基于安德森模型的城市中老年人隔代抚养培训需求影响因素

doi:10.6040/j.issn.1671-7554.0.2024.0070

摘要/Abstract

摘要： 目的探讨城市中老年人隔代抚养培训需求状况及影响因素。方法通过方便抽样法,在山东省济南市某社区招募中老年人。基于安德森模型,运用χ2检验和二分类Logistic回归分析探讨各层次因素对中老年人隔代抚养培训需求的影响。结果 70.7%的中老年人有隔代抚养培训需求,倾向因素中以往居住地在城镇(OR=2.403,95%CI:1.016~5.682)、使能因素中以往社区经常提供隔代抚养资源(OR=2.112,95%CI:1.215~3.671)及需求因素中因隔代抚养偶尔与子女发生冲突(OR=6.250,95%CI:1.543~17.866)、无抑郁症状(OR=0.557,95%CI:0.319~0.972)的中老年人隔代抚养培训需求更高。结论倾向因素、使能因素和需求因素均会不同程度地影响中老年人隔代抚养培训需求,积极开展隔代抚养培训具有重要的社会价值和意义。除了关注有隔代抚养培训需求中老年人外,社会也应关注那些没有隔代抚养培训需求中老年人的心理健康状况。

关键词: 隔代抚养, 安德森模型, 中老年人, 培训需求

Abstract: Objective To explore the status and influencing factors of grandparenting training demands among urban middle-aged and older adults. Methods Participants were recruited from community in Jinan, Shandong Province, China, using convenience sampling. Based on the Anderson model, χ2 test and binary Logistic regression analysis were used to explore the effects of various factors on the grandparenting training demands among middle-aged and older adults. Results Seventy point seven percent of the participants had demands for training in grandparenting, in which a propensity factor of previous residence in town(OR=2.403, 95%CI: 1.016-5.682), an enabling factor of previous frequent availability of grandparenting resources in the community(OR=2.112, 95%CI: 1.215-3.671), and demand factors of occasional conflict with children due to grandparenting(OR=6.250, 95%CI: 1.543-17.866), and without depressive symptoms(OR=0.557, 95%CI: 0.319-0.972)were domimnt. Conclusion Propensity factors, enabling factors and demand factors all have different degrees of influence on the demands of grandparenting training for the middle-aged and older adults. It is of great social value and significance to actively carry out grandparenting training. In addition to paying attention to the middle-aged and older adults with grandparenting training demands, society should also pay attention to the mental health status of those without grandparenting training demands.

Key words: Grandparenting, Anderson model, Middle-aged and older adults, Training needs

中图分类号:

R195

宋东玉,吕靖然,李玉丽,刘宇舟. 基于安德森模型的城市中老年人隔代抚养培训需求影响因素[J]. 山东大学学报 (医学版), 2024, 62(6): 108-115.

SONG Dongyu, LYU Jingran, LI Yuli, LIU Yuzhou. Influencing factors on grandparenting training demands of urban middle-aged and older adults based on Anderson model[J]. Journal of Shandong University (Health Sciences), 2024, 62(6): 108-115.

