Health Risk Assessment Indicators for the Left-Behind Elderly in Rural China: A Delphi Study
Health Risk Assessment Indicators for the Left-Behind Elderly in Rural China: A Delphi Study
复制标题
中国农村留守老人健康风险评估指标：德尔菲研究
DOI：
10.3390/ijerph17010340
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发表时间：
2020-01-01
影响因子：
--
通讯作者：
Liu, Yanhui
中科院分区：
文献类型：
--
作者：
Luo, Ruzhen;Zhang, Chunmei;Liu, Yanhui
在中国，每年都有许多年轻和中年的农村居民搬到城市。农村老年人落后了。随着城市化进程的推进，农村留守老人的数量不断增加，但目前尚不清楚用什么指标来评价其健康状况。为提高农村留守老年人的健康水平，构建了农村留守老年人健康风险评估指标体系。采用两轮网络德尔菲法对15位中国老年医学、健康管理、社会心理学专家的建议进行整理。评价指标体系中健康风险评价指标的意义、重要性、可修改性和综合价值。两轮德尔菲法有效率分别为86.67%和92.31%。判断系数和权威系数分别为0.87和0.82。专家熟悉度为0.76。最终构建的农村留守老人健康风险评估指标体系由5个一级指标、13个二级指标和66个三级指标组成。最终的指标可用于评价农村留守老人的健康状况，并为进一步的健康风险干预提供依据。
In China, many young and middle-aged rural residents move to urban areas each year. The rural elderly are left behind. The number of the rural left-behind elderly is increasing with urbanization, but it is unclear which indicators can be used to assess their health condition. The health risk assessment index system was developed to improve the health level of the rural left-behind elderly. A two-round web-based Delphi process was used to organize the recommendations from fifteen Chinese experts in geriatrics, health management, social psychology who participated in this study. Meaningfulness, importance, modifiability, and comprehensive value of the health risk assessment indicators in the index system were evaluated. The effective recovery rates of the two-round Delphi were 86.67% and 92.31%, respectively. The judgement coefficient and the authority coefficient were 0.87 and 0.82, respectively. The expert familiarity was 0.76. Ultimately, the health risk assessment index system for the rural left-behind elderly consisted of five first-level indicators, thirteen second-level indicators, and sixty-six third-level indicators. The final indicators can be used to evaluate the health of the rural left-behind elderly and provide the basis for additional health risk interventions.