Forbes Dorothy A, Jansen S Lynn, Markle-Reid Maureen, Hawranik Pamela, Morgan Debra, Henderson Sandra, Leipert Beverly, Peacock Shelley, Kingston Dawn
School of Nursing, University of Western Ontario, London, Canada.
Can J Nurs Res. 2008 Mar;40(1):39-59.
The purpose was to examine the use and availability of home and community-based services by men and women with dementia using data from the 2003 Canadian Community Health Survey. Variables of interest were based on the Andersen and Newman model and included predisposing, enabling, need, and use of health service variables, perceived unmet health and home care needs, and availability of home and community-based health services. Women reported better health and received more supportive care yet had more unmet home care needs than men.Thus, the caregivers of men with dementia (often their wives) were particularly vulnerable to negative outcomes, as their care recipients had poorer health yet received fewer services. These gender differences should be considered when policies and programs are developed, the needs of care recipients and caregivers are assessed, and services are provided.
目的是利用2003年加拿大社区健康调查的数据，研究患有痴呆症的男性和女性对家庭及社区服务的使用情况和可得性。感兴趣的变量基于安德森和纽曼模型，包括健康服务变量的易感性、促成因素、需求和使用情况、感知到的未满足的健康和家庭护理需求，以及家庭和社区健康服务的可得性。女性报告的健康状况更好，接受的支持性护理更多，但未满足的家庭护理需求比男性更多。因此，患有痴呆症男性的照顾者（通常是他们的妻子）特别容易出现负面结果，因为他们的护理对象健康状况较差，但获得的服务较少。在制定政策和计划、评估护理对象和照顾者的需求以及提供服务时，应考虑这些性别差异。
