Article(id=1324050957633454146, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202511448, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1764259200000, receivedDateStr=2025-11-28, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793607947977, onlineDateStr=2026-11-02, pubDate=1778342400000, pubDateStr=2026-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793607947977, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793607947977, creator=13701087609, updateTime=1793607947977, updator=13701087609, issue=Issue{id=1324050669933572771, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='9', pageStart='1537', pageEnd='1728', issueExtLink='null', onlineDate='null', pubDate='1778342400000', pubDateStr='2026-05-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793607879384, creator='13701087609', updateTime=1793670100562, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324311644528050975, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324311644528050976, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1670, endPage=1675, ext={EN=ArticleExt(id=1324050959462170691, articleId=1324050957633454146, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Smart health and eldercare devices usage among middle-aged and older adults in Yunnan Province, columnId=1228016572451718132, journalTitle=Modern Preventive Medicine, columnName=Health and Social Behavior, runingTitle=null, highlight=null, articleAbstract=
Objective

To analyze the prevalence and usage of smart health and eldercare devices among middle-aged and older adults in Yunnan Province, and to compare disparities across different groups.

Methods

A stratified random cluster sampling method was employed. Face-to-face questionnaire surveys were conducted among adults aged 45 and above from 6 prefectures (cities) in Yunnan Province, yielding 2 595 valid questionnaires. Data were analyzed using Stata 15.1.

Results

The prevalence of devices ranked as follows: smartphones (83.55%), smart TVs (77.88%), video surveillance (36.30%), etc., with fall alarms being the lowest (1.19%). A notable decline was observed from device ownership rate to usage rate and proficiency rate, indicating an “ownership-usage-proficiency” efficacy decay. Smartphones had the highest prevalence (83.55%) and regular usage rate (60.42%), while smart TVs had the highest proficient usage rate (49.83%). Fall alarms had the lowest rates in prevalence (1.19%), regular usage (0.35%), and proficient usage (0.19%). Significant differences in device prevalence, regular usage rate, and proficient usage rate were found across ethnic and age groups, whereas no significant differences were observed between genders.

Conclusion

The prevalence and use of smart health and eldercare devices (except for smart cell phones and TVs) among the middle-aged older adults in Yunnan Province are low overall, and there are significant ethnic and age differences.

, authors=Juan CHEN, Fei-heng GAO, Tan-zhen ZHANG, Hong-yu WEI, Rui DENG, Yuan HUANG, Chao-fang YAN, authorsList=Juan CHEN, Fei-heng GAO, Tan-zhen ZHANG, Hong-yu WEI, Rui DENG, Yuan HUANG, Chao-fang YAN, authorCompany=null, correspAuthors=Chao-fang YAN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324050961903255624, articleId=1324050957633454146, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=云南省中老年人智慧健康养老设备使用现状分析, columnId=1228016572640461823, journalTitle=现代预防医学, columnName=健康与社会行为, runingTitle=null, highlight=null, articleAbstract=
目的

分析云南省中老年人智慧健康养老设备的普及与使用现状,比较其在不同群体间的差异。

方法

采用分层随机整群抽样,对云南省6个州(市)45岁以上中老年人开展面对面问卷调查(有效问卷2 595份),使用Stata 15.1进行统计分析。

结果

设备普及率从高到低依次为智能手机、智能电视、视频监控等,分别为83.55%、77.88%、36.30%,跌倒报警器最低,为1.19%。普及率、使用率和熟练使用率存在显著“拥有-使用-熟练”效能衰减。智能手机是普及率和经常使用率最高的设备,分别为83.55%、60.42%,智能电视熟练使用率最高,为49.83%,而跌倒报警器的普及率、经常使用率和熟练使用率均最低,分别为1.19%、0.35%、0.19%。设备普及率、经常使用率与熟练使用率在民族、年龄组间差异显著,性别间差异不明显。

结论

云南省中老年人智慧健康养老设备(除手机、电视外)普及和使用水平整体较低,且存在民族与年龄差异。

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陈娟(2001—),女,硕士在读,研究方向:智慧健康养老及健康管理服务

