摘要
目的：了解成年精神残疾人需求满足度的现状及关联因素。方法：基于2006年全国残疾人抽样调查数据获得成年精神残疾人样本15155例，研究人口、健康、社会、经济4个方面的变量，分别与个体服务需求满足得分、健康服务需求（第Ⅰ类）、基本生存服务需求（第Ⅱ类）、自我提升及发展服务需求（第Ⅲ类）、环境支持性服务需求（第Ⅳ类）满足与否之间的关联关系。结果：成年精神残疾人第Ⅰ、Ⅱ、Ⅲ、Ⅳ类服务需求满足度分别为46．1％、17．5％、0．6％和5．9％。家庭人均收入水平较高（OR=1．89）、参加失业保险（OR=1．73）、领取救济（OR=1．42）等11项因素是成年精神残疾人第Ⅰ类需求获得满足的有利因素。领取救济（OR=14．61）、领取低保（OR=3．47）、年龄15～59岁（OR=1．20）是第Ⅱ类服务需求获得满足的有利因素，家庭人均收入水平较高（OR=0．79）是不利因素。年龄15—59岁（OR=25．18）、居住在城市地区（OR=3．08）、女性（OR=1．99）是第Ⅲ类服务需求获得满足的有利因素，当前无工作（OR=0．55）是不利因素。领取救济（OR=1．78）、参加养老保险（OR=1．57）、鉴定为一级精神残疾（OR=1．36）和家庭人均收入水平较高（OR=1．25）是成年精神残疾人第Ⅳ类服务需求获得满足的有利因素。领取救济（β=0．28）、领取低保（β=0．11）和人均家庭年收入升高（β=0．08）是成年精神残疾人需求满足得分上升的最重要的三项关联因素。结论：成年精神残疾人的需求满足程度按照健康服务、基本生存服务、环境支持服务和自我发展服务的顺序依次递减。需要重点关注的关联因素为经济因素，应加大对成年精神残疾人的外部经济支持，“按需”为其提供相应的服务。
Objective： To investigate the status and associated factors of demands satisfactory （DS） of multilevel services for adults with psychiatric disability （AWPD）. Methods： Based on the 2nd National Sample Survey on Disability in 2006, totally 15 155 cases of AWPD were included. The associated relationship among demographic, health, social, economic factors and individual DS score, DS of multi-level services, which were health demand （ Type Ⅰ）, basic livelihood demand （Type Ⅱ）, self-promotion and development demand （ TypeⅢ）, and environmental support demand （ Type Ⅳ） were analyzed. Results： The proportion of DS of type Ⅰ, Ⅱ, Ⅲ, IV services for AWPD were 46. 1%, 17.5%, 0. 6% and 5.9%. Eleven associated factors such as higher per capita household income （OR = 1.89）, having unemployment insurance （OR = 1.73）, having relief （OR = 1.42） were favorable factors of AWPD＇s DS of Type Ⅰ. Having relief （ OR = 14. 61 ）, having subsistence allowances （ OR = 3.47）, aging 15 - 59years （OR = 1.20） were favorable factors of AWPD＇s DS, and higher per capita household income （OR =0. 79） was an adverse factor of Type Ⅱ. Aging 15 - 59 years （ OR = 25. 18）, living in urban （ OR = 3.08）, being female （OR = 1.99） were favorable factors of AWPD＇s DS, and unemployment （OR = 0. 55） was an adverse factor of Type Ⅲ. Having relief （OR = 1.78）, having pension insurance （OR = 1.57）, being defined as grade I （OR = 1.36） and higher per capita household income （OR = 1.25） were favorable factors of AWPD＇s DS of Type Ⅳ. The most important 3 associated factors for DS score were having relief （β= 0. 28）, having subsistence allowances （β = 0. 11 ） and higher per capita household income （β = 0.08）. Conclusion： In accordance with the order of the services of health, basic livelihood, environmental support and self-development, AWPD＇s DS of each service presented a declining trend. Associated economic factors need to be foc
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2014年第10期741-747,共7页
Chinese Mental Health Journal
基金
国家社科基金青年项目--中国分区域残疾人口需求与服务利用研究(09CRK007)
北京高校"青年英才计划"(YETP0041)
关键词
精神残疾
分层服务需求
需求满足度
关联因素
现况调查
psychiatric disability
demand of multi-level services
demands satisfactory
associated factors
cross-sectional studies
