence interval [ ]: 1.004-1.271, <0.05), but the effect of whether children provided financial support on one-year hospitalization was not significant ( >0.05). Daily care support from children contributed positively to both seeing a doctor in the last two weeks and one-year hospitalization among older adults ( =1.155, 95% : 1.021-1.307, <0.05; =1.204, 95% : 1.053-1.378, <0.01), while whether or not older adults saw their children daily had no significant effect on either seeing a doctor in the last two weeks or one-year hospitalization among older adults ( >0.05).

CONCLUSION

Intergenerational support from children has an important influence on the healthcare seeking behaviors of older adults. The advantageous role of children's intergenerational support should be made full use of. In addition, formal channels of social support should be improved to alleviate the pressure on children to provide intergenerational support and suggestions should be provided to promote sensible healthcare seeking behaviors in older adults, so as to further improve the overall health level of older adults.

摘要

目的

探讨子女代际支持对老年人就医行为的影响,并提出建议以促进老年人合理就医行为。

方法

基于中国家庭追踪调查(CFPS)2016年基线数据和2018年全国追踪调查数据,选取5690名有存活子女的60岁及以上受访者进行研究。采用逻辑回归分析子女代际支持对老年人就医行为的影响。

结果

在过去两周内,子女提供经济支持的老年人就医概率相对较高(比值比[]=1.129,95%置信区间[]:1.004 - 1.271,<0.05),但子女是否提供经济支持对一年住院情况的影响不显著(>0.05)。子女的日常照料支持对老年人过去两周内就医和一年住院情况均有正向贡献(=1.155,95%:1.021 - 1.307,<0.05;=1.204,95%:1.053 - 1.378,<0.01),而老年人是否每天见到子女对过去两周内就医和一年住院情况均无显著影响(>0.05)。

结论

子女代际支持对老年人就医行为有重要影响。应充分发挥子女代际支持的有利作用。此外,应完善社会支持的正式渠道,减轻子女提供代际支持的压力,并为促进老年人合理就医行为提供建议,以进一步提高老年人的整体健康水平。

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