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严朝芳,E-mail:
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The path of promoting the elderly to cross the digital divide under the background of deep aging [J]. Aging Research, 2024, 11(6): 2718-2722. (In Chinese), articleTitle=The path of promoting the elderly to cross the digital divide under the background of deep aging, refAbstract=null), Reference(id=1324050982493094068, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, doi=null, pmid=null, pmcid=null, year=2024, volume=9, issue=5, pageStart=38, pageEnd=53, url=null, language=null, rfNumber=[25], rfOrder=45, authorNames=侯宇轩, 任新宇, journalName=设计, refType=null, unstructuredReference=侯宇轩,任新宇.老年人使用智能居家养老系统意愿的影响因素研究 [J]. 设计,2024, 9(5):38-53., articleTitle=老年人使用智能居家养老系统意愿的影响因素研究, refAbstract=null), Reference(id=1324050982639894709, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, doi=null, pmid=null, pmcid=null, year=2024, volume=9, issue=5, pageStart=38, pageEnd=53, url=null, language=null, rfNumber=[25], rfOrder=46, authorNames=Hou YX, Ren XY, journalName=Design, refType=null, unstructuredReference=Hou YX, Ren XY. 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(In Chinese), articleTitle=Research on factors influencing the intention of the elderly to use smart home-based elderly care systems, refAbstract=null)], funds=[Fund(id=1324050969348145278, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, awardId=202401AY070001-063, language=CN, fundingSource=云南省科技厅-昆明医科大学应用基础研究联合专项资金面上项目(202401AY070001-063), fundOrder=null, country=null), Fund(id=1324050969432031359, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, awardId=202401AT070178, language=CN, fundingSource=云南省基础研究计划(202401AT070178), fundOrder=null, country=null), Fund(id=1324050969515917440, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, awardId=2024CX08, language=CN, fundingSource=云南省哲学社会科学创新团队(2024CX08), fundOrder=null, country=null), Fund(id=1324050969595609217, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, awardId=2025S164, language=CN, fundingSource=昆明医科大学2025年研究生教育创新基金(2025S164), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1324050962234605641, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, xref=null, ext=[AuthorCompanyExt(id=1324050962251382858, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, companyId=1324050962234605641, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China), AuthorCompanyExt(id=1324050962259771467, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, companyId=1324050962234605641, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=昆明医科大学公共卫生学院,云南 昆明 650500)])], figs=[ArticleFig(id=1324050966391160949, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=EN, label=Figure 1, caption=Overview of smart healthy aging related device usage, figureFileSmall=qOt68TbmKIoSSXFRfvtpTg==, figureFileBig=gPNmZt7qs4DfzdMAf1vbtg==, tableContent=null), ArticleFig(id=1324050966726705270, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=CN, label=图1, caption=智慧健康养老相关设备使用概况, figureFileSmall=qOt68TbmKIoSSXFRfvtpTg==, figureFileBig=gPNmZt7qs4DfzdMAf1vbtg==, tableContent=null), ArticleFig(id=1324050968559616120, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=EN, label=Table 1, caption=

Analysis of differences in smart device prevalence rates across demographic characteristics [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族1 429
(82.08)
684
(39.29)
213
(12.23)
261
(14.99)
154 (8.85)27 (1.55)504
(28.95)
78 (4.48)237
(13.61)
1 334
(76.62)
310
(17.81)
135 (7.75)
少数民族739
(86.53)
264
(30.91)
51
(5.97)
65
(7.61)
28 (3.28)4 (0.47)438
(51.29)
53 (6.21)57
(6.67)
687
(80.44)
258
(30.21)
25 (2.93)
P值0.0040.003<0.001<0.001<0.0010.017<0.0010.059<0.0010.027<0.001<0.001
年龄中年组968
(95.75)
388
(38.38)
164
(16.22)
153
(15.13)
68 (6.73)9 (0.89)431
(42.63)
66 (6.53)118
(11.67)
820
(81.11)
252
(24.93)
61 (6.03)
老年组1 200
(75.76)
519
(32.77)
100
(6.31)
173
(10.92)
114 (7.20)22 (1.39)511
(32.26)
65 (4.10)176
(11.11)
1 201
(75.82)
316
(19.95)
99 (6.25)
P值<0.0010.003<0.0010.0020.6470.254<0.0010.0060.660.0020.0030.82
性别男888
(81.32)
355
(32.51)
119
(10.90)
119
(10.90)
84 (7.69)11 (1.01)409
(37.45)
50 (4.58)106
(9.71)
849
(77.75)
236
(21.61)
48 (4.40)
女1 280
(85.16)
552
(36.73)
145
(9.65)
207
(13.77)
98 (6.52)20 (1.33)533
(35.46)
81 (5.39)188
(12.51)
1 172
(77.98)
332
(22.09)
112 (7.45)
P值0.0090.0260.2980.0290.2480.4540.2980.3520.0260.8890.7720.001
), ArticleFig(id=1324050968798691449, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=CN, label=表1, caption=

