一个多族裔老年社区人群中为期3年的照护起始和结束的预测因素。
Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults.
作者信息
McCann Judith J, Hebert Liesi E, Bienias Julia L, Morris Martha Clare, Evans Denis A
机构信息
DNSc, Rush Institute for Healthy Aging, Rush University Medical Center, 1645 West Jackson Blvd, Suite 675, Chicago, IL 60612, USA.
出版信息
Am J Public Health. 2004 Oct;94(10):1800-6. doi: 10.2105/ajph.94.10.1800.
OBJECTIVES
We sought to identify predictors of beginning and ending caregiving.
METHODS
At baseline and 3-year follow-up, we interviewed 4245 community residents (61.4% Black, 38.4% White, 0.20% other) aged 65 years or older. We used logistic regression to test predictors of beginning caregiving among baseline noncaregivers and of continuing caregiving among baseline caregivers.
RESULTS
After control for demographic variables, physically healthier individuals were significantly more likely to become caregivers and to continue caregiving. Mental health had little influence on beginning caregiving, but declining mental heath was associated with continuing caregiving.
CONCLUSIONS
Maintenance of physical health and function is essential to the ability of older adults to begin and to continue caregiving. Studies that compare the health of current caregivers with that of noncaregivers may substantially underestimate the impact of caregiving on health.
目的
我们试图确定开始和结束护理工作的预测因素。
方法
在基线和3年随访时，我们对4245名65岁及以上的社区居民进行了访谈（61.4%为黑人，38.4%为白人，0.20%为其他）。我们使用逻辑回归来测试基线时非护理人员开始护理工作的预测因素以及基线时护理人员继续护理工作的预测因素。
结果
在控制了人口统计学变量后，身体更健康的个体显著更有可能成为护理人员并继续护理工作。心理健康对开始护理工作影响不大，但心理健康状况下降与继续护理工作有关。
结论
保持身体健康和功能对于老年人开始和继续护理工作的能力至关重要。将当前护理人员的健康状况与非护理人员的健康状况进行比较的研究可能会大幅低估护理工作对健康的影响。
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