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台灣地區鄉鎮市區生育率的空間與群集研究許添容, Hsu, Tien-Jung Albert Unknown Date (has links)
生育率的降低是影響台灣地區近年來人口老化的顯著因素,因其變化幅度通常高於死亡率,對人口結構的影響較大。過去台灣地區生育率研究多為整體生育(如:總生育率、年齡別生育率)趨勢的模型,較少探討台灣各地區的特色。為能更深入瞭解台灣生育行為變化的特性,本文將生育率的研究層面由整體的資料,延伸至全台灣地區的各鄉鎮市區(不含離島地區有350個鄉鎮市區),希冀能更精確地找出與台灣地區生育率持續下降的相關因素。本文分為兩個部份,以鄉鎮市區的年齡別婦女生育率與年齡別有偶婦女生育率為研究對象,資料時間為1991、1992、2001、2002年:第一部份探討各鄉鎮市區的生育率數值間是否存在空間相關性,並進一步瞭解生育率較高(或較低)的地區是否有聚集的現象。第二部份則套用空間迴歸模型探討與生育率數值有關的因素(例如:人口密度、教育程度等),更精確且客觀地提供生育率未來趨勢的建議。
關鍵字:生育率、人口老化、空間統計、空間群聚、空間迴歸 / Both the fertility rates and mortality rates, especially the fertility rates, have been experiencing dramatic decreases in recent years, and the population aging thus has become one of the major concerns in Taiwan area. In order to identify the factors that are related to the decrease of fertility rates, unlike the previous works that deal with the aggregate national data, we will study the fertility pattern in township level. We will use the data of age-specific fertility rates and total fertility rates in 1991, 1992, 2001, and 2002 in 350 townships of Taiwan area. This study will be separated into two parts. First, we shall explore if there is spatial correlation among 350 townships of Taiwan area and detect if there are spatial clusters for higher fertility townships. The second part of this project will be focused on the spatial regression model. We will use this model to determine the factors that are highly correlated to the dropping of fertility rates.
Key Words: Fertility Rates, Aging Population, Spatial Statistics, Spatial Clustering, Spatial Regression
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軍人退伍轉銜與生命歷程之研究 / A Study on Military Career Transition and Life Course邱保龍 Unknown Date (has links)
軍人退伍後工作一直是國家政策與研究關注的議題。既有研究多從「經濟-工作」角度來觀察軍人退伍生涯的議題與困境,容易忽略軍人退伍轉銜歷程與生活各面向連結的複雜性。因此,本研究的目的在於從生命歷程和老化的政治經濟觀點,理解男性選擇進入和離開軍人職業,以及此種進入、離開軍人職業和再工作歷程的關係,期能對軍人退伍轉銜歷程有動態性的理解。
據此,以制度性分析與傳記式的生命歷程取徑為方法。前者,透過國軍檔案與相關文獻進行檢視;後者,透過生命故事訪談(13位男性,出生於1957-1964年,平均年齡57歲)。
在制度分析的研究發現:國軍退輔制度演進可區分三個時期:歷史時期一「人口治理思維下的集中化管理與安置(1949-1969)」;歷史時期二「解嚴及民主浪潮下的間接安置(1970-1999)」;歷史時期三「軍事專業化後的『退輔制度變革-積極性與規範性的就業整合措施』(2000-迄今)」。其次,歷史時期(退伍時所處的歷史時期)和個人時期(個人生命階段何時退伍)深受個人所經歷的退輔制度之影響,進而決定個人在退伍時所擁有的經濟資源與生活條件。
在傳記式的生命歷程研究發現:「從軍」是故事主角在歷史、經濟、家庭等多重關係擠壓下的一個決定。從軍讓個人經濟上得以溫飽,可以繼續接受教育,個人與原生家庭的分立,形成另一個空間的情感連結與歸屬,而軍隊環境讓個人有身分認同感,使他們漂泊的生命暫時靠岸。軍隊服務期間,個人在工作環境的洞察與選擇,涉及「歸屬」與「自主」兩個議題。至於退伍後,軍職工作與退伍後第一個工作的過渡、連結、轉換,是具高度複雜性與重要性。「工作選擇」背後所指涉的是個人在不同文化場域的穿越,並隨著個人在退伍前的早期家庭經驗與軍隊環境,至退伍後面臨社會經濟環境、部落文化、工作環境、家庭環境以及個人生命發展等因素變化,個人在面臨不同情境,從服役時的「我們」狀態變成不同層次「我」的樣貌。此外,隨著生命歷程發展,個人工作選擇有不同的核心議題,工作對他們的意義也隨之改變,其中經濟資源、健康與社會支持扮演關鍵角色。據此,研究針對上述發現進一步提出「階級化退伍轉銜歷程」理論模式,亦即,軍人退伍轉銜呈現「持續向上型」、「後續穩定型」、「中途停滯型」等三類,而資源在其中因不同時機而產生不同程度的強化、替代與風險作用。
最後,針對軍隊社會工作制度與退輔制度,回應個人在退伍轉銜與生命歷程所面臨家庭、軍隊、社會文化與制度面向的議題,提供政策與實務上建議。 / Transitioning from military to civilian life has been a topical subject for national policy and studies. Existing researches mostly observe the issue and conundrums from the economy-career perspective, which tend to overlook the complexity of the linkage among military transition and all aspects of their lives. Therefore, this study aims to probe why male soldiers choose to enter and exit the military, and the correlation among the entrance, exit and reemployment, hoping to obtain a dynamic understanding of military career transition.
