| Summary: | 碩士 === 國立陽明大學 === 衛生福利研究所 === 97 === Background：The birth rate and the marriage rate are dropping year by year, as well as the household sizes reduces gragually, people extend the age in average, the aging of population is rapid as well as traditional family idea change and so on transformations in Taiwan, will affect elder’s living arrangement inevitably.The relations reaserch about elders’ living arrangementand the health status is insufficient in Tiawan, but already some reaserch discovery living arrangement had the relations with elders’physical and psychological health in overseas, but the finding weremostly inconsistent. The health contains physical, psychological and social health.
Objects：Understood the elders’ living arrangement and health that self-rated health, physical, psychological and social health status as well as the related influencing factors for the health in 2005 in Taiwan. Examined the association between living arrangement and health in aging male and female as well as gender difference in Taiwan.
Material and method：This is a cross-sectional study and the data source is the”National Health Interview Survey in 2005 –over 65 years old individual questionnaire” which National Health Research institutes unites Bureau of Health Promotion, Department of Health, ROC to provided. The sample were 2,355 people. The dependent variable was the living arrangement, the independent variabls were self-rated health, physical health (ADL, IADL, the chronic disease number), psychological health (depression, cognitive function), social health (social participation), used the Multiple Logistic Regression and the Linear Regression analysis.
Result：The aging male and female had significant difference on their living arrangement. The aging male by”live together with the apouse and the children”the proportion to be most,”only live together with the apouse” the next best. The aging female by “only live together with the children” the proportion to be most, “live together with rhe apouse and the children”the next best. Self-rated health, ADL, IADL and the cognitive function of the aginf male were better than the agin female. Chronic disease number of the aging female is more than the aging male. Depression in aging female is higher than the aging male. The aging male compare the aging female were often to participate in the community activities. The social participation situation of the aging male and female was all low. The part of the association between living arrangement and health as well as the gender difference found that：1. Aging male who”lives together with other people” its ADL was lower than aging male who”lives together with the spouse and the children”. 2. The aging male who”lives alone” and “only lives together with the children” its chronic disease number was fewer than the aging male who”lives together with the apouse and the children”. 3. The aging male who "lives alone” and “only lives together with the children” its depression was higher than the aging male who”lives together with the spouse and the children”. 4. The aging female who”only lives together with the spouse” its cognitive function was lower than the aging female who “lives together with the spouse and the children”. 5. The aging female who “lives alone” and “lives together with other people” compared the aging female who “lives together with the spouse and the children” to have participates in volunteer situation. 6. The aging male who “only lives together with the children”compared the aging male who “lives together with the apouse and the children” to have the situation which the participation community activities. Moreover, this research also discovered from self-rated health, physical, psychological and social health each other mutual influence.
Conclusion and discussion：Elders’ living arrangement and the health have relation, and have the difference between aging male and female. The findings because of the different national culture, the research technique, the living arrangement classification different will have the difference.
|
|---|
