在老年家庭护理服务接受者中多维社会排斥的模式
Hanna Ristolainen1, Sofie Van Regenmortel2, Liesbeth De Donder2
1Department of Social Sciences, University of Eastern Finland, Kuopio, Finland.
概括
接受家庭护理的老年人面临着各种类型的社会排斥,健康和服务使用是关键的风险因素. 针对性支持对于那些面临严重排斥风险最大的人来说至关重要.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 目前的老龄化政策优先考虑家庭护理,但接受者之间的社会排斥问题仍未得到解决.
- 了解社会排斥模式对于有效的现场老龄化战略至关重要.
研究的目的:
- 确定在接受家庭护理的老年人中多维社会排斥的模式.
- 检查当前现场衰老政策中的挑战.
主要方法:
- 对接受家庭护理的芬兰老年人 (65-102岁) 的调查和行政数据 (n=733) 的潜阶级分析.
- 多项逻辑回归用于识别与社会排斥类型相关的因素.
主要成果:
- 确定了四种社会排斥类型:不被排斥 (16.9%),家庭经济排斥 (40.1%),社会关系排斥 (28.6%) 和多维排斥 (14.3%).
- 糟糕的自我健康和功能能力增加了多维和家庭经济排斥的风险.
- 家庭和医疗服务的高用户,以及城市居民,面临更大的排斥.
结论:
- 在家庭护理客户中承认各种社会排斥类型.
- 为高风险人群制定有针对性的干预措施,特别是那些有重大健康和服务需求的人群.
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