Accordingly, the approaches used here are institutional analysis and biographic life course theory. The former is done through military records, files and pertinent literature while the latter is through interviews with 13 males (born 1957-1964 with an average age of 57).
The institutional analysis found that the evolution of the ROC’s Institution of Veteran Service can be divided into: Phase I, the centralized management and placement under the ideology of demographic-management (1949-1969), Phase II, the indirect placement under the backdrop of abolishment of martial law and democratization (1970-1999), and Phase III , a reform in the institution of veteran service after military professionalization—a proactive and normative employment integration (2000-preesent). Also, the historical period (the period when one retires) and individual period (the life stage when one retires) are profoundly influenced by the institution of veteran service that one faces which determines the financial resources and living conditions one obtains when one retires and thus affects one’s aging and life adaptation. Furthermore, intertwined with the institution of veteran service are education and military ranks, which interact and are relevant to the career path after one’s retirement.
The biographic life course theory found that “enlistment” is a decision made under multiple pressures from history, personal economic situation and family. Joining the army would bring financial support and continued education. The separation of individuals from their families of origin forms an emotional bond and attachment. The military gives them a sense of identity and a place for their drifting lives. During their service, their perception and choices interrelate with attachment and autonomy. The relations between what kind of military job they did and the transition, connection and transformation of their first employment after they retire are highly complicated and critical. Behind employment choices are different cultural backgrounds, which vary with experiences of their original family and the military as well as factors such as social-economic environment, community, work places, family and individual development. Facing different situations, the “We” during the military life became different levels of “Me”. In addition, along with the development of one’s life course, there are varied core issues about their employment choices and the meaning of jobs to them also changes while economic resources, health and social support play important roles.
As a result, this study further proposes a “hierarchical military transition” model. They are: continuous improvement, later stabilization, and midway stagnation. And several resources generate varying degree of reinforcement, substitution, and risks effects in different times.
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工廠火災相關因素探討-以新北市為例 / The determinants of factory fires : the case of New Taipei city 2009-2015林晏辰, Lin, Yen Chen Unknown Date (has links)
內政部消防署「104年消防白皮書」統計2005年至2014年建築物火災中,以獨立住宅火災最多,工廠火災次之,但工廠火災所造成的損失及使用消防人力、消防車輛數,卻超乎一般建築物甚多,也造成了許多警消及民眾之傷亡,因此有必要將其獨立於建築物火災之外,進行相關之資料分析與研討。
新北市轄區幅員廣闊,以人口數或工廠家數,都是全台灣最多,具有主要交通、消費市場及生產製造多重角色,且各行政區因歷史、環境或文化等因素,嚴然為另一個台灣縮影,與其他縣市相比也較具代表性,因此本研究使用2009至2015年新北市追蹤資料來作迴歸分析,探討消防概念因素(例如:工廠消防檢查次數等4項)、人口及區域概念因素(例如:大學以上教育人口比例等6項)與工廠火災指標【例如:火災發生件數、人員傷(亡)數量、火災件數/列管工廠數量比】關係。
在實證結果內,並扣除掉部分因素可能有內生性影響後,顯示「消防專用蓄水池」、「工廠消防檢查次數」及「老化指數」【(65歲以上年底人口數/0-14歲年底人口數)x100為代表】3項,有影響工廠火災指標。其中消防專用蓄水池與此地區有無發生工廠火災呈負相關,但與老化指數呈正相關。其次發現,消防安檢次數與工廠火災件數呈負相關。最後,工廠火災件數與工廠數量比,和老化指數呈正相關。 / According to the yearly fire report in Taiwan, factory fire has accounted for the highest proportion, and also cause lots of people and firefighters’ casualties. Therefore, it is necessary to separate factory fire from normal building fire cases, and use related data to analyze and discuss independently. New taipei city has a large territory, which including the largest population and highest number of factories in Taiwan, therefore, this study applied New Taipei city panel data from 2009 to 2015 to perform regression analysis,and explore the influence of concept fire factors, population, and conceptual regional factors on the index of factory fire.
