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美国中年黑人和白人的父母照料选择

Parent caregiving choices of middle-generation Blacks and Whites in the United States.

作者信息

White-Means Shelley I, Rubin Rose M

机构信息

University of Tennessee Health Science Center, College of Pharmacy, 847 Monroe Avenue, Suite 205N, Memphis, TN 38163, USA. swhiteme@ utmem.edu

出版信息

J Aging Health. 2008 Aug;20(5):560-82. doi: 10.1177/0898264308317576. Epub 2008 Apr 30.

DOI:10.1177/0898264308317576
PMID:18448685
Abstract

OBJECTIVE

This study compares how middle-generation caregivers and non-caregivers differ by race and explores racial differences in activities of daily living (ADL), instrumental activities of daily living (IADL), and financial assistance that middle-generation caregivers provide for their parents.

METHOD

Using 2000 Health and Retirement Study data, racially stratified descriptive analyses and logistic regression models for ADL, IADL, and financial assistance are presented.

RESULTS

Parental need and race influence support, with similar patterns of Black and White ADL support, but racial differences in IADL and financial support. Having more children motivates Whites to increase IADL support and reduce financial support; more children decreases Blacks' IADL support. Sibling caregiver networks influence IADL and financial support in ways that vary by race. The number employed is a key determinant for Blacks for all support, but only influences White ADL support.

DISCUSSION

The findings of this article indicate the importance of sample stratification by race and that employment or other subsidies may aid the expansion of caregiving by middle-generation adults.

摘要

目的

本研究比较了不同种族的中年照顾者与非照顾者之间的差异,并探讨了中年照顾者在日常生活活动(ADL)、工具性日常生活活动(IADL)以及为父母提供的经济援助方面的种族差异。

方法

利用2000年健康与退休研究数据,呈现了按种族分层的描述性分析以及针对ADL、IADL和经济援助的逻辑回归模型。

结果

父母的需求和种族会影响支持情况,黑人和白人在ADL支持方面有相似模式,但在IADL和经济支持方面存在种族差异。子女数量较多促使白人增加IADL支持并减少经济支持;子女数量较多会减少黑人的IADL支持。兄弟姐妹照顾者网络对IADL和经济支持的影响因种族而异。就业人数是黑人所有支持方面的关键决定因素,但仅影响白人的ADL支持。

讨论

本文的研究结果表明了按种族对样本进行分层的重要性,以及就业或其他补贴可能有助于扩大中年成年人的照顾行为。

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