关键词: 流动老年人, 社区护理, 健康管理服务, 影响因素

Abstract: Objective To investigate the utilization of community health management services among migrant older adults in Luzhou City and to identify its influencing factors, thereby providing a scientific basis for enhancing service uptake. Methods A convenience sampling method was employed to recruit migrant older adults residing in the main urban districts of Luzhou City. Guided by the theoretical framework of social determinants of health, a binary logistic regression analysis was conducted to examine the factors associated with the utilization of community health management services. Results Among the 340 migrant older adults surveyed, the overall utilization rate of health management services was 57.9%. Specifically, 46.5% of participants utilized all 12 available services, whereas 16.8% utilized none. The services with the highest utilization rates were physical health examinations (72.6%), establishment of health records (72.4%), routine health guidance (72.4%), and family doctor contracts (70.3%). Conversely, the services with lower utilization rates included Traditional Chinese Medicine (TCM) health services (62.6%), follow-up appointments (63.2%), routine medication dispensing (64.4%), and physical examination/risk factor assessment (64.4%). Multivariate logistic regression analysis revealed that living with children (OR=0.550, 95% CI: 0.340-0.888) and being unmarried/divorced (OR=0.334, 95% CI: 0.146-0.767) were associated with significantly lower overall utilization of health management services. In contrast, adherence to a health-promoting lifestyle was associated with higher service utilization (OR=1.613, 95% CI: 1.124-2.314). Conclusion The overall utilization of community health management services among migrant older adults in Luzhou City is suboptimal and characterized by imbalanced use across different programs, with newer services exhibiting slightly lower uptake. To promote healthy aging, targeted interventions should focus on vulnerable subgroups, particularly migrant older adults who live with their children, are unmarried or divorced, or exhibit poor health-promoting lifestyle behaviors.

Key words: Migrant older adults, Community nursing, Health management services, Influencing factors