家庭护理贫困对中国老年人日常生活活动的影响:倾向评分匹配研究

IF 1.4 4区 医学 Q3 Medicine Iranian Journal of Public Health Pub Date : 2023-11-12 DOI:10.18502/ijph.v52i11.14032
Yuee Li, Xiaohui Liu
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引用次数: 0

摘要

背景:在中国政府重视居家养老和残疾老年人数量不断增加的背景下,探讨老年人居家养老贫困对其日常生活活动能力的影响具有重要意义。 方法:选取2018年中国健康长寿纵向调查数据中的2583名老年人作为研究样本。治疗组422人,对照组2161人。根据反事实分析的框架,采用核匹配法对处理组和对照组进行匹配,计算处理组的平均处理效果(ATT)。结果:核匹配法结果显示,治疗组真实ADL得分为6.886,对照组反事实ADL得分为8.520,ATT值为-1.634 (P<0.05)。家庭护理贫困与老年人日常生活活动的关系存在性别和城乡差异。在性别样本中,两者之间存在显著的相关性,男性样本的ATT绝对值高于女性样本(P<0.05)。在农村样本中,两个变量之间存在显著相关(P<0.05)。但在城市样本中,这两个变量之间没有显著的相关性。 结论:家庭护理贫困会显著降低中国老年人的日常生活能力。在此基础上,本研究提出了解决中国老年人居家养老贫困的几点建议。
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The Effect of Home Care Poverty on the Activities of Daily Living among Older Adults in China: A Propensity Score Matching Study
Background: In the context of home care being valued by the Chinese government and the increasing number of disabled older adults, it is of great significance to explore the effect of home care poverty of the older adults on their ability to perform activities of daily living. Methods: A research sample of 2583 older adults from the Chinese Longitudinal Healthy Longevity Survey data in 2018 was adopted. There were 422 participants in the treatment group and 2161 participants in the control group. According to the framework of counterfactual analysis, the kernel matching method was used to match the treatment and control groups to calculate the values of average treatment effects on treated (ATT). Results: The results of the kernel matching method showed that the factual ADL score of the treatment group was 6.886, the counterfactual ADL score of the control group was 8.520, and the ATT value was -1.634 (P<0.05). There were gender and urban-rural differences in the relationship between home care poverty and activities of daily living among older people. In gender samples, there was a significant correlation between the two, and the absolute value of ATT in male samples was higher than that in female samples (P<0.05). In the rural samples, there was a significant correlation between the two variables (P<0.05). But in the urban samples, there was no significant correlation between the two variables. Conclusion: Home care poverty could significantly reduce the ability to perform activities of daily living among older adults in China. Based on the conclusions, the study puts forward several suggestions to solve the home care poverty for the older adults in China.
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
7.10%
发文量
0
审稿时长
2 months
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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