河南省移居老人健康管理行为影响因素分析  

Analysis on the influencing factors of the health management behavior of the migrant elderly in Henan

作　　者：宋淑洁 许静[1] SONG Shu-jie;XU Jing(Henan University of Chinese Medicine,Zhengzhou,Henan 450046,China)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《现代预防医学》2021年第17期3195-3198,共4页Modern Preventive Medicine

基　　金：河南省重点研发与推广专项(软科学)(192400410214);河南省重点研发与推广专项(软科学)(202400410115);河南省科技智库调研项目(HNKJZK-2020-26C)。

摘　　要：目的了解移居老人健康管理利用情况,探讨影响移居老人开展健康管理的因素,为健康管理服务在移居老人中的开展提供参考建议。方法采用分层随机抽样的方法,选取河南省1 500位移居老年人,通过问卷调查收集移居老人的人口学信息、健康管理行为情况和影响老人健康管理行为的因素,采用单因素分析人口学特征与健康管理行为的相关性;结构方程模型分析行为态度、知觉行为控制、主观规范、健康管理服务可及性与移居老人健康管理行为的相关性。结果移居老年人社区健康管理行为得分为(9.34±3.01)分,其中高、中、低利用者占总人数的比例依次为12.22%、55.63%、28.46%;年龄、学历、收入、健康状况和医学背景是社区健康管理行为得分高的重要影响因素。健康管理服务可及性对行为有直接影响(效应值为0.576),并通过知觉行为控制产生间接影响;主观规范对行为有直接影响(效应值为0.370),并通过健康管理服务可及性、知觉行为控制、行为态度产生间接影响;行为态度对行为有直接影响(效应值为0.593);知觉行为控制通过行为态度对行为产生间接影响(效应值为0.370),差异均有统计学意义(均P<0.01)。结论高年龄、低学历、低收入以及无医学背景移居老人健康管理利用情况较差。应开展针对性的健康干预,提高健康管理服务的可及性、培养移居老人对健康管理的行为态度、主观规范以及知觉行为控制从而促进健康管理服务的全面开展,保障移居老人健康。Objective To understand the utilization of health management of the migrant elderly, explore the factors that affect the health management of the migrant elderly, and provide reference suggestions for the development of health management services among the migrant elderly. Methods A stratified random sampling method was used to select 1,500 elderly people who migrated in Henan Province. The demographic information, health management behavior and factors affecting the health management behavior of the elderly were collected through questionnaire survey, and single factor analysis was used to analyze the relevance of demographic characteristics and health management behavior. Structural equation model was used to analyze the correlation between behavior attitude, perceptual behavior control, subjective norms, health management service accessibility and health management behavior of migrants. Results The community health management behavior score of the elderly migrants was(9.34±3.01), among which the proportions of high, medium and low users in the total number were 12.22%, 55.63%, 28.46% respectively. Age, education, income, health status and medical background were important factors of high score of community health management behavior. The accessibility of health management services had a direct impact on behavior(effect value was 0.576) and indirect impact through perceptual behavior control. Subjective norms had a direct impact on behavior(effect value was 0.370), and made indirect influence through health management service accessibility, perceptual behavior control, and behavior attitude. Behavior attitude had a direct influence on behavior(effect value was 0.593), and perceptual behavior control had an indirect influence on behavior through behavior attitude(effect value was 0.370). The differences were all statistically significant(P<0.01). Conclusion Elderly people with old age, low education, low income and no medical background have poor utilization of health management. Targeted health interventions s

关 键 词：移居老人 健康管理 行为 影响因素 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]