参考文献

[1] 余靖雯, 郭凯明, 麦东仁. 中国隔代抚养文化、生育年龄选择与人口生育率[J]. 金融研究, 2023(8): 189-206. YU Jingwen, GUO Kaiming, MAI Dongren. Chinese grandparenting culture, childbearing age, and fertility[J]. Journal of Financial Research, 2023(8): 189-206.
[2] 贺奥丽. 小组工作介入祖辈隔代教养压力疏导的研究: 以“烦恼快走开” 压力疏导小组为例[D]. 西宁: 青海师范大学, 2022.
[3] Kelley SJ, Whitley DM, Escarra SR, et al. The mental health well-being of grandparents raising grandchildren: a systematic review and meta-analysis[J]. Marriage Fam Rev, 2021, 57(4): 329-345.
[4] 许传新. 农村隔代照顾研究状况及其趋势[J]. 华南农业大学学报(社会科学版), 2018, 17(1): 37-46. XU Chuanxin. Research status and trends of grand-parenting in rural areas[J]. Journal of South China Agricultural University(Social Science Edition), 2018, 17(1): 37-46.
[5] 王红英, 李胜, 刘应焱, 等. 隔代照顾对中国儿童健康状况的影响[J]. 中国学校卫生, 2021, 42(1): 46-49. WANG Hongying, LI Sheng, LIU Yingyan, et al. Impact of intergenerational care on child physical health in China[J]. Chinese Journal of School Health, 2021, 42(1): 46-49.
[6] 周冬梅. 常州市老人隔代抚养培训需求与服务路径研究[J]. 常州工学院学报(社科版), 2022, 40(4): 129-133. ZHOU Dongmei. Research on training needs and service paths of elder generation-separated parenting in Changzhou city[J]. Journal of Changzhou Institute of Technology(Social Science Edition), 2022, 40(4): 129-133.
[7] 周鹏. 隔代抚养的测量: 现状、困境与改进: 基于中国生育(率)研究的视角[J]. 南方人口, 2019, 34(1): 31-43. ZHOU Peng. The status in quo, problems and counter measures of skip-generation raising measurement: a perspective of fertility in China[J]. South China Population, 2019, 34(1): 31-43.
[8] McLaughlin B, Ryder D, Taylor MF. Effectiveness of interventions for grandparent caregivers: a systematic review[J]. Marriage Fam Rev, 2017, 53(6): 509-531.
[9] 陈英耀, 王立基, 王华. 卫生服务可及性评价[J]. 中国卫生资源, 2000, 3(6): 279-282. CHEN Yingyao, WANG Liji, WANG Hua. Evaluation of health service access[J]. Chinese Health Resources, 2000, 3(6): 279-282.
[10] 徐碧霞, 林小丹, 姚卫光. 基于安德森模型的儿童基层就医意愿及影响因素研究[J]. 中国全科医学, 2022, 25(22): 2766-2772. XU Bixia, LIN Xiaodan, YAO Weiguang. Childrens intention to seek healthcare in primary healthcare settings and associated determinants: an analysis using the andersons behavioral model of health services use[J]. Chinese General Practice, 2022, 25(22): 2766-2772.
[11] 欧阳宗尚, 苏蕴, 张杨洋, 等. 基于安德森模型的河南省老年人自我医疗影响因素分析[J]. 郑州大学学报(医学版), 2023, 58(2): 191-195. OUYANG Zongshang, SU Yun, ZHANG Yangyang, et al. Study on the influencing factors of self-medical treatment of the elderly in Henan Province based on Anderson model[J]. Journal of Zhengzhou University(Medical Sciences), 2023, 58(2): 191-195.
[12] 尹娅妮, 苗春霞, 黄晓静, 等. 基于安德森模型的徐州市流动人口就医选择状况研究[J]. 医学与社会, 2023, 36(2): 58-63. YIN Yani, MIAO Chunxia, HUANG Xiaojing, et al. Study on choice of medical treatment of floating population in Xuzhou based on Andersen model[J]. Medicine and Society, 2023, 36(2): 58-63.
[13] 李月娥, 卢珊. 医疗卫生领域安德森模型的发展、应用及启示[J]. 中国卫生政策研究, 2017, 10(11): 77-82. LI Yue-e, LU Shan. The development, application and implications of the Anderson Model in the field of healthcare[J]. Chinese Journal of Health Policy, 2017, 10(11): 77-82.
[14] 刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. LIU Xianchen, TANG Maoqin, HU Lei, et al. Reliability and validity of the Pittsburgh sleep quality index[J]. Chinese Journal of Psychiatry, 1996, 29(2): 103-107.