According to the research, after deducting the suspected endogenous problems, the result shows that fire water reservoir, factory fire safety inspection, and aging index 【(population age number of 65 years above / number of 0-14 years old )X100 】will have influence on factory fire index. Fire water reservoir have an inversely relationship with factory fire within the area, however, the aging index is proportional to factory fire. Second, the increasing number of fire safety inspection will reduce factory fire. finally , the number of factory fire is proportional to the number of factory and aging index.
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以全民健保資料探討重大傷病患者的醫療利用 / Using National Health Insurance Database to explore medical usage of Catastrophic Disease patients周立筠 Unknown Date (has links)
政府為促進國人健康,並以社會保險的形式分攤弱勢團體的就醫需求,於民國84年開始實施全民健康保險,實施至今超過20年,而且納保率已高達99%。重大傷病證明是全民健保的主要特色之一,持有重大傷病證明卡的病患就醫時可免除部分負擔,減輕罹患重病患者的醫療負擔。截至106年2月約有4%國人領有重大傷病證明卡,但其醫療費用佔健保支出超過 27%,預期這兩個數值會因人口老化而逐年上升,使得重大傷病的相關議題越來越受到重視。
本文以全民健保資料庫中的重大傷病證明明細檔(HV)為基礎,以2005年百萬人抽樣檔之承保紀錄檔(ID)、門診處方及治療明細檔(CD)及住院醫療費用清單明細檔(DD)輔助,探究罹患重大傷病發生及死亡議題,提出判定發生、死亡的準則,並且依此分析各種疾病發生率與死亡率的關係。另外,本文也使用資料庫內容驗證重大傷病患者與非重大傷病患者之間醫療費用的差異,研究也發現新發生的病患就醫率偏低,並以國際疾病分類代碼驗證重大傷病門診處方及治療明細檔(HV_CD)資料抓取的準確性。 / Taiwan started National Health Insurance (NHI) in 1995, for more than 20 years, and more than 99% people are covered in this social insurance plan. It is believed that the NHI has further enhanced the health of Taiwan’s people.Catastrophic illness(CI)card is one of the key features in the NHI and people with this card can enjoy waiver of copayment and other medical benefits which reduce the financial burden of CI patients. For example, about 4% Taiwan’s population were with the CI card and they spend more than 27% of total medical expenditure of NHI. Since the probability with CI increases with age, the population aging and prolonging
life are expected to worsen the financial burden of the NHI.
Our goal is to explore the medical need and its trend of CI patients, via the data from the NHI Database, including Registry for catastrophic illness patients(HV), Registry for beneficiaries(ID), Inpatient expenditures by admissions(DD)and HV’s Ambulatory care expenditures by visits(HV_CD). Since the medical records do not cover all the required information, we propose several criteria for data analysis, such as the rules of judging whether the patients incur CI and the CI patients passed away. We found that the incidence rates and mortality rates of CI patients decrease with time. Also, there are questions about the data quality regarding the HV_CD database and more than 50% new CI patients do not have medical records of CI diseases.