不同人口学特征群体间智能设备普及率的差异分析[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族1 429
(82.08)
684
(39.29)
213
(12.23)
261
(14.99)
154 (8.85)27 (1.55)504
(28.95)
78 (4.48)237
(13.61)
1 334
(76.62)
310
(17.81)
135 (7.75)
少数民族739
(86.53)
264
(30.91)
51
(5.97)
65
(7.61)
28 (3.28)4 (0.47)438
(51.29)
53 (6.21)57
(6.67)
687
(80.44)
258
(30.21)
25 (2.93)
P值0.0040.003<0.001<0.001<0.0010.017<0.0010.059<0.0010.027<0.001<0.001
年龄中年组968
(95.75)
388
(38.38)
164
(16.22)
153
(15.13)
68 (6.73)9 (0.89)431
(42.63)
66 (6.53)118
(11.67)
820
(81.11)
252
(24.93)
61 (6.03)
老年组1 200
(75.76)
519
(32.77)
100
(6.31)
173
(10.92)
114 (7.20)22 (1.39)511
(32.26)
65 (4.10)176
(11.11)
1 201
(75.82)
316
(19.95)
99 (6.25)
P值<0.0010.003<0.0010.0020.6470.254<0.0010.0060.660.0020.0030.82
性别男888
(81.32)
355
(32.51)
119
(10.90)
119
(10.90)
84 (7.69)11 (1.01)409
(37.45)
50 (4.58)106
(9.71)
849
(77.75)
236
(21.61)
48 (4.40)
女1 280
(85.16)
552
(36.73)
145
(9.65)
207
(13.77)
98 (6.52)20 (1.33)533
(35.46)
81 (5.39)188
(12.51)
1 172
(77.98)
332
(22.09)
112 (7.45)
P值0.0090.0260.2980.0290.2480.4540.2980.3520.0260.8890.7720.001
), ArticleFig(id=1324050968869994618, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=EN, label=Table 2, caption=

Analysis of differences in smart device regular usage across demographic characteristics [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族1 028
(71.94)
168
(26.13)
167
(78.40)
184
(70.50)
78 (50.00)8 (29.63)280
(55.45)
865
(64.84)
168
(54.19)
54 (70.13)194
(81.51)
89 (64.96)
少数民族540
(73.07)
50 (18.94)27 (52.94)54 (83.08)17 (60.71)1 (25.00)270
(61.50)
444
(64.63)
128
(49.61)
49 (92.45)44
(77.19)
13 (52.00)
P值0.1210.0190.0010.0920.5790.8490.1540.3960.1190.0070.2650.418
年龄中年组808
(83.47)
143
(36.86)
120
(73.17)
121
(79.08)
38 (55.88)3 (33.33)303
(70.14)
540
(65.85)
146
(57.94)
59 (89.39)102
(85.71)
44 (70.97)
老年组760
(63.33)
75
(14.45)
74
(74.00)
117
(67.63)
57 (49.14)6 (27.27)247
(48.24)
769
(64.03)
150
(47.47)
44 (68.75)136
(77.27)
58 (58.00)
P值<0.001<0.0010.8440.0590.4330.736<0.0010.071<0.0010.0150.1970.081
性别男648
(72.97)
91
(25.63)
82
(68.91)
81
(68.07)
46 (54.12)1 (9.09)252
(61.31)
567
(67.42)
126
(53.39)
40 (81.63)86
(80.37)
25 (52.08)
女920
(71.88)
127
(23.01)
112
(77.24)
157
(75.85)
49 (49.49)8 (40.00)298
(55.91)
742
(63.31)
170
(51.20)
63 (77.78)152
(80.85)
77 (67.54)
P值0.0380.5650.1240.3030.4050.070.2030.2590.7850.8710.8680.007
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设备经常使用率在不同群体间的差异分析[n(%)]