[15] 刘杰, 王瑛, 王晓慧, 等. 中文版老年抑郁量表在城市社区老年人群中应用的信效度研究[J]. 中国临床心理学杂志, 2013, 21(1): 39-41. LIU Jie, WANG Ying, WANG Xiaohui, et al. Reliability and validity of the Chinese version of geriatric depression scale among Chinese urban community-dwelling elderly population[J]. Chinese Journal of Clinical Psychology, 2013, 21(1): 39-41.
[16] 徐铁飞, 鞠梅, 何劲威, 等. 农村随迁老年人参与隔代抚养感受的质性研究[J]. 护理学杂志, 2022, 37(2): 81-84. XU Tiefei, JU Mei, HE Jinwei, et al. Experiences of inter-generational raising in rural migration older adults: a qualitative study[J]. Journal of Nursing Science, 2022, 37(2): 81-84.
[17] 王雪, 董博. 城市随迁老人社区融入状况研究[J]. 护理研究, 2018, 32(17): 2690-2692. WANG Xue, DONG Bo. Study on community integration of urban moving elderly people[J]. Chinese Nursing Research, 2018, 32(17): 2690-2692.
[18] 吴祁. 进城抚养孙辈的祖辈的生活困境及其消解路径[J]. 城市问题, 2018(12): 89-96. WU Qi. The living plight and route of the rural migrant grandparent caregivers[J]. Urban Problems, 2018(12): 89-96.
[19] Festinger L. A theory of social comparison processes[J]. Hum Relat, 1954, 7(2): 117-140.
[20] 李燕平, 琚晓燕, 侯欣, 等. 农村“完全代理型” 隔代抚养青少年的发展风险[J]. 中国青年社会科学, 2023, 42(1): 10-18. LI Yanping, JU Xiaoyan, Hou Xin, et al. The development risk of “full agency” in the intergenerational rearing of teenagers in rural areas[J]. Journal of Chinese Youth Social Science, 2023, 42(1): 10-18.
[21] Xu HW. Physical and mental health of Chinese grandparents caring for grandchildren and great-grandparents[J]. Soc Sci Med, 2019, 229: 106-116. doi:10.1016/j.socscimed.2018.05.047.
[22] 孟慧琳, 郭菲, 陈祉妍. 祖辈-父辈共同养育冲突对祖辈抑郁的影响: 祖辈个人掌控感的中介作用与长辈价值感的调节效应[J]. 中国全科医学, 2023, 26(16): 2004-2012. MENG Huilin, GUO Fei, CHEN Zhiyan. Influence of parent-grandparent coparenting conflict on grandparents depression mediated by grandparents sense of mastery and moderated by their sense of valued elder[J]. Chinese General Practice, 2023, 26(16): 2004-2012.
[23] Miller SM. Coping with impending stress: psychophysiological and cognitive correlates of choice[J]. Psychophysiology, 1979, 16(6): 572-581.
[24] 倪赤丹. 社会支持理论: 社会工作研究的新“范式”[J]. 广东工业大学学报(社会科学版), 2013, 13(3): 58-65, 93. NI Chidan. Social supporting theory: a new “paradigm” of social work research[J]. Journal of Guangdong University of Technology(Social Sciences Edition), 2013, 13(3): 58-65, 93.
[25] 张田, 傅宏. 隔代抚养关系中老年人的心理状态[J]. 中国老年学杂志, 2017, 37(4): 970-972. ZHANG Tian, FU Hong. Psychological state of middle-aged and elderly people in intergenerational rearing relationship[J]. Chinese Journal of Gerontology, 2017, 37(4): 970-972.
[26] 顾超凡, 张瑞星, 王梦佳, 等. 社会健康对隔代抚养老年人抑郁的影响[J]. 中国老年学杂志, 2020, 40(14): 3114-3116. GU Chaofan, ZHANG Ruixing, WANG Mengjia, et al. Influence of social health on depression of elderly people raised in different generations[J]. Chinese Journal of Gerontology, 2020, 40(14): 3114-3116.
[27] Pandey A, Littlewood K, Cooper L, et al. Connecting older grandmothers raising grandchildren with community resources improves family resiliency, social support, and caregiver self-efficacy[J]. J Women Aging, 2019, 31(3): 269-283.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed