摘要
慢性病老年人具有多维脆弱性的特征。引入脆弱性理论视角,基于世界粮食计划署“风险因素-抵御风险能力-社会服务体系”的脆弱性分析框架,从健康、经济、社会、生活等多个维度构建了反映慢性病老年人脆弱程度的评价指标体系及评估模型。研究发现:随着年龄的增加,慢性病老年男性和女性的脆弱指数均值均呈现上升趋势。在65~80岁年龄组,慢性病老年男性的脆弱指数均值高于老年女性;在80~105岁年龄组,慢性病老年女性的脆弱指数均值总体高于男性。在高脆弱性慢性病老年人中,风险因素致脆型比例最高,面临的风险因素较多及抗风险能力不足是导致其高脆弱的核心诱因;中、低脆弱性慢性病老年人中的社会因素致脆型比例最高。
The elderly with chronic diseases has the characteristics of multidimensional vulnerability.From the perspective of vulnerability theory,based on the“risk factors-anti-risk ability-social service system”analysis framework of the World Food Program(WFP),an assessment index system and evaluation model reflecting the vulnerability of the elderly with chronic diseases are constructed from multiple dimensions such as health,economy,society and life.It is found in the study that with the increase of age,the average vulnerability index of elderly men and women with chronic diseases has shown an upward trend.In the 65~80 age group,the average vulnerability index of elderly men with chronic diseases is higher than that of elderly women.In the 80~105 age group,the mean vulnerability index of elderly women with chronic diseases is generally higher than that of men.Among the elderly with high vulnerability and chronic disease,the proportion of risk factor brittleness is the highest.The core inducement leading to high vulnerability is that they face more risk factors and lack anti-risk ability.The proportion of vulnerability caused by social factors is the highest among the elderly with moderate and low vulnerability and chronic diseases.
作者
王雪辉
WANG Xuehui(Center for Population and Development Policy Studies,Fudan University,Shanghai 200433,China)
出处
《东北大学学报（社会科学版）》
CSSCI
北大核心
2023年第1期96-105,共10页
Journal of Northeastern University(Social Science)
基金
国家社会科学基金重大资助项目(21ZDA106)。
关键词
慢性病老年人
脆弱指数
脆弱类型
综合评价
elderly with chronic disease
vulnerability index
type of vulnerability
comprehensive evaluation
