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农村社会养老服务需求:意愿与影响

The demand willingness and the influences of the socialized senior care services in China’s rural areas

  • 摘要: 中国的人口老龄化问题已相当严重,由此衍生的养老问题将面临严峻的考验,特别是农村老年人养老问题将更加突出和严峻。基于2019年陕西省6个县区农村老年人的实地调查数据,利用描述性统计和二元Logit模型,分析农村社会养老服务需求意愿,探讨其影响因素。结果表明,82.8%的农村老年人对社会养老服务有需求意愿,社会养老服务主要有居家养老服务、社区养老服务和机构养老服务3种方式,其中以居家养老服务为主,且区域差异较小;其需求内容意愿最为强烈的是经济支持、生活照料和医疗保健。经济收入和政策法规完善程度对农村社会养老服务需求意愿有正向影响,而婚姻状况、子女数、家庭规模、代际关系、健康状况、政策重视和宣传力度、生活照料评价对农村社会养老服务需求意愿有负向影响。因此,需进一步健全农村社会保障制度,正确处理好家庭养老与社会养老的关系,以农村老年人需求为导向,合理安排社会养老服务内容。

     

    Abstract: China’s aging population in rural areas has become a serious problem and satisfying the increased demand for senior care became very challenging. Based on a survey data of 6 counties and districts of Shaanxi Province in 2019, this paper analyzed the demand willingness to the rural socialized senior care services and explored its influencing factors by using the descriptive statistics and the binary Logit model. Results show that 82.8% of the rural seniors had the demand willingness to utilize the socialized senior care services. Currently, there were three types of socialized senior care services, including the home-based senior care services, the community-based senior care services, and the institutional senior care services; and among them, the home-based senior care services were the main type, and the regional differences were small. The most demanded contents for senior care services include the economic support, daily life care, and medical care. Household income and the degree of perfection of policies and regulations have positive impacts on the demand for the socialized senior care services. While marital status, the number of children, family size, intergenerational relations, health status, policy attention and publicity, and life care evaluation have negative impacts. Therefore, it is necessary to further improve the rural social security system, to correctly handle the relationship between family senior care and socialized senior care, and to rationally arrange the contents of the socialized senior care service according to the needs of the seniors in rural areas.

     

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