养老院老人与居家老人健康状况比较分析

养老院老人与居家老人健康状况比较分析易松国鄢盛明文章运用问卷调查数据,比较分析养老院老人和居家老人的健康状况研究发现,养老院老人和居家老人患有慢性疾病抑郁症的比例以及抑郁程度都较高,但对健康状况的自我评价也比较高养老院老人的抑郁程度低于居家老人,对健康状况的自我评价高于居家老人教育和年龄与老人的抑郁程度及其对健康状况的自我评价存在显著相关关系影响养老院老人和居家老人抑郁程度及其健康状况自我评价的个人因素,既有共同之处,也有明显区别养老院居家老人健康状况易松国深圳大学社会学系主任副教授;鄢盛明北京大学社会学系,副教授,,(2006)20048.9%;(2002),(2000),1995~1996,(1998),,10,,(2004),2090,,,,!∀!∀,,,,,,,#73#(),312(),12(1998),(,1998)(T.L.Brink)(J.A.Yesavage)!∀!∀!∀30(Brink,1982),,,0.830.77,(,2000),,,5(1=,5=)(),20041220053()25,924,,,20660,,20051626,650,620SPSS,,1()61(29.8)308(49.7)60~659(4.4)249(40.2)144(70.2)312(50.3)66~7024(11.8)156(25.2)71~7533(16.2)127(20.5)128(63.1)193(31.2)76~8045(22.1)53(8.5)30(14.8)155(25.0)8193(45.6)35(5.6)22(10.8)143(23.1)10(4.9)75(12.1)37(18.7)432(69.8)13(6.4)53(8.6)9(4.5)21(3.4)128(64.6)164(26.5)139(71.6)170(27.6)24(12.1)2(0.3)55(28.4)446(72.4):(),1#74#中国人口科学2006年第3期(),(2),,,23.3%15.2%12,12(!∀)38.8%27.6%,35.4%45.3%,25.7%27.1%10,,,44.6%,30.6%,24.8%(,1998)10,241.9142.35024.314723.7188.76510.5199.212820.6157.3497.941.9223.54622.315625.2104.9569.03215.5294.721.040.631.530.521.010.24823.39415.2206100.0620100.0(),,!0∀,!1∀,0~30,,,3,,1011(Brink,1982),21.2%,31.1%,6.01%~13.8%,4.46%(,2002;,1998)1994~199570,7%,15%(,2003)1009.7%(1.6%0.2%),18.1%(,1998),,,,,,,,#75#养老院老人与居家老人健康状况比较分析3031.61.610.20.21~56535.637.221938.138.16137.144.37513.051.371910.454.66511.362.68168.763.45810.172.710105.568.9417.179.811137.176.0447.787.512147.783.6315.492.913126.690.2152.695.51463.393.471.296.715126.6100.0193.3100.0N=183Mean=7.84N=575Mean=6.96Mode=5.0Median=7.0Mode=6.0Median=6.0:,,,,(4)(1),,,4Beta(1)(2)(3)0.179***-0.005-0.080*0.173*0.029-0.0300.147()-0.178-0.2900.0350.003-0.1140.186*-0.016-0.1340.113()-0.106**-0.114**-0.060-0.152***-0.143**-0.075-0.208***-0.184***-0.152*-0.163***-0.145***-0.194*0.224***0.288***0.0570.037-1.4513.473N740570168AdjustedRSquare0.1530.2190.096*p0.05,**p0.01,***p0.001,,(2),;;(3),;;3,,,,,,,;,,,,,,(,1996),(77.9%),,,,#76#中国人口科学2006年第3期?,,(,2006),,,,,(),()53.36(S.D=0.9544),3.36,3.46(S.D=1.0345)3.33(S.D=0.9264),5(4),,,,,,,10(,1998)565Beta(4)(5)(6)-0.236***0.0410.070-0.0180.0340.049-0.081()-0.1220.020-0.1440.0050.074-0.019-0.193*-0.030-0.263*()0.0400.074-0.0620.0270.055-0.0930.082*0.098*-0.0190.097**0.109**0.085-0.271***-0.299***-0.1016.1066.0755.079N801616185AdjustedRSquare0.0970.1360.018*p0.05,**p0.01,***p0.0015,,,,,4,,,()(Kisker,1990),,,,,#77#养老院老人与居家老人健康状况比较分析,,(Leung,1990),,,,,,,,,,,,,,,,,,,(,2000),,,,,(,2002;,2000),,,56%(,2003),,,,(,2005),,,,,,,,,40%,(,2002),,参考文献:1.(2006):∃%,∃%,1#78#中国人口科学2006年第3期2.