| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 103 === Background: In recent years, the population of aging people with intellectual disability is growing rapidly. Aging is become an important issue in this group, but there are many researches focus on the physical and mental health. Social health is also a key point of health, so the study uses the participant and security dimension of active aging model to invest the caregivers who works at the institutions. Objectives: The purpose of this study is to investigate the degree of importance and the implement on social participation and security environment services in the institutions. Methods: There are 920 caregivers who were collect from 16 institutions in Taiwan. The study used the structure questionnaire to invest the important and effect on participant and security services. The data will analyze by SPSS Statitics 20.0. Results: Caregivers think the important of the social participant services’ score is 8.8, and the implement of the social participant services’ score is 7.5. The important of the living security services’ score is 9.1 and the implement score is 7.8. The factors affect the implement of the social participant services are education level (β=-0.12), the important of the social support (β=0.29), leisure activity (β=0.31), aging education (β=0.18) and job participant (β=0.21). The factors affect the implement of the living security services are working years in disability service (β=-0.03), the important of the social support (β=0.18), social protection (β=0.01), safe enviorment (β=0.26) and safe housing (β=0.21). Conclusions: The institutions should to solve the housing issues first. Lots of the caregivers think it is the most important service but have a little implement. In addition, when the caregivers have more positive cognitive on services and the degree of the implement will become higher.
Key words: intellectual disability, active aging, social participant, living security
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