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特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族1 028
(71.94)
168
(26.13)
167
(78.40)
184
(70.50)
78 (50.00)8 (29.63)280
(55.45)
865
(64.84)
168
(54.19)
54 (70.13)194
(81.51)
89 (64.96)
少数民族540
(73.07)
50 (18.94)27 (52.94)54 (83.08)17 (60.71)1 (25.00)270
(61.50)
444
(64.63)
128
(49.61)
49 (92.45)44
(77.19)
13 (52.00)
P值0.1210.0190.0010.0920.5790.8490.1540.3960.1190.0070.2650.418
年龄中年组808
(83.47)
143
(36.86)
120
(73.17)
121
(79.08)
38 (55.88)3 (33.33)303
(70.14)
540
(65.85)
146
(57.94)
59 (89.39)102
(85.71)
44 (70.97)
老年组760
(63.33)
75
(14.45)
74
(74.00)
117
(67.63)
57 (49.14)6 (27.27)247
(48.24)
769
(64.03)
150
(47.47)
44 (68.75)136
(77.27)
58 (58.00)
P值<0.001<0.0010.8440.0590.4330.736<0.0010.071<0.0010.0150.1970.081
性别男648
(72.97)
91
(25.63)
82
(68.91)
81
(68.07)
46 (54.12)1 (9.09)252
(61.31)
567
(67.42)
126
(53.39)
40 (81.63)86
(80.37)
25 (52.08)
女920
(71.88)
127
(23.01)
112
(77.24)
157
(75.85)
49 (49.49)8 (40.00)298
(55.91)
742
(63.31)
170
(51.20)
63 (77.78)152
(80.85)
77 (67.54)
P值0.0380.5650.1240.3030.4050.070.2030.2590.7850.8710.8680.007
), ArticleFig(id=1324050969155207292, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=EN, label=Table 3, caption=

Analysis of differences in smart device proficiency usage across demographic characteristics [n(%)]

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特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族827
(57.87)
178
(27.68)
178
(83.57)
181
(69.35)
67 (42.95)4 (14.81)225
(44.55)
829
(62.14)
169
(54.52)
50 (64.94)192
(80.67)
86 (62.77)
少数民族418
(20.03)
53
(20.08)
31
(60.78)
53
(81.54)
18 (64.29)1 (25.00)244
(55.58)
464
(67.54)
125
(48.45)
47 (88.68)41
(71.93)
11 (44.00)
P值0.2710.017<0.0010.1480.1110.8470.0030.030.2050.0090.3280.164
年龄中年组681
(70.35)
154
(39.69)
130
(79.27)
124
(81.05)
36 (52.94)3 (33.33)276
(63.89)
555
(67.68)
161
(63.89)
58 (87.88)101
(84.87)
39 (62.90)
老年组564
(47.00)
77
(14.84)
79
(79.00)
110
(63.58)
49 (42.24)2 (9.09)193
(37.70)
738
(61.45)
133
(42.09)
39 (60.94)132
(75.00)
58 (58.00)
P值<0.001<0.0010.7560.0870.0880.006<0.0010.001<0.0010.0020.121<0.001
性别男530
(59.68)
103
(29.01)
89
(74.79)
82
(68.91)
42 (49.41)0 (0.00)221
(53.77)
564
(67.06)
126
(53.39)
38 (77.55)84
(78.50)
26 (54.17)
女715
(55.86)
128
(23.19)
120
(82.76)
152
(73.43)
43 (43.43)5 (25.00)248
(46.53)
729
(62.20)
168
(50.60)
59 (72.84)149
(79.26)
71 (62.28)
P值0.0870.0810.2730.6780.7130.1310.0770.1020.7440.8360.4890.604
), ArticleFig(id=1324050969234899069, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050957633454146, language=CN, label=表3, caption=