(2002):∃&&&%,∃%,23.(2000):∃%,∃%,24.(1998):∃%,5.(2004):∃&&&%,∃%,16.(2002):∃%,∃%,57.(1998):∃%,∃%,48.(2003):∃%,9.(1996):∃%,∃%,310.(2000):∃%,∃%,611.(2005):∃%,∃%,412.(2002):∃%,∃%,513.Brink,T.L.,Yesavage,J.A.,Lum,O.,Heersema,P.H.,Adey,M.&Rose,T.L.(1982),ScreeningTestsforGeriatricDepression.ClinicalGerontologist1:3743.14.KiskerE.E.(1990),MaritalStatusDifferentialsinHealth,HealthCareUtilization,andMortality:aReviewoftheLiterature.UnpublishedManuscript.MathematicsPolicyResearch.Inc.Princeton,NJ,USA.15.Leung,C.B.(1990),AStudyofCaregiversforDependentElderlyPeople:FactorsInfluencingTheirDecisiontoPlacetheElderlyintoInstitution.UnpublishedMasterofSocialScienceThesis.HongKong:UniversityofHongKong.(责任编辑:胡涛)∃:%,,,,:(1)!∀,(2),,(3),,,(朱宇供稿)#79#养老院老人与居家老人健康状况比较分析ThispaperappliesthedatafromarecentsurveyconductedbyPKUIPR,!theretrospectivesurveyofmaternitywomenofWuxi20022004∀,andattemptstoutilizethreelevelBeroulliHLMmodeltoanalyzetheprimaryfactorsinfluencingthequalityofnewbornpopulation.TheauthordesignsaspecialthreelevelHLMmodelincludingindividual,thetypeoffamilyeconomicconditionandregionalenvironment,whichcancomprehensivelyanalyzevariousfactorsandparametersatdifferentlevels.Theanalysisresultsshowusthefollowingconclusions:first,thehierarchicalstructureindeedbringsaboutapparentinfluenceuponthepregnantresultsofWuxi∋sbearingwomen;second,thethreelevelstructureincludingindividual,thefamilyeconomicaltypeandregionalenvironmentalconditioncaneffectivelyexplainthedifferenceamongtheserespondentpregnantwomen;third,theperspectiveofthreelevelHLMmodelindicatesthewholeriskprobabilityofthepregnantwomeninWuxiisfrom1.658%to15.450%;andfinally,thequalityofnewbornpopulationismainlydeterminedbytheGeneticfactorfromfamily,pollutionandhazardexperienceandfamilyeconomicalconditions.ModellingtheSpatialandStructuralDistributionofShanghaiPopulationGaoXiangdongZhengMinSunWenhui#61#UsingcircledistancemethodandGISsoftware,weobtainthedetaileddataonShanghai∋spopulationdistributionatstreet/townlevel,basedonthe4thand5thPopulationCensus.Afterthecomparisonofmodelanalysisandanimationcurvesaboutpopulationdensity,birthrate,morality,agestructure,industrystructureandtheirvariationcondition,wecanconcludethatthebestfittedmodelwhichreflectsandmeasuresthedistributionofpopulationinShanghaiistheCubicmodelinsteadoftheClarkmodel.GradualPrecipitationandResidenceinducedLongTermResidence:AnalysisonFloatingPopulation∋sResidencePatterninUrbanChinaRenYuan#67#ByusingtheShanghai2000Censusdataand2003Surveydata,theauthorstudiesfloating