青岛市医养结合机构老年人健康状况及其影响因素分析  

Health status and its influencing factors among the elderly dwelling in pension institutions providing integrated medication in Qingdao city

作　　者：司明舒 邵梅英[4] 葛丹丹 梁栋[1,2,3] 井淇 吴胤歆[1,2,3] 刘文彬[1,2,3] 苏源 SI Ming-shu;SHAO Mei-ying;GE Dan-dan(School of Public Health,Fujian Medical University,Fuzhou,Fujian Province 350122,China;不详)

机构地区：[1]福建医科大学公共卫生学院,福建福州350108 [2]福建省医疗改革与发展研究中心 [3]健康福建研究中心 [4]山东大学齐鲁医院 [5]皖南医学院弋矶山医院 [6]潍坊医学院公共卫生与管理学院 [7]宁夏医科大学公共卫生与管理学院

出　　处：《中国公共卫生》2021年第11期1611-1615,共5页Chinese Journal of Public Health

基　　金：2019年度教育部人文社会科学研究规划青年基金项目(19YJC630144);2017年度山东省高等学校人文社科计划一般项目A类项目(J17RA231);山东省社会科学规划研究项目(19CQXJ12)。

摘　　要：目的了解山东省青岛市医养结合机构老年人自评健康状况及其影响因素,为改善医养结合机构老年人的健康状况提供参考依据。方法采用分层随机抽样方法于2017年6月—2018年8月在青岛市7个区抽取43家医养结合机构1907名老年人进行问卷调查。结果青岛市1907名医养结合机构老年人中,自评健康状况较好者687人,自评健康率为36.03%;多因素非条件logistic回归分析结果显示,经济状况为不够用/勉强够用/基本够用/很充足、农业户籍、其他医保类型和可以承担医疗费用的医养结合机构老年人自评健康率较高;文化程度中学及以上、职业为专业技术人员、城乡居民医保类型和日常生活能力障碍的医养结合机构老年人自评健康率较低。结论青岛市医养结合机构老年人自评健康率较低;文化程度、职业、经济状况、户籍类型、医保类型、承担医疗费用情况和日常生活能力情况是该地区医养结合机构老年人自评健康状况的主要影响因素。Objective To explore self-rated health and its influencing factors among the elderly in pension institutions providing integrated medication in Qingdao city,Shandong province,and to provide evidences for improving health status of the elderly.Methods With stratified random sampling,totally 2040 dwellers aged≥60 years were recruited in 43 pension institutions providing integrated medication in 7 districts of Qingdao city and a face-to-face interview was conducted among the elderly with a self-designed questionnaire and Activity of Daily Living(ADL)Scale from June 2017 to August 2018.Results Good self-rated health was reported by 687(36.03%)of the 1907 respondents with valid information.The results of unconditional multivariate logistic regression analysis demonstrated that the elderly without an extremely poor economic condition,with rural household registration,having the medical insurance other than medical insurance for urban/rural residents and for urban workers,and being capable to pay medical expenses were more likely to report a good self-rated health;however,the elderly with the education of high school and above,being professionals,participating in medical insurance for urban residents,and with impaired ADL were less likely to report a good self-rated health.Conclusion Among the elderly dwelling in pension institutions providing integrated medication in Qingdao city,the self-rated health is at a low level and mainly influenced by education,occupation,economic condition,type of household registration,type of medical insurance,affordability of medical expenses,and ADL level.

关 键 词：自评健康状况 影响因素 老年人 医养结合机构 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R195