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以全民健保資料庫探討高齡人口的醫療需求 / Using National Health Insurance Database to Explore Medical Needs of the Elderly許筱翎, Hsu, Hsiao Ling Unknown Date (has links)
臺灣在2015年高齡人口(65歲以上)比例超過12.5%,依照國家發展委員會的2016年人口推估,預計將於2018年正式邁入高齡社會(高齡人口比例14%),2026年更突破20%的門檻,人口老化速度持續加快。因為身體機能隨年齡增長等因素逐漸老化,高齡人口的就醫需求通常也較多,包括就醫金額、就醫次數,根據中央健康保險署2014年統計,高齡人口比例約為12.0%,但其醫療費用卻佔總費用37.6%。因此本文以探討高齡人口就醫特性為目標,透過高齡人口就醫行為去了解醫療現況,並評估因老化而引發的醫療資源。
本文以高齡人口特性及就醫需求為研究方向,探討近十年高齡人口就醫需求的基本特性,如:醫療使用率、平均就醫次數及平均醫療費用。接著以高齡人口就醫選擇集中度做為出發點,計算各疾病下的就醫集中程度,探討是否高齡人口會隨著不同疾病而有不同的就醫行為。研究結果顯示年紀越大的高齡人口,醫療使用率反而下降,但平均總醫療花費隨著年齡增加亦跟著上升;另外在不同的疾病下會有不同的就醫行為,當就醫地選擇越一致其死亡率也越低。計算依據為全民健康保險資料庫2005年百萬高齡人口抽樣檔,包括承保資料檔(ID)、門診處方及治療明細檔(CD)、住院醫療費用清單明細檔(DD),以六十五歲以上高齡人口為研究對象,探討其醫療利用行為及就醫習性。 / The population aging is speeding up in Taiwan. The elderly population (65 years and older) is more than 12.5% in 2015 and, according to the population projection of National Development Council, it is expected to reach 14% and 20% in 2017 and 2026, respectively. The elderly usually require more medical attention, partly due to the fact that the human organs degenerate with time. For example, in 2014, the proportion of elderly is about 12.0% and they account for 37.6% of total medical expenditure (Source: National Health Insurance Administration). Taiwan’s total medical expenditure will continue to grow and we need to understand the medical needs of Taiwan’s elderly, in order to cope with the need of aging society.
Therefore, we use the data from the National Health Insurance Research Database (NHIRD) to explore the medical needs and behaviors of receiving medical care of Taiwan’s elderly. The dataset used in this study is a sample (one million people aged 65 and beyond, about 46% of total population) of Taiwan’s elderly and the dataset contains the Registry for beneficiaries (ID), outpatient visits (CD), and inpatient admissions (DD). Our analyses show that almost all elderly have at least one medical visit annually and their diseases are more diverse than those of younger generations. Also, the elderly have larger inertia in medical visits and, for example, the proportion of choosing the same medical institution is higher. The results of this study can serve as a reference to future policy planning and resource allocation for the elderly.
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中年男同志的老化態度與老年準備初探 / Attitudes toward aging and preparation for old age of middle-aged gay males沈志勳 Unknown Date (has links)
本論文的研究目的,是以「老化態度」及「老年準備」之概念架構,探索中年男同志關於老化的生命經驗,希望藉由中年男同志的自身經驗,來理解他們對老化的意義詮釋、老年生活的想像及所從事的老年準備情形。
本研究使用質性取向的研究方法,以半結構式的深度訪談進行資料蒐集,訪談了十二位居住在大台北地區或桃園縣市,年齡介於四十歲至五十三歲的中年男同志,主要的研究結果如下:(一)受訪者談論的老化意義,是由生理、心理及社會文化等多方面所交織而成的概念,在不同的面向上也有不同程度的正、負向評價,整體來說,他們傾向於否定自己是老人、離老尚遠的「老年拒斥觀」;至於對老的界定,最明顯的是,當他們和同年齡層的異性戀者相比時,多半覺得自己保有年輕化的優勢。另外,許多受訪者也提到年輕男同志對中、老年同志的負面態度或刻板印象,某種程度上反映出男同志族群的怕老心態。(二)在受訪者描繪的老年生活圖像中,對「社會支持網絡」的老年想像尤其重視朋友及伴侶關係等非正式網絡,其中幾位已婚男同志也提及對婚姻家庭的老年生活想像(例如「含飴弄孫」);在「社會參與」方面,他們期待能夠「參與志願服務」、「出錢出力貢獻社會」、「老年的再教育」、「工作者角色的延續」及「從事休閒活動與興趣」等,其共同的目的是為了達到自我成長及自我實現,但也可能因同志身份而面臨參與的障礙;至於「對老年的焦慮、擔心或害怕」,他們談論得最多、最擔心的是「怕重病」、「怕醜」,以及「怕失去外在吸引力」。(三)在受訪者實際從事的老年準備內容中,他們認為最需要準備、且實際準備程度較高的是「經濟準備」(工作收入及其他財務規劃),其次則是「抗老化的準備」(基於身體健康或外在吸引力而進行的保養)、「從事興趣或休閒活動」(偏向動態性、團體式的型態)以及「社會支持網絡維繫」,至於目前積極從事「社會學習與志願服務」及「老年居住安排」的受訪者則較少。總括來說,受訪者提及的準備內容都是屬於非正式的準備,較不重視正式組織(如政府、公司企業或非營利組織)在老年準備中扮演的角色。
再由生命週期觀點來檢視,則發現中年男同志的老化態度、老年生活想像及老年準備情形與中年異性戀者之間具有相似性,但也有差異性,同時,也呈現出一些動態歷程的改變。
值得深思的是,「老年準備」的概念本身有可能隱含著個人本位的意識型態,當政府的老年政策強調老年人的自我照顧責任時,也就忽視了對社經地位較弱勢者應有的保障。此外,本研究也發現,娶外籍新娘的已婚中年男同志,其婚姻關係凸顯出「性傾向弱勢」與「性別弱勢」之間的相互擠壓現象,基於自身利益的考量,弱勢者本身(已婚男同志)也可能會去壓迫比自己更弱勢的人(外籍新娘)。 / With “attitudes toward aging“ and “preparation for old age” as the conceptual framework, this study aims to explore the aging experience of middle-aged gay males, and tries to understand their interpretations, imaginations, and preparation of aging.
