Chinese General Practice ›› 2018, Vol. 21 ›› Issue (16): 1938-1943.DOI: 10.3969/j.issn.1007-9572.2018.16.007

• Monographic Research • Previous Articles     Next Articles

Status and Influencing Factors of Social Support among Chinese People Bereaved of Their Only Child

  

  1. 1.Zhejiang Health Information Center,Hangzhou 310006,China
    2.School of Humanities and Management,Zhejiang Chinese Medical University,Hangzhou 310053,China
    3.Wuhu Jinghu District Yijishan Street Community Health Center,Wuhu 241000,China
    4.School of Public Health,Nanjing Medical University,Nanjing 210029,China
    5.Shanghai Hygiene and Health Development Research Center,Shanghai 200030,China
    6.Tonggu Town People's Government,Yibin 644311,China
    7.Hangzhou Shangcheng Qingbo Street Xingfujia Integrated Home Service Center,Hangzhou 330100,China
    *Corresponding author:RONG Chao,Associate professor;E-mail:rcnj2008@163.com
  • Published:2018-06-05 Online:2018-06-05

失独家庭父母的社会支持状况及影响因素研究

  

  1. 1.310006浙江省杭州市,浙江省卫生信息中心 2.310053浙江省杭州市,浙江中医药大学人文与管理学院 3.241000安徽省芜湖市镜湖区弋矶山社区卫生服务中心 4.210029江苏省南京市,南京医科大学公共卫生学院 5.200030上海市卫生和健康发展研究中心 6.644311四川省宜宾市长宁县铜鼓镇人民政府 7.330100浙江省杭州市上城区清波街道幸福家家庭综合服务中心
    *通信作者:荣超,副教授;E-mail:rcnj2008@163.com
  • 基金资助:
    国家社会科学基金项目(16CSH071)

Abstract: Objective To discuss the social support status and its influencing factors among Chinese people bereaved of their only child,providing an evidence for the development of multiple social support systems.Methods During July to August 2017,a survey was carried out in a multi-stage sample of 235 Chinese people(≥45 years old) who were bereaved of their only child from a city under provincial jurisdiction in eastern China with a self-developed questionnaire covering questions about sociodemographic characteristics and social support〔assessed by 3 domains(subjective support,objective support,utilization of support) of the Social Support Rating Scale(SSRS)〕.Stepwise multiple linear regression analysis was performed for exploring the influencing factors for self-reported social support.Results Totaled 192 cases returned responsive questionnaires,with a response rate of 81.7%.The total SSRS score ranged from 19.0 to 46.0.The median and quartile spacing for total SSRS score,subjective support score,objective support score and utilization of support score was 34.3(12.9),20.0(8.0),7.0(3.0),7.0(3.0),respectively.Those married rather than singles achieved higher total SSRS score,subjective support score,objective support score and utilization of support score(P<0.05).Those earned monthly income ≥3 500 yuan achieved higher objective support score compared with those earned <3 500 yuan(P<0.05).Those without third-generation family members scored higher in total SSRS compared with those with(P<0.05).Both higher total SSRS score and subjective support score were found in those with good rather than fair self-reported physical status(P<0.05).Moreover,both higher total SSRS score and objective support score were found in those with good instead of poor self-reported physical status(P<0.05).Multiple linear regression analysis revealed that marital status was associated with total SSRS score,subjective support score,objective support score and utilization of support score(P<0.05),and monthly income was associated with utilization of support score(P<0.05).Conclusion In general,the bereaved Chinese people enjoy good social support.However,the level of social support differs significantly between them,mainly by marital status and monthly income.Therefore,in order to increase the social support for them,we put forward the following suggestions:actively improve the community-based integrated contractual medical and nursing services for maintaining and improving the health;deliver psychological consultation services from professional psychotherapists in forms of one-to-one or groups;strengthen the implementation of health services purchased by the government;advance the development of social support systems.

 

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摘要:

目的 探讨失独家庭父母的社会支持状况及影响因素,为构建多元社会支持体系提供依据。方法 于2017年7—8月采用多阶段抽样法,在我国东部某省辖市抽取年龄≥45岁的失独家庭父母235例。采用问卷调查的方法收集其基本情况和社会支持状况,其中社会支持状况采用社会支持评定量表(SSRS)评价,包括主观支持、客观支持、对支持的利用度3个维度。采用多元线性回归分析探讨失独家庭父母社会支持状况的影响因素。结果 共回收有效问卷192份,问卷有效回收率为81.7%。失独家庭父母的SSRS总得分为19.0~46.0分,中位得分为34.3(12.9)分,主观支持、客观支持、对支持的利用度维度的中位得分分别为20.0(8.0)、7.0(3.0)、7.0(3.0)分。在婚者的主观支持、客观支持、对支持的利用度维度得分及量表总得分高于非在婚者,月收入≥3 500元者的客观支持维度得分高于月收入<3 500元者,无第三代者的量表总得分高于有第三代者,自评健康状况为好者的主观支持维度得分及量表总得分高于自评健康状况为中者,自评健康状况为好者的客观支持维度得分及量表总得分高于自评健康状况为差者,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,婚姻状况是失独家庭父母主观支持、客观支持、对支持的利用度维度得分及量表总得分的影响因素(P<0.05);月收入是失独家庭父母对支持的利用度维度得分的影响因素(P<0.05)。结论 失独家庭父母的社会支持现状总体上较好,但不同情况者的差异较大,婚姻状况、月收入是其影响因素。建议夯实医养护一体化签约服务内容,主动维护和改善失独家庭父母的健康状况;聘请专业心理咨询师为有需求者提供群体化或个体化服务;筑牢政府购买服务内容,强化社会支持体系建设。

关键词: 失独家庭, 社会支持, 医养结合, 影响因素分析