多维视角下的老年人社会健康影响因素分析

采用全国老年人口健康状况调查项目2002年~2005年纵向数据作为研究样本,对中国老年人社会健康的影响因素进行多维分析。通过结构方程模型,在方法上解决了社会健康的多维性、抽象概念的定量分析和测量误差的问题。研究发现,经济社会因素是影响老年人社会健康的主要方面,其中老年人自身的经济条件是最重要的因素;心理健康是影响老年人社会健康的关键因素,其它因素通过心理健康对社会健康起间接作用;由于社会生活方式的改变,家庭因素对老年人社会健康的直接影响正在弱化,但是家庭因素对老年人社会健康的间接影响依然存在。     

Training Strategies for Elder Abuse/Inadequate Care

A key component in the efforts to deal with elder abuse/inadequate care is the development of educational programmes for both the public and responsible staff. This article explores the development of training programmes that address the needs of adult learners in the caring professions. Central to the success of the training was the programme design that entailed three methods of teaching in response to the three ways adults learn. Participants acquired a knowledge base that will enable them to work in an environment with few legal directives.     

Reflections on 30 Years of Advocacy,Thinking, and Writing About Elderly Latinos

SUMMARY

The author reflects on over 30 years of thinking, writing, and advocating on behalf of elderly Latinos. Personal, cultural, and familial experiences are intertwined with implications for policy and practice. The impact of Latinos' generational socialization into American society is examined in relation to familial obligations to elderly relatives.     

Social Work with the Osteoporotic Woman

A chronic, progressive, and potentially debilitating condition, osteoporosis has a multitude of currently untapped implications for effective social work practice. A working knowledge of the medical framework of the disease process itself is a prerequisite to informed practice. This article presents such information, along with the psychological and social components, in order to provide the social worker with the comprehensive biopsyehosaial knowledge base necessary for effective practice with the osteoporotic woman and her family.     

Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study

We compared data drawn from a random sample of 399 current assisted living residents and a subsample of 222 newly admitted residents for two groups: childless residents and residents with children. The percentage of childless residents (26%) in our study was slightly higher than U.S. population estimates of childless individuals aged 65 years and older (20%). In the overall sample, the two groups differed significantly by age, race, and women's years of education. The childless group was slightly younger, had a higher percentage of African American residents, and had more years of education than the group with children. In the subsample, we looked at demographic, functional, financial, and social characteristics and found that childless residents reported fewer diagnoses of dementia and fewer visits from a relative but more reported paying less money per month for assisted living and having private insurance than residents with children. As childlessness among older adults continues to increase, it will become increasingly important to understand how child status affects the need for and experience of long-term care.     

解苦以求安宁：韧性视角下老年人的临终生命质量探究

随着人口死亡模式的转变与老龄化进程的加快,老年人的临终生命质量已成为大众关注的社会问题。本研究参考“身心灵平衡”韧性整合模型构建分析框架,运用半结构式访谈法与实物分析法,深入探索影响老年人临终生命质量的风险性与保护性因素及其作用路径。研究指出,身体的衰弱与疾痛和心理的情绪困扰是老年临终生命质量的风险性因素,它们均会损害老年人原有的平衡状态,且身心二者的负面影响存在相互强化的作用;而内在的灵性能力和外在的社会支持作为保护性因素,能够帮助老年人增强死亡准备、重构生命状态。基于上述结论,研究从身心社灵四个维度重点讨论了社会工作介入老年安宁疗护的发展方向。     

中国老年人储蓄对家庭消费的影响 ——基于CHARLS面板数据的分析

在我国快速老龄化和居民储蓄率居高不下的背景下,结合老年人储蓄偏好和消费特点,构建家庭消费计量分析模型,文章利用CHARLS2011、2013、2015年微观跟踪调查数据,采用工具变量—随机效应模型划分年龄层次和消费类别逐级估计,重点考察老年人储蓄对其家庭消费的影响。研究表明,老年人储蓄水平越高,对家庭消费的促进能力就越强;分城乡来看,农村老年人储蓄对家庭消费的贡献更大;按年龄组别来看,中、低龄老年人储蓄对家庭消费的影响显著,高龄老年人储蓄对家庭消费的影响不显著;按消费类别看,老年人储蓄偏重于家庭基本生活、教育文化、健康等刚性消费支出,城镇和农村老年人储蓄对不同消费类别影响的差异主要表现在日常支出、医疗保健和耐用消费品等方面。此外,研究还发现,老年人拥有房产对家庭消费具有非常明显的提振作用,家庭收入和老年人借贷对家庭消费的贡献显著。     

主观感知还是客观责任? ——中国农民工作回报期望影响因素研究

理清农民工作回报期望的影响因素进而精准施策,对于破解城乡发展不平衡和满足农民对美好生活的向往意义重大。利用Multinomial Logistic模型和CGSS2015相关数据的实证研究结论发现:以主观社会经济地位和外出务工经历为代表的主观感知性因素是影响农民工作回报期望的关键,而以养老责任和未成年子女数量为代表的客观责任因素的影响则不显著。同时,受教育程度也是影响农民工作回报期望的重要因素,受教育程度为初中及以下的农民对生理回报和安全回报有更强烈的诉求。     

农村老年人老化态度变动轨迹:基于积极老龄化框架的实证考察

基于积极老龄化理论框架和“中国老年健康影响因素跟踪调查”面板数据,文章从积极和消极两个维度对农村老年人老化态度问题进行实证考察。研究发现,两种老化态度均以2008年为重要转折点,女性老化态度比男性更具多样性和多变性。健康、社会参与和保障都能引起老化态度的积极变动,但社会适应、子女经济支持和社区照料三个因素对消极老化态度有正向影响,而生产活动降低了积极老化态度水平。从贡献率看,健康因素对老化态度差异贡献最大,其次是保障因素、社会参与因素,健康因素更能解释积极老化态度的变化,社会参与因素对消极老化态度的贡献率更高,二者分别在女性和男性老年人群体中表现得更为明显。贡献率排在前四位的因素是精神健康、子女经济支持、医疗可及性和身体健康。用积极老龄化的观点帮助庞大的农村老年人口建立正确的老化态度将有益于养老问题的解决。     

福利多元主义视角下城市“老漂族”精神赡养问题研究——以广州市三个典型社区为例

本研究聚焦渐趋普遍的“老漂族”群体异地养老现象,关注其精神健康。以福利多元和精神赡养理论为分析框架,对广州市三个老年流动人口较集中地区的“老漂族”进行问卷调查及访谈,通过多元线性回归分析政府、家庭、社区、市场等主体的服务供给对“老漂族”异地养老精神需求产生的影响,剖析“老漂族”异地精神赡养的需求和供给现状。本文的主要结论是,目前的养老福利托底政策和市场补充供给的不足给“老漂族”带来异地养老尤其是精神赡养上一定的困难,建议更多地发挥家庭、社区和社会组织的作用,提倡养老资源供给模式应将物质服务和精神扶助结合起来,实现养老渠道多样化、社会福利供给主体多元化,形成多元供给主体之间的协调与互补,共同支撑起能够惠及“老漂族”异地精神赡养的养老服务体系。