设备熟练使用率在不同群体间的差异分析[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
特征智能手机电脑/平板健康手环体脂秤烟雾报警器跌倒报警器视频监控智能家居智能门锁智能电视智能音响扫地机器人
民族汉族827
(57.87)
178
(27.68)
178
(83.57)
181
(69.35)
67 (42.95)4 (14.81)225
(44.55)
829
(62.14)
169
(54.52)
50 (64.94)192
(80.67)
86 (62.77)
少数民族418
(20.03)
53
(20.08)
31
(60.78)
53
(81.54)
18 (64.29)1 (25.00)244
(55.58)
464
(67.54)
125
(48.45)
47 (88.68)41
(71.93)
11 (44.00)
P值0.2710.017<0.0010.1480.1110.8470.0030.030.2050.0090.3280.164
年龄中年组681
(70.35)
154
(39.69)
130
(79.27)
124
(81.05)
36 (52.94)3 (33.33)276
(63.89)
555
(67.68)
161
(63.89)
58 (87.88)101
(84.87)
39 (62.90)
老年组564
(47.00)
77
(14.84)
79
(79.00)
110
(63.58)
49 (42.24)2 (9.09)193
(37.70)
738
(61.45)
133
(42.09)
39 (60.94)132
(75.00)
58 (58.00)
P值<0.001<0.0010.7560.0870.0880.006<0.0010.001<0.0010.0020.121<0.001
性别男530
(59.68)
103
(29.01)
89
(74.79)
82
(68.91)
42 (49.41)0 (0.00)221
(53.77)
564
(67.06)
126
(53.39)
38 (77.55)84
(78.50)
26 (54.17)
女715
(55.86)
128
(23.19)
120
(82.76)
152
(73.43)
43 (43.43)5 (25.00)248
(46.53)
729
(62.20)
168
(50.60)
59 (72.84)149
(79.26)
71 (62.28)
P值0.0870.0810.2730.6780.7130.1310.0770.1020.7440.8360.4890.604
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云南省中老年人智慧健康养老设备使用现状分析
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陈娟 , 高非恒 , 张潭真 , 魏鸿宇 , 邓睿 , 黄源 , 严朝芳
现代预防医学 | 健康与社会行为 2026,53(9): 1670-1675
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现代预防医学 |健康与社会行为 2026 , 53 (9) : 1670 -1675
云南省中老年人智慧健康养老设备使用现状分析
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陈娟, 高非恒, 张潭真, 魏鸿宇, 邓睿, 黄源, 严朝芳
作者信息
  • 昆明医科大学公共卫生学院,云南 昆明 650500
通讯作者:
严朝芳,E-mail:
作者简介:

陈娟(2001—),女,硕士在读,研究方向:智慧健康养老及健康管理服务

Smart health and eldercare devices usage among middle-aged and older adults in Yunnan Province
Juan CHEN, Fei-heng GAO, Tan-zhen ZHANG, Hong-yu WEI, Rui DENG, Yuan HUANG, Chao-fang YAN
Affiliations
  • School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
出版时间: 2026-05-10 doi: 10.20043/j.cnki.MPM.202511448
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目的

分析云南省中老年人智慧健康养老设备的普及与使用现状,比较其在不同群体间的差异。

方法

采用分层随机整群抽样,对云南省6个州(市)45岁以上中老年人开展面对面问卷调查(有效问卷2 595份),使用Stata 15.1进行统计分析。

结果

设备普及率从高到低依次为智能手机、智能电视、视频监控等,分别为83.55%、77.88%、36.30%,跌倒报警器最低,为1.19%。普及率、使用率和熟练使用率存在显著“拥有-使用-熟练”效能衰减。智能手机是普及率和经常使用率最高的设备,分别为83.55%、60.42%,智能电视熟练使用率最高,为49.83%,而跌倒报警器的普及率、经常使用率和熟练使用率均最低,分别为1.19%、0.35%、0.19%。设备普及率、经常使用率与熟练使用率在民族、年龄组间差异显著,性别间差异不明显。

结论

云南省中老年人智慧健康养老设备(除手机、电视外)普及和使用水平整体较低,且存在民族与年龄差异。

智慧健康养老设备  /  中老年人  /  智慧养老
Objective

To analyze the prevalence and usage of smart health and eldercare devices among middle-aged and older adults in Yunnan Province, and to compare disparities across different groups.

Methods

A stratified random cluster sampling method was employed. Face-to-face questionnaire surveys were conducted among adults aged 45 and above from 6 prefectures (cities) in Yunnan Province, yielding 2 595 valid questionnaires. Data were analyzed using Stata 15.1.

Results

The prevalence of devices ranked as follows: smartphones (83.55%), smart TVs (77.88%), video surveillance (36.30%), etc., with fall alarms being the lowest (1.19%). A notable decline was observed from device ownership rate to usage rate and proficiency rate, indicating an “ownership-usage-proficiency” efficacy decay. Smartphones had the highest prevalence (83.55%) and regular usage rate (60.42%), while smart TVs had the highest proficient usage rate (49.83%). Fall alarms had the lowest rates in prevalence (1.19%), regular usage (0.35%), and proficient usage (0.19%). Significant differences in device prevalence, regular usage rate, and proficient usage rate were found across ethnic and age groups, whereas no significant differences were observed between genders.

