在功能有限的老年人中使用家庭和社区服务和孤独:一个横截面研究
Jinxin Zhang1,2, Xiaojie Sun3,4, Aaron Yao5,6
1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Rd, Jinan, Shandong, 250012, China.
BMC psychiatry
|October 4, 2023
概括
在中国,孤独影响了许多功能有限的老年人. 家庭和社区服务 (HCBS) 与这一群体的孤独感降低有关,这表明增加HCBS接入可以改善福祉.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 对老年人来说,孤独是一个重要的健康问题,特别是那些有功能限制的人.
- 这一群人越来越多地使用家庭和社区服务 (HCBS).
- 在功能限制的老年人中,HCBS使用和孤独之间的关系仍未得到充分探索,特别是在中国.
研究的目的:
- 调查中国有功能限制的老年人中孤独的流行情况.
- 检查家庭和社区服务 (HCBS) 使用与这一群体中孤独之间的关联.
主要方法:
- 利用了2018年中国健康与退休长度研究 (CHARLS) 的横截面数据.
- 包括65岁及以上具有功能限制的中国居民的全国代表性样本.
- 雇员物流回归和倾向得分匹配分析HCBS使用和孤独之间的关联,控制潜在的偏见.
主要成果:
- 在2018年,在中国,有46%的功能限制的老年人报告说他们感到孤独,只有22%的人使用HCBS.
- 与非使用者相比,HCBS使用者报告孤独的可能性较低 (OR=0.81,95% CI=0.63-0.99,p=0.048).
- 在倾向性得分匹配后,这种关联仍然显著,这表明有强有力的证据.
结论:
- 在功能有限的中国老年人中,孤独很普遍,HCBS的利用率很低.
- 家庭和社区服务 (HCBS) 的使用与该人口中孤独感的减少有显著的关联.
- 政策应鼓励更广泛地采用HCBS,以减轻功能限制的老年人孤独感.
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