目的 探究医学生参与代际活动的偏好特征和参与意愿的影响因素。方法 采用便利抽样方法,选取2023年11月至2024年3月天津市4所医学院校的321名医学生为研究对象,采用问卷调查方法对其进行参与代际活动的偏好特征和影响因素的调查。通过描述性分析探讨医学生参与代际活动的偏好特征,采用二元Logistic回归分析医学生参与意愿的影响因素。结果 199名(62.0%)医学生表示愿意参与代际活动。参与代际活动类型偏好选择(可多选)的选项总频次为479次,排在前3位的是休闲娱乐(135人,28.2%)、艺术文化(124人,25.9%)、教育学习(112人,23.4%);参与服务对象选择(可多选)的选项总频次为429次,以基本健康老人(141人,32.9%)和健康老人(128人,29.8%)居多。二元Logistic回归分析显示,护理专业学生参与意愿是非护理专业学生的2.126倍(OR=2.126,95%CI:1.144~3.953);医学生的自我价值感每增加1分,参与意愿提升11.8%(OR=1.118,95%CI:1.024~1.221);责任心每增加1分,参与意愿提升1.3%(OR=1.013,95%CI:1.002~1.024);女生的参与意愿还受社会支持(OR=0.959,95%CI:0.935~0.984)的负向影响。结论 医学生代际活动参与意愿较高,但存在服务对象健康偏好。建议通过加强非护理专业学生的老年医学与人文关怀教育、提升医学生自我价值感和责任心水平,以提高医学生参与代际活动的意愿。

Objective To investigate the preferences of medical students for participating in intergenerational programs and the factors influencing their willingness to participate. Methods A convenience sampling method was used to select 321 medical students from four medical colleges in Tianjin between November 2023 and March 2024. A questionnaire survey was then employed to examine their preference characteristics and influencing factors related to participation in intergenerational programs. Descriptive analysis was employed to explore the preference characteristics, and binary logistic regression was used to analyze the influencing factors of medical students' participation willingness. Results A total of 199 (62.0%) medical students expressed willingness to participate in intergenerational programs. For preferences regarding the types of intergenerational activities (multiple choices), the total frequency of selected options was 479, the top three preferred activity types were leisure and recreation (135 persons, 28.2%), arts and culture (124 persons, 25.9%), and educational learning (112 persons, 23.4%). For preferences regarding the choice of service recipients (multiple choices), the total frequency of selected options was 429, the majority were basically healthy older individuals (141 persons, 32.9%) and healthy older individuals (128 persons, 29.8%).Binary logistic regression analysis revealed that nursing students were 2.126 times more likely to participate than non-nursing students (OR=2.126, 95% CI: 1.144-3.953). For each one-point increase in self-worth score, the willingness to participate increased by 11.8% (OR=1.118, 95% CI:1.024-1.221). For each one-point increase in responsibility score, the willingness increased by 1.3% (OR=1.013, 95% CI: 1.002-1.024). Female medical students' willingness to participate was also negatively influenced by social support (OR=0.959, 95% CI: 0.935-0.984). Conclusions Medical students show a high willingness to participate in intergenerational programs, but exhibit a preference for serving healthy older adults. It is recommended to enhance geriatric medicine and humanities education for non-nursing majors, improve medical students' sense of self-worth and responsibility to increase their willingness to participate in intergenerational programs.