健康、社經地位與老年人口居住安排轉變之相關因素

The Effects of Health and Socioeconomic Status of the Elderly on Transitions in Living Arrangements in Taiwan

吳佩芸(WU PEI-YUN)

指導教授 ： 董和銳

亞洲大學/健康學院/長期照護研究所/碩士(2009年)

摘要

居住安排對個人而言，尤其對老年人是家庭生活與支持系統中最重要的基礎。本研究目的在於了解影響老年人居住安排轉變的社會經濟狀況和健康決定因素，並分析居住安排轉變之動向。
　　本研究以行政院衛生署國民健康局「台灣地區中老年人社會生活狀況長期追蹤調查系列」之研究資料庫進行資料分析，本研究分析1996年至2003年之間的居住安排轉變，樣本數為2,249人。依變項為2003年居住安排分為獨居、非獨居、入住機構及死亡，自變項為1996年社會人口學特徵、社會經濟因素和健康決定因素。透過SPSS 12.0進行描述性統計、卡方檢定與多項式邏輯斯回歸分析。
　　本研究之重要結果顯示：
(一)於基準年1996年無房屋擁有權和工具性日常生活活動越困難者越有獨居的風險。在基準年1996年為識字或初等教育、有危急慢性疾病和功能限制越大者越有入住機構的風險。而在基準年1996年為教育程度為初中以下、無房屋擁有權、自評健康為不好和功能限制越大者越有死亡的風險。
(二)七年間獨居與非獨居(N=1440)的動向，發現晚年居住安排很穩定幾乎不會有變動，而居住安排轉變的僅332人占23%。

關鍵字：老年人、居住安排、社會經濟狀況、健康

關鍵字

老年人 ； 居住安排 ； 社會經濟狀況 ； 健康

並列摘要

In a society where the norm of filial piety is strongly emphasized, such as Taiwan, support for the elderly mainly takes the form of living with the older person’s children and family has been a source of protection for older Taiwan. The purpose of this study was to examine the impact of socioeconomic status and health on the transitions in living arrangements among the elderly in Taiwan.
　　Data came from the Survey of Health and Living Status of the Elderly in Taiwan, collected by the Center for Survey Research, Bureau of Health Promotion, Department of Health. It is longitudinal panel-design survey and the third (1996) and fifth (2003) waves of the survey were used for current study.
　　The main findings include:
(1) In the baseline (1996), non-homeowner and elders with instrumental activities of daily living were associated with living alone. Elders with lower education levels, having chronic diseases and function limitations were more likely to move into an institution. Plus, over the study period (from 1996 to 2003), elders with lower education level, non-homeowner, poorer self-rated health and having function limitations were also more likely to die.
(2) In terms of the transitions of living arrangement between 1996 and 2003, we found that most of the elders had not changed their living arrangements. Only 332 elders (23%) had changed their living arrangements over the study period.

Key words: elder, living arrangement, socioeconomic status, health.

並列關鍵字

elder ； living arrangement ； socioeconomic status ； health

參考文獻

陳肇男(1996)：Living Apart From One`s Children in Later Life-The Case of Taiwan.台灣社會學刊，19：57-93。

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