Conclusion

The prevalence and use of smart health and eldercare devices (except for smart cell phones and TVs) among the middle-aged older adults in Yunnan Province are low overall, and there are significant ethnic and age differences.

Smart health and eldercare devices  /  Middle-aged and older adults  /  Smart eldercare
陈娟, 高非恒, 张潭真, 魏鸿宇, 邓睿, 黄源, 严朝芳. 云南省中老年人智慧健康养老设备使用现状分析. 现代预防医学, 2026 , 53 (9) : 1670 -1675 . DOI: 10.20043/j.cnki.MPM.202511448
Juan CHEN, Fei-heng GAO, Tan-zhen ZHANG, Hong-yu WEI, Rui DENG, Yuan HUANG, Chao-fang YAN. Smart health and eldercare devices usage among middle-aged and older adults in Yunnan Province[J]. Modern Preventive Medicine, 2026 , 53 (9) : 1670 -1675 . DOI: 10.20043/j.cnki.MPM.202511448
中国正加速步入深度老龄化社会。截至2022年底,全国60岁及以上人口达2.8亿,占总人口19.8%;其中65岁及以上人口为2.1亿,占比14.9%。预计到2035年前后,60岁及以上老年人口占比将超过30%,进入重度老龄化阶段[1]。为应对老龄化,国家已出台《智慧健康养老产业发展行动计划(2021—2025年)》[2],旨在通过技术赋能推动养老服务向智能化、精准化转型。智慧健康养老依托物联网、大数据和人工智能技术构建“人-机-环境”协同体系,智能设备是其关键基础。2025年4月,工业和信息化部等部门公布《智慧健康养老产品及服务推广目录(2024年版)》[3],标志着该产业正从分散探索转向规范化、规模化发展。
云南省2023年60岁以上老年人口占比达17%(约792万人),65岁以上人口占比11.9%(约558万人),空巢及留守老人比例超30%且持续攀升[4-5]。受高原山区地形、网络覆盖不均、民族语言适配性等问题,智慧健康养老在当地的推广面临特殊挑战[6-7]。为此,本研究以智慧健康养老设备为切入点,探讨其在云南省中老年人中的应用现状,以期为本地化智慧养老体系建设提供依据。
智慧健康养老产业是融合物联网、大数据、云计算、人工智能等新一代信息技术,以智能产品和信息系统平台为载体,面向人民群众健康及养老服务需求的新兴产业形态[8]。智慧健康养老设备是该产业的重要组成部分,通常具备智能化与网络化特征,通过传感器实时采集老年人健康与生活数据,经智能算法分析实现监测、预警及生活辅助等功能,以提供个性化健康管理服务[9-10]。参考《智慧健康养老产品及服务推广目录(2024年版)分类》[3],本研究选取居家生活场景相关的三类产品进行调查,分别是:健康管理类(健康手环、体脂秤)、养老监护类(跌倒报警器、烟雾报警器、视频监控)、家庭服务类(智能家居、智能门锁、扫地机器人、智能电视、智能音箱)[2],智能手机和电脑平板是使用上述产品的基础设备,一并纳入调查,共计12种产品。
普及率:本研究中,“普及率”指在调查的目标人群(本研究为云南省部分中老年人)中,拥有或可支配某一特定智慧健康养老设备的人数所占的比例。
经常使用率:本研究中,“经常使用率”指在已经拥有某一特定智慧健康养老设备的中老年人群中,自我报告“经常使用”该设备的人数所占的比例。其分母是某设备“拥有者”,而非总样本。
熟练使用率:本研究中,“熟练使用率”指在已经拥有某一特定智慧健康养老设备的中老年人群中,自我评估能够“熟练使用”(即能独立、顺畅地操作设备的主要功能,无需或较少需要他人帮助)的人数所占的比例。其分母同样是“拥有者”。
本研究覆盖云南省6个州(市)45岁及以上城乡中老年人。根据样本量计算公式:
