Hirst M
Social Policy Research Unit, University of York, Heslington, York YO10 5DD, UK.
Health Soc Care Community. 2001 Nov;9(6):348-57. doi: 10.1046/j.0966-0410.2001.00313.x.
The population of adult carers in Great Britain declined during the 1990s while the proportion of those heavily involved in providing informal care increased. The intensification of care-giving was associated with an increasing number of caring relationships that typically make heavy demands on the carer: spouse care and caring for a child or parent. The provision of informal care by friends and neighbours diminished resulting in an overall decline in care-giving between households. However, parents were increasingly looked after in their own homes by non-resident daughters. More women than men withdrew from the less intensive care-giving between households while more men than women took on the role of a spouse carer. By the end of the decade, as many men as women provided informal care for a spouse or partner. If the trends identified here continue beyond the study period, increasing resources will be required to identify heavily involved carers, assess their needs, and support them in their caring activities. The findings are based on secondary analysis of the British Household Panel Survey covering the years 1991-1998. As well as charting trends in the prevalence of informal care, changes in the locus of care, the number of care recipients, their relationship to their carer and the amount of time devoted to caring activities are described and interpreted.
20世纪90年代,英国成年护理者的数量有所下降,而深度参与提供非正式护理的人员比例有所增加。护理强度的加大与越来越多的护理关系相关,这些关系通常对护理者有很高要求:照顾配偶以及照顾孩子或父母。朋友和邻居提供的非正式护理减少,导致家庭间护理的总体下降。然而,非住家女儿越来越多地在家照顾父母。与男性相比,更多女性退出了家庭间强度较低的护理工作,而承担配偶护理角色的男性比女性更多。到该十年末,照顾配偶或伴侣的男性和女性数量相当。如果此处确定的趋势在研究期之后继续,将需要增加资源来识别深度参与的护理者、评估他们的需求,并在他们的护理活动中提供支持。这些发现基于对1991年至1998年英国家庭调查小组数据的二次分析。除了描绘非正式护理的流行趋势外,还描述并解释了护理地点的变化、受护理者的数量、他们与护理者的关系以及用于护理活动的时间量。