Healty Status Of Empty-nested Elderly People And The Utilization Of Community Health-care Services In Tianshan District Of Urumqi City

Objective:To find out the distribution characters, health status, influencing factors, health care demands and the demand-fulfilling status of health care services of the empty-nested elderly people in Urumqi, to help the community enhance the nursing and health care service particularly according to their ethnical character and improve the health condition and life quality of the empty-nested elderly people. Methods:random sampling 3 sub-district offices from 14 in Tianshan District of Urumqi city, then random sampling 2 communities from each sub-district office, survey the health condition of the empty-nested elderly people, including general information of their families, activity of daily living, cognitive function, the prevalence status of chronic diseases, daily care problem, financial sustainability problem, physical safety problem,the main factors influencing their health conditions and the utilization status of community health-care services.Results: 1) Totally 713 empty-nested elderly people of the 6 communities, including 275 male, accounting for 38.5% and 438 female,61.5%; 250 of ethnical minority, accounting for 35.1%; ages from 60 to 92.2) Health status:strong negative correlation between chronic diseases and daily self-care capability of empty-nested elderly people; chronic diseases such as chronic bronchitis, osteoarthritis, cardiovascular disease, chronic asthma and hypertension disease strongly construe this negative correlation especially for the ADL dysfunction of empty-nested elderly people; medical cost coverage:94.1% of the empty-nested elderly people who have full coverage by government or other social insurance have chronic diseases,40.3% of those who have no or limited coverage have chronic diseases, different medical cost coverages contrue the prevalence of chronic diseases of empty-nested elderly people and have statistically significance (p<0.05); gender and ethinical characters for the difference of cognitive capability have statistically significance (p<0.05); age (Beta=-0.142) is the strongest factor for cognitive capability, secondly is education ((Beta=0.134).3)Other factors influencing health status such as smoking, alcohol drinking, diet habbits and physical exercise have statistically significance (p<0.05).4) Knowledge for community health care services has statistically significance (p<0.05):48.9% for Han Chinese and 37.6% for ethnical minority Chinese; utilization of community health care services for different ethnical groups has statistically significance (p<0.05):monthly sallary level (501-1000 CNY per month) and the knowledge for community health care services are the main factors for the utilization, OR value 5.119 and 15;300.Conclusion:different medical cost coverage influence the prevalence of chronic diseases of empty-nested elderly people; ADL dysfunction of empty-nested elderly people correlates the kinds of chronic diseases; cognitive capability of empty-nested elderly people correlates the factors such as gender, age, ethnical group and education; for the knowledge and utilization for community health care services, Han Chinese outrats other ethnical minority Chinese, monthly sallary level and the the knowledge for community health care services influence the utilization of these services.