目的探讨文化程度对厦门市老年人养老意愿的影响。方法采用多阶段抽样方法抽取厦门市60岁及以上常住老年人开展问卷调查,建立多因素多分类Logistic回归模型分析文化程度对养老意愿的影响。结果 1 259名老年人中,文化程度为"不识字/识字很少"者占43.1%,"大学及以上"者仅占7.5%;选择家庭养老、社区居家养老和机构养老者分别占70.1%、21.0%和8.9%;与"不识字/识字很少"的老年人相比,"高中"、"大学及以上"的老年人选择社区居家养老的OR(95%CI)分别为2.06(1.13,3.75)和2.46(1.20,5.05),选择机构养老的OR(95%CI)分别为3.36(1.34,8.46)和4.52(1.58,12.92)。结论厦门市老年人低文化程度者占多数,养老意愿以家庭养老为主,文化程度对养老意愿有影响,文化程度高的老年人选择社区居家养老或机构养老的可能性较大。
Objective To explore the influence of educational level on preference for care mode among the elderly in Xiamen and provide basis for the development of old-care mode and intervention of the preference.Methods A questionnaire survey among the over-60-year-old elderly in Xiamen was conducted by multi-stage sampling.Multinomial logistic regression models were constructed to analyze the influence of educational level on preference for care mode.Results Among the 1 259 respondents,the elderly who were "illiterate/nearly illiterate" made up 43.1%,while participants with "college degree and above" only made up 7.5%.The proportions of the elderly who choose family care,community residential care and institution care were 70.1%,21.0% and 8.9% respectively.Compared with the elderly who were "illiterate/nearly illiterate",participants who had "senior high school degree" or "college degree and above" were more likely to choose community residential care〔ORs(95% CI) were 2.06(1.13,3.75) and 2.46(1.20,5.05) respectively〕and institution care〔ORs(95%CI) were 3.36(1.34,8.46) and 4.52(1.58,12.92) respectively〕.Conclusions Among the elderly in Xiamen,the majority are with lower educational level and family care is their main preference for care mode.Educational level has influence on the elderly's preference for care mode.The elderly with higher educational level are more likely to choose community residential care or institution care.