This study employs qualitative research approach. The participants are twelve middle-aged gay males living in the Taipei metropolitan area and Taoyuan county, aging from forty to fifty-three. The researcher conducted semi-structural interview with them individually, and collected in-depth data. The study findings after data analyzed are listed below:
First, the meaning of aging discussed by the twelve participants during the interview is a complicated complex, comprising of physical, psychological and social cultural dimensions, which are evaluated with different positive and negative appraisals separately. As a whole, participants tended to think they were not old and resist to aging. Most obviously, when compared with their heterosexual counterparts, they considered themselves much younger. Besides, many participants mentioned the negative stereotypes and prejudices young gay males tended to have against older ones, which reflects the fear of age widespread in this population, too.
Second, The imaginations of later life participants in this study had involved “social support networks”, “social participation”, and “anxiety, worry and fear of old age”. They thought highly of informal support networks particularly, such as their friends and intimate partners, when it came to “social support networks”. Of participants entering traditional heterosexual marriage, some discussed their positive expectations that they hope to enjoy marriage and family life in later life as the heterosexual do. On the topic of “social participation”, they expected themselves to be volunteers, contribute to society with money and effort, pursue further education, keep working, and get engaged in their interests or hobbies. Their common purpose of social participation in old age was self-achievement, but they may encounter some obstacles because of their sexual orientation. In terms of their anxiety, worry, and fear of old age, what they talked and worried about most was getting ill, becoming ugly and unattractive.
Third, as for preparation for old age, what the participants in this study considered most important, and thus prepared more was economic security. And other preparations included health maintenance, engagements in interests or hobbies, and connections to their social support networks. By and large, their preparations tended to be informal, and don’t emphasize the importance of formal preparation planning from formal organizations like the government, companies or non-profit organizations.
With the life course developmental perspective, when we compare the attitudes toward aging, imaginations of later life, and preparation for old age between these middle-aged gay men and their heterosexual counterparts, we can find that some dimensions are similar and the others are different, and their attitudes, thinking or action about aging may change over time.
Furthermore, the concept of “preparation for old age” itself may imply certain ideology of individualism inexplicitly. While aging policies emphasize the obligation of self-care of the elderly, it may ignore the security of those persons in lower social-economic status. Besides, this study also finds that the marriage relationships of middle-aged gay males who married “foreign brides” are some kind of mutual oppression in essential, the disadvantages itself(middle-aged gay males)are likely to oppress the other disadvantages in worse condition(”foreign brides”).
