基于社会生态理论的浙江省城乡居家养老群体中医药服务需求与利用研究  

The Demand and Utilization of Traditional Chinese Medicine Services for Urban and Rural Home-based Elderly Care Groups in Zhejiang Province Based on Social Ecological Theory

作　　者：王斌艳[1] 吴玥 毛学蕴 郑淼 郭清[1] WANG Binyan;WU Yue;MAO Xueyun(School of Public Health,Zhejiang Chinese Medical University,Hangzhou(310053),China)

机构地区：[1]浙江中医药大学公共卫生学院,杭州310053

出　　处：《浙江中医药大学学报》2023年第2期142-147,152,共7页Journal of Zhejiang Chinese Medical University

基　　金：国家自然科学基金项目(71774147);浙江省基础公益研究计划目录(LY21G030003);浙江省教育厅一般科研项目(Y202146150);浙江省医药卫生科技计划项目(2022KY910)。

摘　　要：[目的]分析比较城乡居家养老群体中医药服务需求与利用情况,为优化城乡中医药资源,提升老年人群中医药服务利用提供依据。[方法]采用多阶段分层整群随机抽样方法,抽取浙江省65周岁及以上,当地居住至少6个月的居家养老人群。以面对面问卷的方式收集居家养老人群基本特征、健康行为、中医药服务需求和利用情况等。采用χ^(2)检验、Logistic回归分析城乡居家养老人群中医药服务的利用情况和影响因素。[结果]抽样的浙江省居家养老人群1038人中,中医药服务需求人数537人。中医药服务利用人数305人,占需求人群的56.80%。需求人群中,居住地为城市的老年人群中医药服务利用占比高于农村(P<0.001)。退休前职业为政府或企事业单位工作人员和家庭月平均收入2000~5000元以及≥5000元的城市居家养老人群更倾向利用中医药服务(P<0.05);定期体检以及家庭月平均收入≥5000元的农村居家养老人群更倾向利用中医药服务(P<0.05)。[结论]浙江省居家养老中医药服务需求群体中,城市中医药服务利用水平高于农村。家庭月平均收入是影响城乡中医药服务利用的共同因素。[Objective]To analyze and compare the demand and utilization of traditional Chinese medicine(TCM)services among urban and rural home-based elderly care groups,so as to provide a basis for optimizing urban and rural TCM resources and improve the utilization of TCM services for the elderly.[Methods]Multi-stage stratified cluster random sampling method was used to select homebased elderly people aged 65 and above in Zhejiang Province who lived there for at least 6 months.Face-to-face questionnaires were used to collect the basic characteristics,health behaviors,demand and utilization of TCM services of the elderly at home.Theχ^(2)test and Logistic regression were used to analyze the utilization and influencing factors of TCM services among the urban and rural homebased elderly care population.[Results]Among the 1038 cases of home-based elderly care population in Zhejiang Province,537 cases needed TCM services.The number of users of TCM services was 305,accounting for 56.80%of the population in demand.Among the population in need,the proportion of elderly people living in urban areas was higher than that in rural areas(P<0.001).and the average monthly family income of 2000~5000 yuan and≥5000 yuan in urban home-based elderly care populations were more inclined to use TCM services(P<0.05);The rural home-based elderly people with an average income of more than 5000 yuan were more inclined to use TCM services(P<0.05).[Conclusion]Among the TCM service demand groups for home-based elderly care in Zhejiang Province,the utilization level of TCM services in urban areas is higher than that in rural areas.The average monthly household income is a common factor affecting the utilization of TCM services in urban and rural areas.

关 键 词：居家养老 城市 农村 中医药服务 需求 利用 浙江省 社会生态理论 

分 类 号：G420[文化科学—课程与教学论]