| 张蕾,李文菲,朱洁萍,黄婷婷,朱琳,陈功,郑晓瑛.我国老年视力残疾人服务需求满足度现状及关联因素分析[J].中华流行病学杂志,2014,35(9):1011-1014 |
| 我国老年视力残疾人服务需求满足度现状及关联因素分析 |
| Factors influencing the satisfaction of demands on services for elderly with visual disability |
| 收稿日期:2014-03-13 出版日期:2014-09-11 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.09.009 |
| 中文关键词: 视力残疾 老年人 需求满足度 关联因素 |
| 英文关键词: Visual disability Older adults Demands satisfactory Associated factor |
| 基金项目:国家社科基金青年项目（09CRK007）； 北京高校“青年英才计划”（YETP0041） |
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| 中文摘要: |
| 目的 了解老年视力残疾人服务需求满足度的现状及关联因素。方法 基于2006年全国残疾人抽样调查数据获得老年视力残疾人样本24 017例，研究人口、健康、社会、经济4个变量 与健康服务需求（第Ⅰ类）、基本生存服务需求（第Ⅱ类）、环境支持性服务需求（第Ⅲ类）满足之间的关系。结果 老年视力残疾人第Ⅰ、Ⅱ、Ⅲ类服务需求满足度分别为35.1%、9.3%和4.3%。参 加养老保险（OR=1.64）、居住在城市（OR=1.54）、家庭人均年收入≥5 000元（OR=1.46）是老年视力残疾人第Ⅰ类需求获得满足的有利因素；年龄在≥80岁（OR=0.90）和男性（OR=0.93）是 第Ⅰ类需求获得满足的不利因素。男性（OR=1.43）、居住在城市（OR=1.15）、鉴定为二级（OR=1.36）和一级（OR=1.70）残疾是第Ⅱ类需求获得满足的有利因素；年龄在15～59岁（OR=0.57） 和≥60岁（OR=0.45）、家庭人均年收入在1 000～1 999元（OR=0.77）、2 000～4 999元（OR=0.58）和≥5 000元（OR=0.39）是第Ⅱ类需求获得满足的不利因素。居住在城市（OR=1.23）、鉴 定为二级（OR=1.38）和一级（OR=1.34）残疾、参加养老保险（OR=1.62）和家庭人均年收入≥5 000元（OR=1.42）是第Ⅲ类需求获得满足的有利因素。结论 老年视力残疾人的满足程度普遍偏 低，家庭收入水平、社会保险参与状况、年龄、残疾发现年龄、居住地、性别、残疾等级、婚姻、受教育程度是服务需求获得满足的重要关联因素。 |
| 英文摘要: |
| Objective To investigate the status and associated factors of demand satisfaction (DS) of services for older adults with visual disability (OAVD). Methods Based on the 2nd National Sample Survey on Disability in 2006,a total number of 24 017 OAVD cases were included. Associated relationships among demographic,health-related,social,economic factors and services of DS,including health demand (TypeⅠ),basic livelihood demand (TypeⅡ),and environmental support demand (TypeⅢ) were analyzed. Results The proportions of DS of Type Ⅰ,Ⅱ,Ⅲ services for OAVD were 35.1%,9.3% and 4.3% respectively. Eight factors as:having pension insurance (OR=1.64),living in urban areas (OR=1.54),per capita household income at ≥5 000 or over Yuan (OR=1.46) were favorable ones on OAVD DS while at age ≥80 or above(OR=0.90),being male(OR=0.93) were adverse factors of TypeⅠ. Four factors as:being male(OR=1.43),living in urban areas(OR=1.15),subjects defined as grade Ⅱ(OR=1.36)and grade Ⅰ(OR=1.70)etc.,were favorable factors on OAVD DS. Five factors as:range of age groups at 15-59(OR=0.57)or at ≥60 (OR=0.45),per capita household income at 1 000-1 999 Yuan(OR=0.77),2 000-4 999 Yuan (OR=0.58) and ≥5 000 Yuan (OR=0.39) were adverse factors of Type Ⅱ. Factors as:living in urban areas(OR=1.23),defined as grade Ⅱ(OR=1.38)and grade Ⅰ(OR=1.34),having pension insurance (OR=1.62) and per capita household income at ≥5 000 Yuan(OR=1.42) etc.,were favorable factors of Type Ⅲ. Conclusion The DS degree of older adults with visual disability was generally very low while factors as:per capita household income,situation on social insurance,age,degree of disability,age when disability was identified,areas of residence,gender,grade of disability,marriage status,levels of education etc.,were significantly associated with the service on DS. |
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