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老人居住安排-居住安排轉換、年歲增長與居住安排、居住安排滿意改變之探討 / The Living Arrangements of the Elderly: An Analysis of Living Arrangement Transitions, Aging and Living Arrangement, and Changes in Satisfaction with Living Arrangements張桂霖, Chang, Guey Lin Unknown Date (has links)
本論文首先介紹臺灣老人的居住安排基本概況。接著,以交換理論與家庭價值觀,分析居住安排的轉換。同時,從經濟因素與需要因素的推拉作用以及家庭價值觀與交換理論,分析老人「移與子女居」和「子女回居」。再接著,應用相同樣本探討年歲增長與居住安排的關係,分析一群老人從初老經過中老到老老三個階段的居住安排。最後,以人與環境一致模式、基本生活需求滿足假說,分析老人居住安排滿意與否的改變。
以往討論老人居住安排的轉換,大多以家庭價值觀解釋,強調感情因素,當老人有最大需要時,例如,健康惡化或從有偶變成無偶,更可能發生轉換為與子女同住。但現代化社會,經濟因素轉趨重要,可能需要以交換理論補強。因此,本論文使用我國行政院衛生署與密西根大學合作之「臺灣地區中老年身心社會生活狀況長期追蹤調查」縱斷面調查資料,進行老人居住安排轉換的分析研究,觀察居住安排轉換行為,以檢視這兩種觀點對於居住安排轉換的解釋力。又,以往的相關研究大多以靜態變數為解釋變數,本論文貢獻主要在於以動態的變數-相關變數前後期的變化-為解釋變數,檢視其對老人居住安排轉換的影響。結果發現:以家庭價值觀或以交換理論解釋老人居住安排的轉換,都獲得部分支持;但沒有足夠的證據支持健康惡化或從有偶變無偶是影響老人轉換為與子女同住的關鍵因素;相反地,與交換理論相關的重大經濟決策權的改變變得比較重要,造成更可能發生轉換為不與子女同住或與子女同住。隱含著家庭價值觀對老人居住安排轉換的影響逐漸式微,而交換理論的影響力則越來越強,可彌補以家庭價值觀解釋之不足。
本論文亦使用縱斷面調查資料,以相關變數前後期的變化為解釋變數,檢視臺灣老人從不與子女同住變成「移與子女居」及「子女回居」的影響因素。結果隱含老人正向經濟因素的轉變更可能發生「子女回居」,需要因素及負向經濟因素的轉變則更可能發生「移與子女居」,而且沒有證據足認健康狀況轉差是影響轉換為與子女同住的關鍵因素。
有別於以往許多老人居住安排的文獻常將65歲以上的人當作一個群體,或有的橫斷面研究使用不同樣本,抑或即使以縱斷面研究亦使用不同樣本,進行老化研究,本論文利用相同樣本縱斷面研究分析老年人在初老、中老、老老階段的居住安排,回答「隨著年齡的增長,老人與子女共住的比例是呈U型或直線下降的關係?」、「老化對居住安排有何影響?」的問題。研究結果顯示隨著年齡的增長,老人與子女共住的比例呈直線下降。本論文發現一些因素在某階段有顯著影響,而在其他階段未發現有顯著影響,此即與老化有關;除此,對三個階段的居住安排均發生顯著影響的因素,其影響程度亦隨著年齡的增長而有不同,均為預測老人各階段居住安排決定的良好指標。
本論文為檢視究竟何因素影響老人居住安排滿意與否之改變,使用縱斷面調查資料,應用人與環境一致和基本生活需求滿足之理論基礎,以動態的變數-相關變數前後期的改變-為解釋變數,檢視其影響。結果發現:以人與環境一致或基本生活需求滿足,解釋居住安排滿意與否之改變,都獲得部分支持,同時,「愛屋及烏」假說亦獲得支持。顯示居住安排滿意與否之改變,主要歸因於環境與個體間之一致及合適與否。
總結而言,老人隨著年歲增長,居住安排從滿意變為不滿意者的比例增加,健康狀況亦呈直線下降,但不與子女同住的比例遞增,與子女同住的居住安排則呈直線下降,許多影響因素已顯示老人由家庭照護的傳統價值日漸式微。無論老人採行何種居住安排,理應以提高居住安排滿意度,提昇老人福祉為依歸。此際,除了由政府提出有效對策以為改善之外,老人宜自求多福,例如,改善居住環境、移居良好醫療環境,家庭重大決策放手由子女承擔,多多參與社交性或拜訪親友、鄰居的活動,快樂邁向成功老化。 / This dissertation, firstly, introduces the basic overview of living arrangements of the elderly in Taiwan. Then, it analyzes the transitions in living arrangements among elderly of family values and exchange theory, meanwhile, it also analyzes “moving to be with children” and “returning to the nest” from needs factors and economic factors as well as family values and exchange theory. Then, it uses a panel study to examine the living arrangements of young-old, old-old, and oldest-old. Finally, it applies a theoretical basis of person-environment congruence and basic-needs content to analyze the changes in satisfaction with living arrangements of the elderly.
