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目的探索老年人自养金水平与身心健康的关系,为促进健康老龄化提供依据。方法采用自测健康评定量表(SRHMS),对云南省昆明市18个社区中815名60~90岁的老年人进行入户问卷调查。以自养金水平分A组<300元/月、B组300~800元/月、C组>800元/月,并进行各组老年人生理、心理与社会健康、病患及卫生服务可及性的比较。结果A、B、C3组老年人身心健康的得分(5.82±1.83),(6.09±1.86),(6.27±1.69)分,与自养金数额呈正相关;自养金数额与其受教育水平(χ2=202.53)、职业(χ2=271.71)及养老金来源(χ2=215.72)密切相关(P<0.01)。A组仅31.43%享有医保,低于C、B2组(90.59%和73.68%),缺乏医疗卫生服务的公平性和可及性。结论经济支持是改善公共卫生服务,促进健康老龄化的根本保障。
Objective To explore the relationship between the self-support fund of the elderly and the physical and mental health, and to provide the basis for promoting the healthy aging. Methods A self-rated health assessment scale (SRHMS) was used to survey 815 elderly people aged 60-90 in 18 communities in Kunming, Yunnan Province. The self-supporting level was divided into group A <300 yuan / month, group B 300 ~ 800 yuan / month, group C> 800 yuan / month, and all groups of elderly people physical, psychological and social health, patients and health services And sexual comparison. Results The scores of physical and mental health of the elderly in groups A, B and C3 (5.82 ± 1.83), (6.09 ± 1.86) and (6.27 ± 1.69) were positively correlated with the amount of autotrophic gold. The amount of self-support and the level of education = 202.53), occupation (χ2 = 271.71) and source of pension (χ2 = 215.72) (P <0.01). In group A, only 31.43% enjoyed health insurance, lower than those in groups C and B2 (90.59% and 73.68%), lacking the fairness and accessibility of health care services. Conclusion Economic support is the fundamental guarantee for improving public health services and promoting healthy aging.