家庭代际支持模式对老年人养老方式选择的影响研究:基于CLASS 2020数据的实证分析OA
Influence of intergenerational family support patterns on care preferences of older adults:an empirical analysis based on CLASS 2020 data
目的 综合考虑代际支持维度和方向构建家庭代际支持模式,分析其与老年人养老方式选择的关系,为促进养老资源的合理配置,优化家庭支持政策提供参考.方法 运用CLASS 2020年数据,纳入7 840例样本,利用潜在类别方法识别并划分家庭代际支持模式,利用无序多分类logistic模型分析家庭代际支持模式与老年人养老方式选择的关系.结果 我国家庭代际支持模式以赡养型为主(占60.78%),紧密型模式次之(23.19%),疏离型最少(16.03%).单因素检验显示家庭代际支持模式与老年人养老选择存在显著关联(χ²=84.51,P<0.001),无序多分类logistic模型回归结果显示赡养型代际支持模式与老年人选择家庭养老呈正相关,紧密型代际支持模式与老年人选择社区养老(OR=2.073,P<0.001)和机构养老(OR=1.489,P=0.002)均呈正相关关系,而疏离型模式与老年人选择机构养老(OR=1.045,P=0.823)有一定正相关关系但不显著,异质性检验结果表明相同代际支持模式下城乡老年人具有不同的养老选择,紧密型代际支持模式与男性和低龄老年人养老方式选择之间的关联强度,大于其与女性和高龄老年人之间的关联.结论 家庭代际支持模式与老年人的养老方式选择存在相关性,应当进一步优化赡养型代际支持模式,优化养老服务供给策略,满足老年人多元化养老需求.
Objective This study aims to examine family intergenerational support patterns by considering both their dimensions and directions,and to explore how these patterns relate to the seniors'care preferences,with a view to promoting the allocation of elderly care resources and the development of family support policies.Methods Data from the China Longitudinal Aging Social Survey(CLASS)2020 were used,including 7 840 samples.Latent Class Analysis(LCA)was employed to identify and classify family intergenerational support patterns.A multinomial logistic regression model was adopted to analyze the association between intergenerational support patterns and care preferences.Results The dominant family intergenerational support pattern in China was the"support type"(60.78%),followed by the"tight-knit type"(23.19%),while the"detached type"was least common(16.03%).Univariate analysis showed that intergenerational support patterns were significantly associated with care preferences(χ²=84.51,P<0.001).Multinomial logistic regression results indicated that the"support type"was positively correlated with the preference for home-based care.The"tight-knit type"was positively associated with both community-based care(OR=2.073,P<0.001)and institutional care(OR=1.489,P=0.002).The"detached type"had a positive but not statistically significant correlation with institutional care(OR=1.045,P=0.823).Heterogeneity analysis revealed distinct patterns between urban and rural seniors,with males and the young-old participants showing stronger associations between the"tight-knit type"and care preferences compared to females and the oldest-old.Conclusions Intergenerational support patterns are correlated with the seniors'care preferences.Insights from these patterns can further optimize the"support type"family model,imporve elderly care service supply strategies,and better meet the diverse needs of the aging population.
雒敏;吴洁瑜;张天越;陈凤
南京医科大学医政学院,江苏 南京 211166南京医科大学医政学院,江苏 南京 211166南京医科大学医政学院,江苏 南京 211166南京医科大学医政学院,江苏 南京 211166
医药卫生
代际支持模式养老方式影响
intergenerational support patternscare preferences of seniorsinfluence
《健康发展与政策研究》 2026 (1)
69-76,8
江苏省社会科学基金项目(23SHB013)教育部人文社会科学研究规划项目(22YJAZH078)
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