| 中国城乡空巢老人社会隔离状况及其影响因素分析 |
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| 引用本文： | 陈亚楠,陈娜,张威,许浩.中国城乡空巢老人社会隔离状况及其影响因素分析[J].现代预防医学,2022,0(18):3363-3368. |
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| 作者姓名： | 陈亚楠 陈娜 张威 许浩 |
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| 作者单位： | 南京中医药大学卫生经济管理学院，江苏 南京 210023 |
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| 摘 要： | 目的 分析我国城乡空巢老人社会隔离状况及其影响因素差异。方法 社会隔离可被分为主观社会隔离和客观社会隔离，基于2014年中国老年社会追踪调查（CLASS）数据，纳入4 705名空巢老人，运用二分类logistic回归模型分析城乡空巢老人社会隔离的影响因素差异。结果 本研究空巢老人社会隔离发生率为51.3%，主、客观社会隔离同时发生率为11.9%，且农村社会隔离发生率（57.3%）高于城镇（47.4%）（χ2 = 43.871，P＜0.001）。无配偶、自评健康较差（OR = 1.635，95%CI:1.322～2.022；OR = 1.410，95%CI:1.119～1.777）、患有慢性病、低个人年收入、与子女见面（OR = 2.322，95%CI:1.457～3.701；OR = 2.858，95%CI:1.648～4.955）和电话联系频率低是城乡空巢老人出现社会隔离的危险因素，且ADL受损也是城乡空巢老人同时出现主、客观社会隔离的危险因素；教育程度和个人年收入是城镇空巢老人社会隔离发生的特有因素。结论 我国空巢老人社会隔离存在城乡差异，农村空巢老人社会隔离发生率高于城镇，应对城乡空巢老人采取针对性的干预措施。
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| 关 键 词： | 空巢老人 社会隔离 城乡 影响因素 |
Analysis of social isolation of empty nesters in urban and rural China and its influencing factors |
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| CHEN Ya-nan,CHEN Na,ZHANG Wei,XU Hao.Analysis of social isolation of empty nesters in urban and rural China and its influencing factors[J].Modern Preventive Medicine,2022,0(18):3363-3368. |
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| Authors: | CHEN Ya-nan CHEN Na ZHANG Wei XU Hao |
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| Affiliation: | *School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China |
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| Abstract: | Objective To analyze the status of social isolation and its influencing factors between urban and rural empty nesters in China. Methods Social isolation can be divided into subjective social isolation and objective social isolation. Based on the 2014 China Elderly Social Tracking Survey (CLASS) data, 4 705 empty nesters were included, and a dichotomous logistic regression model was used to analyze the differences in the influencing factors of social isolation among urban and rural empty nesters. Results The incidence of social isolation among the empty nesters in this study was 51.3%, and the incidence of both subjective and objective social isolation was 11.9%, and the incidence of social isolation was higher in rural areas (57.3%) than in towns (47.4%) (χ2=43.871, P<0.001). Having no spouse, poor self-rated health (OR=1.635, 95%CI: 1.322-2.022; OR=1.410, 95%CI: 1.119-1.777), having chronic diseases, low annual personal income, meeting with children (OR=2.322, 95%CI: 1.457-3.701; OR=2.858, 95%CI: 1.648-4.955) and low frequency of telephone contact were risk factors for the occurrence of social isolation among urban and rural empty nesters, and impaired ADL was also a risk factor for the occurrence of both subjective and objective social isolation among urban and rural empty nesters. Education level and annual personal income were factors specific to the occurrence of social isolation among urban empty nesters. Conclusion There are urban-rural differences in social isolation among empty nesters in China, and the incidence of social isolation among rural empty nesters is higher than that in urban areas. Targeted intervention measures should be taken for urban and rural empty nesters. |
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| Keywords: | Empty nesters Social isolation Urban and rural areas Influencing factors |
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