其中 P取《中国城市养老服务需求报告(2021)》中城乡居民机构养老的需求比例为20.6%。设允许相对误差为10%,允许绝对误差δ=0.206×0.10=0.020 6,deff 取1.5,按照95%的可信区间μα取1.96,计算出最小样本量约为2 243人。同时考虑无效问卷和拒访率,拒访率不超过15%,计算得到最终样本量约为2 579人。考虑到实际调查中可能出现的无效问卷、逻辑错误或数据缺失等问题,在实际调研阶段适当扩大样本规模。
本研究采用分层多阶段随机整群抽样方法,首先依据按地理区位将云南省划分为滇东、滇西、滇南、滇北、滇中五个分层;为覆盖省会特征,昆明作为确定抽取的入样城市;其次,综合社会经济发展状况和区域位置选择楚雄市、保山市、西双版纳傣族自治州、昭通市以及红河哈尼族彝族自治州作为调查点;在各县(市)辖区内根据聚居情况,随机抽取2个乡镇(街道);在每个入样乡镇(街道)内,随机抽取2个行政村(社区);在每个行政村(社区)整群抽取年龄在45岁及以上的常住居民进行调查。
采用EpiData 3.1 进行数据录入,采用 Stata 15.1 对调查数据进行统计描述和分析。采用χ2检验对智能设备普及率、经常使用率、熟练使用率等的民族、年龄和性别之间的差异进行统计分析。检验水准α=0.05。
本研究调查的12种智慧健康养老设备中,智能手机的普及率最高,为83.55%,跌倒报警器的普及率最低,为1.19%。其余设备的普及率见图1。
在“拥有”并“经常使用”的12种智慧健康养老设备中,智能手机作为基础通信设备,仍然是使用频率最高的智能设备,1 568人(60.42%)经常使用,跌倒报警器的经常使用频率最低,仅9人(0.35%)经常使用。其他设备的经常使用率见图1。
在“拥有”并“能熟练使用”的12种智慧健康养老设备中,智能电视的熟练使用率最高,为49.83%(1 293人),智能手机的熟练使用率也处于较高水平,为47.98%(1 245人),跌倒报警器熟练使用率仍最低,仅5人(0.19%)能熟练使用,其余设备的熟练使用率见图1。
健康手环与智能门锁在汉族中的普及率分别为12.23%和13.61%,均显著高于少数民族的5.97%和6.67%(P均<0.001)。智能手机与智能电视在少数民族中普及率分别为86.53%和80.44%,高于汉族的82.08%和76.62%(P=0.004、0.027)。中年组(45~59岁)智能手机、电脑/平板、智能音箱的普及率分别为95.75%、38.38%、24.93%,均高于老年组(≥60岁)的75.76%、32.77%和19.95%。女性扫地机器人的普及率为7.45%,显著高于男性的4.40%。见表1。
健康手环、电脑/平板在汉族中的经常使用率分别为78.40%、26.13%,均高于少数民族的52.94%、18.94%,差异具有统计学意义(P=0.001、0.019)。智能家居在少数民族中的经常使用率为92.45%,高于汉族的70.13%(P=0.007)。智能手机、电脑平板、智能音箱、视频监控等多种设备在中年组的经常使用率分别为83.47%、36.86%、57.94%、70.14%,均高于老年组的63.33%、14.45%、47.47%、48.24%(P值均<0.001)。扫地机器人在女性中的经常使用率为67.54%,高于男性的52.08%,差距具有统计学意义(P=0.007)。见表2。
健康手环、电脑/平板在汉族中的熟练使用率分别为83.57%、27.68%,显著高于少数民族的60.78%、20.08%,差异均具有显著性(P<0.001、P=0.017),而少数民族智能电视、视频监控、智能家居的熟练使用率分别为67.54%、55.58%、88.68%,均高于汉族的62.14、44.55%、64.94%(P=0.03、P=0.003、P=0.009)。中年组智能手机、电脑平板、智能电视、智能音箱、视频监控、跌倒报警器、扫地机器人等多种智能设备的熟练使用率分别为70.35%、39.69%、67.68%、63.89%、63.89%、33.33%、62.90%,显著高于老年组的47.00%、14.84%、61.45%、42.09%、37.70%、9.09%、58.00%具有统计学差异(P值均小于0.05)。各设备的熟练使用率在性别因素间均无明显差异。见表3。
智能手机作为智慧健康养老产品的基础设备,在云南省中老年群体中普及率达到了83.55%,高于《2021 全球移动市场报告》[11]的中国平均水平(66%),亦接近发达国家2023年水平(美国90%、英国80%)[12]。作为通用型智能终端,智能手机集通讯、支付、信息获取等多功能于一体,操作界面经过长期培育已较为标准化,因而普及与使用率均较高。此外,智能电视在本研究中普及率居第二,但其熟练使用率为49.83%,略高于智能手机的47.98%。故未来在开展中老年人健康教育与智慧养老服务时,可考虑与这两种设备进行信息联动与服务整合,以提升智慧健康养老服务的可及性[13]。
