基于安德森模型的我国老年流动人口心理健康教育利用状况及影响因素研究  

The utilization of mental health education service for the elderly floating population in China and its influencing factors based on Anderson model

作　　者：刘亚 赵盈喆 林星茹 陈澍盈 王晓蕾 井淇 张建华 LIU Ya;ZHAO Ying-zhe;LIN Xing-ru;CHEN Shu-ying;WANG Xiao-lei;JING Qi;ZHANG Jian-hua(School of Public Health,Shandong Second Medical University,Weifang,Shandong 261053,China;不详)

机构地区：[1]山东第二医科大学公共卫生学院,山东潍坊261053 [2]山东第二医科大学管理学院,山东潍坊261053

出　　处：《现代预防医学》2024年第14期2517-2522,2540,共7页Modern Preventive Medicine

基　　金：国家自然科学基金项目(72004165)。

摘　　要：目的了解我国老年流动人口对心理健康教育服务利用状况及其影响因素,为老年人心理健康教育工作有效开展提供参考。方法对2018年全国流动人口卫生计生动态监测问卷中5589名老年流动人口相关数据进行分析,以安德森模型为理论框架,主要分析方法有统计描述、χ^(2)检验和二元logistic回归分析等。结果我国老年流动人口心理健康教育服务利用率为16.84%,利用方式主要是宣传资料、宣传栏、知识讲座和公众健康咨询活动;logistic回归结果显示,学历为大专及以上(OR=1.229,95%CI:0.901~1.676)、流动范围为省内跨市(OR=1.219,95%CI:1.047~1.593)、流入区域为东北地区(OR=1.419,95%CI:1.159~1.737)、中部地区(OR=1.980,95%CI:1.582~2.478)是老年流动人口心理健康教育服务利用的保护因素;流动时长为10~20年(OR=0.689,95%CI:0.521~0.913)、未建立、不知晓健康档案(OR=0.473,95%CI:0.333~0.672)、不清楚健康档案建立情况(OR=0.683,95%CI:0.473~0.986)、未签约、不知晓家庭签约医生情况(OR=0.537,95%CI:0.376~0.767)、不清楚家庭医生签约情况(OR=0.597,95%CI:0.423~0.844)是老年流动人口心理健康教育服务利用的危险因素。结论老年流动人口心理健康教育服务利用率有待提高,应强化老年流动人口心理健康意识,加大老年流动人口心理健康宣传力度,引导老年流动人口积极接受心理健康教育。Objective To understand the utilization of mental health education services and its influencing factors among the elderly floating population in China,and to provide reference for the effective development of mental health education for the elderly.Methods The data of 5589 elderly migrants in the 2018 National Floating Population Health and Family Planning Dynamic Monitoring Questionnaire were analyzed,and the Anderson model was used as the theoretical framework,and the main analysis methods included statistical description,χ^(2)test and binary logistic regression analysis.Results The utilization rate of mental health education services for the elderly floating population in China was 16.84%,and the methods which wereused were mainly publicity materials,publicity columns,knowledge lectures and public health consultation activities,and the logistic regression results showed that the education level was college degree or above(OR=1.229,95%CI:0.901-1.676),the flow range was inter-city in the province(OR=1.219,95%CI:1.047-1.593),and the inflow area was Northeast China(OR=1.419,95%CI:1.159-1.737),central region(OR=1.980,95%CI:1.582-2.478)were the protective factors for the use of mental health education services in the elderly floating population,the migration duration was 10-20 years(OR=0.689,95%CI:0.521-0.913),the health records were not established and unknown(OR=0.473,95%CI:0.333-0.672),Unclear health record establishment(OR=0.683,95%CI:0.473-0.986),uncontracted and uninformed family contracted doctors(OR=0.537,95%CI:0.37-0.767),and unclear family doctor contract(OR=0.597,95%CI:0.423-0.844)were risk factors for the utilization of mental health education services in the elderly migrant population.Conclusion The utilization rate of mental health education services for the elderly floating population needs to be improved,the awareness of mental health of the elderly floating population should be strengthened,the mental health publicity of the elderly floating population should be increased,and the elderly floating p

关 键 词：心理健康教育 服务利用 ANDERSON模型 老年流动人口 

分 类 号：R195.4[医药卫生—卫生统计学] R197[医药卫生—卫生事业管理]