The value placed on family was often used to explain the influence on living arrangements transitions in previous literature. Yet economic factors have become important in modern society, therefore we need to use exchange theory to strengthen the explanation on transitions. This dissertation, therefore, attempts to compare these two explanations through analyzing transitions, and to examine the effects of these two viewpoints on transitions. Using a longitudinal data source, the Survey of Health and Living Status of the Elderly in Taiwan, produced by the Department of Health (Taiwan) and the University of Michigan, a binomial logit model is used to observe the behavior of transitions. The contribution of this dissertation mainly lies in taking the dynamic variables, the changes of related variables between baseline and follow-up, as independent variables to examine the influence on the transitions. Empirical results show that both family value and exchange theory cause the living arrangements transitions, but lack evidence to prove that a senior’s health deterioration or the loss of a spouse was the major determinant of the transition to live with children. Contrarily, transitions of living arrangements are more likely to occur when a senior changes her/his role as the economic decision-maker into the non economic decision-maker of the household or vice versa. That implies the influence of family values on transitions is decreasing, and the influence of exchange theory is increasing.
This dissertation also uses a longitudinal data source and takes the changes of related variables between baseline and follow-up as independent variables to examine what factors are associated with “moving to be with children” and “returning to the nest” among those living apart from children at baseline of Taiwanese seniors. Empirical results imply that “returning to the nest” is more likely to occur when a senior’s positive economic factors are changed; while “moving to be with children” is more likely to occur when a senior’s needs factors and negative economic factors are changed, and lacking evidence to prove that health deterioration was the major determinant of the transition to live with children.
Most previous research on elderly living arrangements examined all people aged 65 and over as a whole. Some cross-sectional studies on aging employed different samples, as did some longitudinal studies. This dissertation examines the living arrangements of young-old, old-old, and oldest-old in Taiwan. A panel study was used to answer the following questions: Is the proportion of coresidence with increased age U-shaped or decreased linearly? What influence does aging have on living arrangements? Analytical results show that the proportion of coresidence decreased linearly among the same samples for the young-old, old-old, and oldest-old. Empirical results show that some factors were significant at some stages, while not significant at other stages, that is, they were affected by aging. Additionally, some factors related to living arrangements for all three age groups, and their effects differed with increased age. All of them are good indicators in predicting the determinants of elderly living arrangements for the three groups.
This dissertation also uses a longitudinal data source, applies a theoretical basis of person-environment congruence and basic-needs content, and takes the dynamic variables, the changes in related variables between the baseline and follow-up, as independent variables to examine the determinants of changes in satisfaction with living arrangements of the elderly. Empirical results indicate that both person-environment congruence and basic-needs content partially cause changes in satisfaction with living arrangements, and the “love me, love my dog” hypothesis is also fulfilled. This dissertation suggests that changes in satisfaction with living arrangements are mainly attributed to the congruence or fit between the environment and the individual.
Summarily, the proportion of dissatisfaction with living arrangements increases as age increases, the condition of health worsened linearly and the proportion of living with children is decreased with increased age, many factors have been implied the influence of traditional values on family care is decreasing. No matter what kind of living arrangement the elderly adopted, they should improve the living arrangement satisfaction, and enhance the welfare. At this time, beyond the improvements through effective measures of the government, the elderly should fend for themselves by improving the living environment, moving to a good medical environment, transferring the power of decision-making to children, and more involving in sociability or visiting relatives, friends and neighbors. And then they achieve successful aging happily.
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