摘要
目的分析甘肃省老年人积极老龄化现状及影响因素,为推进欠发达地区积极老龄化提供依据。方法依据世界卫生组织定义的积极老龄化“健康、参与、保障”测量框架自行设计定量问卷,本研究于2021年12月—2022年9月多阶段分层随机抽取甘肃省东、中、西部60~80岁老年人进行面对面问卷调查,测评积极老龄化现状并分析个体因素与社会因素对积极老龄化的交互影响。结果2458例调查对象在积极老龄化“健康、参与、保障”三个维度的百分制得分分别为(79.12±11.19)分、(63.43±16.23)分、(71.82±12.52)分。甘肃省东部区域老年人积极老龄化总得分(77.49±7.61)分,高于中部区域(69.44±10.51)分和西部区域(71.22±10.76)分,差异有统计学意义(F=155.320,P<0.001)。个体因素性别、既往职业、婚姻、居住状态分别与社会因素所在区域对积极老龄化影响有交互效应;个体因素中年龄60~<70岁(OR=0.53,95%CI:0.36~0.77)、收入>2000元(OR=1.93,95%CI:1.34~2.78)是积极老龄化的独立保护因素。结论甘肃省老年人积极老龄化的构成维度中,“健康”和“保障”水平高于“参与”水平,甘肃省内不同区域间积极老龄化发展不平衡,影响因素作用复杂。
Objective To analyze the status quo and influencing factors of active aging among the elderly people in Gansu Province,so as to provide evidence for promoting active aging in underdeveloped areas.Methods According to"health,participation,security"measurement framework of active aging as defined by World Health Organization,a quantitative questionnaire was designed,and used in a face-to-face cross-sectional survey among the people aged 60-80 years selected using multi-stage stratified random sampling from eastern,central and western Gansu Province from December 2021 to September 2022.The current status of active aging of the participants were assessed,and the influence of individual factors on active aging and their interaction with social factors were analyzed.ResultsA total of 2458 participants were recruited.The scores(on the scale of 0-100)of the three dimensions of"health,participation,and security"of active aging of the 2458 respondents were(79.12±11.19),(63.43±16.23),and(71.82±12.52),respectively.The score in the eastern region(77.49±7.61)was higher than that of the central region(69.44±10.51)and the westem region(71.22±10.76)..Among the individual factors,gender,previous occupation,living status had interaction with region(the social factor)in their effects on active aging.Younger age 60-<70(OR=0.53,95%CI:0.36-0.77)and income>2000 yuan(OR=1.93,95%CI:1.34-2.78)were two individual factors that were independent protective factors of active aging.ConclusionssAmong the dimensions of active aging,the levels of"health"and"security"are higher compared to the level of"participation"among the elderly in Gansu Province.The development of active aging is unbalanced across different regions,due to complex influencing factors.
作者
周永兵
张选弟
李苗博
吴松霖
李周坤
戚玉佩
卫宁
曾艳玲
蒋娜
张珂
裴泓波
ZHOU Yongbing;ZHANG Xuandi;LI Miaobo;WU Songlin;LI Zhoukun;QI Yupei;WEI Ning;ZENG Yanling;JIANG Na;ZHANG Ke;PEI Hongbo(Institute of Epidemiology and Health Statistics,School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China)
出处
《中国预防医学杂志》
CAS
CSCD
2024年第2期180-185,共6页
Chinese Preventive Medicine
基金
教育部人文社会科学研究规划基金项目(21YJAZH064)
国家级大学生创新创业训练计划项目(202110730227)。
关键词
积极老龄化
交互作用
现况调查
欠发达地区
Active aging
Interaction
Cross-sectional survey
Underdeveloped area
