Institute for Social & Economic Research, University of Essex, Colchester, Essex, UK.
Health Soc Care Community. 2009 May;17(3):267-73. doi: 10.1111/j.1365-2524.2008.00826.x. Epub 2009 Feb 25.
The aim of this paper is to disentangle the role of gender and partnership status in the caring commitments of older people (age 65 and over). Logistic and interval regression models are applied to individual records from the 2001 UK Census to estimate: (1) the impact of gender on the likelihood of being a career; (2) the impact of gender on the hours of care provided; and (3) the impact of gender on the likelihood of being a career for different groups defined by marital status. In the general population the share of women who provide care is higher than the corresponding share of men, but men have a higher probability of being carers among people aged 65 or above. This phenomenon is largely explained by gender differences in marital status. As older men are more likely to be married, and married people are more likely to be carers, we observe higher levels of caring among older men. Once differences in marital status are accounted for, the relationship between gender and care provision among older people is overturned. In particular, we find that, without controlling for household size, limiting long-term illness or marital status, the odds of being an informal career are lower for older women than men [odds ratio (OR): 0.85; 95% confidence interval (CI): 0.83-0.87]. Once these factors are accounted for, older women have higher odds of caring than older men (OR: 1.12; 95% CI: 1.09-1.15). Restricting the sample to care providers, and controlling for the same factors, it is shown that older women supply on average 3.77 (95% CI: 3.14-4.40) more hours of care per week than older men. Gender differences in the provision of care among older people disappear only when considering married individuals and adjusting for the presence of other household residents affected by a limiting long-term illness.
本文旨在厘清性别和伴侣关系状况在老年人(65 岁及以上)照顾承诺中的作用。运用逻辑和区间回归模型对 2001 年英国人口普查的个人记录进行分析,以估计:(1)性别对成为职业照顾者的可能性的影响;(2)性别对提供的照顾时间的影响;(3)性别对不同婚姻状况群体成为职业照顾者的可能性的影响。在普通人群中,提供照顾的女性比例高于男性,但在 65 岁及以上的人群中,男性成为照顾者的可能性更高。这种现象在很大程度上可以用婚姻状况的性别差异来解释。由于老年男性更有可能已婚,而已婚人士更有可能成为照顾者,因此我们观察到老年男性的照顾水平更高。一旦考虑到婚姻状况的差异,性别与老年人提供照顾之间的关系就会发生逆转。特别是,我们发现,在不控制家庭规模、长期患病或婚姻状况的情况下,老年女性成为非正式照顾者的几率低于男性[优势比(OR):0.85;95%置信区间(CI):0.83-0.87]。一旦考虑到这些因素,老年女性的照顾几率就高于老年男性(OR:1.12;95% CI:1.09-1.15)。将样本限制为照顾者,并控制相同的因素,结果表明,老年女性平均每周提供的照顾时间比老年男性多 3.77 小时(95% CI:3.14-4.40)。只有当考虑到已婚个体,并调整其他受长期患病影响的家庭居民的存在时,老年人群中照顾提供方面的性别差异才会消失。