Full
Outline
To explore the current status of delayed medical care behavior and its influencing factors among the elderly in China, in order to provide a reference for further improving the health outcomes of older adults.
Data were derived from the 2021 Chinese General Social Survey (CGSS). Participants aged 60 years and older were enrolled in this study. Grounded in Andersen’s behavioral model of health care utilization, binary logistic regression combined with decision tree analysis was employed to identify key influencing factors.
Binary logistic regression revealed that delayed medical care behavior was significantly less likely among adults aged ≥81 years (OR=0.486), married older adults (OR=0.118), individuals with general high school or vocational education (OR=0.426), college graduates (OR=0.249), participants with high health literacy (OR=0.191), rural residents (OR=0.591), individuals from higher household economic backgrounds (OR=0.420), older adults receiving social support (OR=0.291), regular health check-up attendees (OR=0.228), and participants reporting strong self-efficacy (OR=0.553). Conversely, significantly higher risks were observed among older adults with poor communication skills with medical professionals (OR=3.104), individuals with ≥3 chronic conditions (OR=2.211), participants experiencing anxiety regarding healthcare accessibility (OR=2.122), and older adults reporting anxiety concerning medical affordability (OR=3.363), all P<0.05. The decision tree model identified seven predictive factors (P<0.05), with marital status showing the strongest association with delayed medical care behavior among older adults.
The rate of delayed medical care among older adults in China is high, and differentiated and targeted preferential healthcare policies should be implemented for older adults, the medical security system should be improved, health education activities should be actively carried out, and older adults should be guided to seek medical care appropriately.
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| 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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