健康手环作为目前便捷经济的健康管理设备,普及率仅为10.17%,而跌倒报警器、烟雾报警器等养老监护设备普及率均不足3%,经常使用率和熟练使用率则更低。究其原因是当前智慧健康养老领域的设备尚缺乏成熟的产品,存在功能定位模糊、人机交互适配不足等问题。
一方面,部分设备功能较为单一,如健康手环仅支持步数统计、心率监测等基础功能,难以满足老年人慢性病管理、跌倒预防等实际需求[14-15];另一方面,部分设备存在功能堆砌的现象,虽集成多项功能,却缺乏有效整合与协同,导致操作复杂、实用性不强[16]。此外,人机交互设计也未充分考虑老年人特点,如微型按键不利于手指灵活性下降、视力减弱的老年用户操作,多层菜单结构则进一步提升了其使用门槛[17]。以上多种因素共同制约了智慧健康养老设备的普及与应用。
汉族中老年人在健康手环、智能门锁等专业化设备的普及率上显著高于少数民族,这可能与少数民族地区更注重传统文化的传承和群体生活,对养老健康监测和家庭服务相关需求较低,也可能受到经济发展水平和产品语言适配不足的影响[18-20]。四川省老年人日常生活能力城乡差异的研究提示,不同地域、不同文化背景的老年群体在健康需求上存在显著差异。这一发现进一步印证了在少数民族区域推广智慧养老设备时,需注重语言和文化的适配性,以提高设备的接受度和使用率[21]。
中年组在养老监护类(跌倒报警器、视频监控)、家庭服务类(智能音响、智能家居、扫地机器人)等产品的普及率、使用率和熟练使用率均显著高于老年组。这既反映出中年群体对新技术的接受与学习能力较强,也提示老年群体因学习能力下降、操作界面复杂而面临使用障碍[22]。此外,老年人普遍收入有限、消费意愿较低,而相关设备价格偏高,进一步降低了其认可度[15,23]。部分老年人因“技术无用论”或“操作恐惧”,更倾向于选择传统方式(如手动扫地代替机器人)[24-25]。因此,未来智慧健康养老服务应更聚焦老年人群的实际需求与使用困境。
在性别方面,仅扫地机器人在女性中的普及率使用均显著高于男性,可能与其更多承担家务劳动有关。其他设备在性别间未见显著差异。
本研究纳入的12种设备中,多数设备呈现“普及率-经常使用率-熟练使用率”的阶梯式下降趋势,例如扫地机器人分别为6.17%、3.89%和3.70%;视频监控分别为36.30%、21.19%和18.07%。即使普及率最高的智能手机(83.55%),其经常使用率和熟练使用率也分别降至60.42%和47.98%。这反映出设备从获取到有效使用转化率明显不足。建议未来以政府为主导加强宣传推广,提高设备知晓率和信任度。同时以需求为导向优化产品设计,充分考虑老年人的使用偏好和文化背景,提升设备适老化水平,更好地服务于智慧健康养老需求。
  • 云南省科技厅-昆明医科大学应用基础研究联合专项资金面上项目(202401AY070001-063)
  • 云南省基础研究计划(202401AT070178)
  • 云南省哲学社会科学创新团队(2024CX08)
  • 昆明医科大学2025年研究生教育创新基金(2025S164)
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2026年第53卷第9期
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doi: 10.20043/j.cnki.MPM.202511448
  • 接收时间:2025-11-28
  • 首发时间:2026-11-02
  • 出版时间:2026-05-10
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  • 收稿日期:2025-11-28
基金
云南省科技厅-昆明医科大学应用基础研究联合专项资金面上项目(202401AY070001-063)
云南省基础研究计划(202401AT070178)
云南省哲学社会科学创新团队(2024CX08)
昆明医科大学2025年研究生教育创新基金(2025S164)
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    昆明医科大学公共卫生学院,云南 昆明 650500

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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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