【摘要】 目的了解湖南省贫困县农村空巢老人的互助养老意愿、需求及影响因素,为农村互助养老的发展定位及对策研究提供参考。方法采用分层随机整群抽样的方法选择湖南省安仁县5个乡镇50个行政村的807名空巢老人,采用自制互助养老意愿及需求问卷、社会支持评定量表、健康促进生活方式量表进行调查。结果 272人(33.71%)选择愿意接受互助养老,互助养老需求评分为3.22±0.63。Logistic回归分析显示:贫困县农村空巢老人互助养老意愿受年龄、文化程度、自理能力、目前患慢性病数量、健康促进生活方式5个因素的影响(均P<0.01)。结论贫困县农村空巢老人的互助养老意愿不强,对健康服务需求较高,高龄、文化程度高、自理能力差、患慢性病数量多、健康促进生活方式水平低的农村空巢老年人互助养老意愿相对较高。需提高农村空巢老人对互助养老的认知,以促进农村养老的健康发展。更多还原

【Abstract】 Objective To investigate the willingness to, demands of and factors associated with participation in mutual support elder care among the empty nest elderly in rural area of poverty-stricken county in Hunan province.Methods Totally, 807 empty nest elderly persons were selected from 50 administrative villages of 5 townships in Anren county of Hunan province using stratified random cluster sampling, then they were surveyed by employing a self-designed questionnaire aiming to willingness to and demands of mutual support elder care, the Social Support Rating Scale,and Health-promoting Lifestyle Profile.Results Among 807 respon-dents, 33.71% of them were willing to participate in mutual support elder care, and their needs of mutual support elder care scored 3.22±0.63. Logistic analysis revealed that age, education, self-care agency level, number of chronic diseases, and health promotion lifestyle were predictors of willingness to participate in mutual support elder care(P<0.01 for all).Conclusion The willingness to participate in mutual support elder care among the empty nest elderly in rural area of poverty-stricken county is relatively low, whereas their demands for healthcare service is high. Those who are aged, who have higher education background, poorer self-care ability, and more chronic diseases, and who report low level of health promotion lifestyle, have strong willingness. Awareness of mutual support elder care should be enhanced, thus to promote healthy development of elder care in rural villages.更多还原