健康老龄化视角下西藏老年人住院服务利用及影响因素的研究

目的 了解2018年西藏60岁及以上老年人口住院服务利用现况及其影响因素，为合理的制定符合西藏经济发展的卫生规划、健康老龄化相关的卫生政策提供依据。方法 利用2013、2018年西藏第五、六次卫生服务调查老年人数据，运用SPSS 22.0进行χ2检验和二分类logistic回归。 结果 第六次调查的1735名老年人一年内住院率为12.2%。多因素分析结果显示影响老年人住院卫生服务利用的因素是:是否患有慢性病（参考:否，患慢性病OR=3.072，95%CI:1.726~5.468）、职业（参考:公职人员，农牧民OR=0.496，95%CI:0.271~0.908；其他OR=0.300，95%CI:0.14~0.639）和每周锻炼情况(参考:从不锻炼，每周锻炼1~2次OR=0.379，95%CI:0.174~0.824；每周锻炼3次以上OR=0.828，95%CI:0.517~1.325)。结论 西藏老年人住院服务利用率仍处于低水平，多种因素影响老年人的住院服务，应根据实际需要采取有针对性的措施。

Utilization and influencing factors of elderly inpatient services from the perspective of healthy aging,Tibet

To understand the utilization of inpatient services and its influencing factors among the elderly aged 60 and above in Tibet in 2018, and to provide basis for rational formulation of health planning and health policies related to healthy aging in line with Tibet’s economic development. Methods The data of the fifth and sixth health service survey in Tibet in 2013 and 2018 was analyzed by X2 test and binary logistic regression by SPSS 22.0. Results The hospitalization rate of 1 735 old people in the sixth survey was 12.2%. The results of multivariate analysis showed that the factors affecting the use of inpatient health services in the elderly were: whether they had chronic disease(reference: no, have chronic diseaseOR=3.072, 95%CI: 1.726-5.468), occupation(reference: public officials, farmers and herdsmen OR=0.496, 95%CI: 0.271-0.908; other OR=0.300, 95%CI: 0.14-0.639) and weekly exercise(reference: never exercise, exercise 1 to 2 times a week OR=0.379, 95%CI: 0.174-0.824; exercise more than 3 times a weekOR=0.828, 95%CI: 0.517-1.325). Conclusion The utilization rate of inpatient services for the elderly in Tibet is still at a low level. Various factors affect the inpatient services for the elderly, and targeted measures should be taken according to the actual needs.