Center for Demography of Health and Aging, University of Wisconsin-Madison, 1180 Observatory Drive, Madison, WI 53706, USA.
J Gerontol B Psychol Sci Soc Sci. 2011 May;66(3):341-53. doi: 10.1093/geronb/gbr027. Epub 2011 Apr 11.
Despite the rapidly increasing prevalence of cohabitation among older adults, the caregiving literature has exclusively focused on formally married individuals. Extending prior work on intra-couple care, this study contrasts frail cohabitors' patterns of care receipt from a partner to that of frail spouses.
Using nationally representative panel data from the Health and Retirement Study (2000, 2002, 2004, and 2006), we estimate random effects cross-sectional times series models predicting frail cohabitors' likelihood of receiving partner care compared with their married counterparts'. Conditional on the receipt of intra-couple care, we also examine differences in marital and nonmarital partners' caregiving hours and caregiving involvement relative to other helpers.
Net of sociodemographic, disability, and comorbidity factors, we find that cohabitors are less likely to receive partner care than married individuals. However, caregiving nonmarital partners provide as many hours of care as spouses while providing a substantially larger share of disabled respondents' care than marital partners.
Cohabitation and marriage have distinct implications for older adults' patterns of partner care receipt. This study adds weight to a growing body of research emphasizing the importance of accounting for older adults' nontraditional union forms and of examining the ramifications of cohabitation for older adults' well-being.
尽管同居在老年人中越来越普遍,但护理文献仅关注正式结婚的个体。本研究扩展了关于夫妻内护理的先前工作,将脆弱的同居者从伴侣那里获得护理的模式与脆弱的配偶进行了对比。
利用来自健康与退休研究(2000、2002、2004 和 2006 年)的全国代表性面板数据,我们使用随机效应横截面时间序列模型来预测脆弱的同居者接受伴侣护理的可能性,与已婚者进行比较。在接受夫妻内护理的情况下,我们还考察了与其他帮助者相比,婚姻和非婚姻伴侣的护理时间和护理参与程度的差异。
除去社会人口统计学、残疾和合并症因素后,我们发现同居者接受伴侣护理的可能性低于已婚者。然而,非婚姻伴侣的护理提供了与配偶相同数量的护理时间,同时为残疾受访者提供了比婚姻伴侣更大的护理份额。
同居和婚姻对老年人获得伴侣护理的模式有不同的影响。本研究为越来越多强调老年人非传统联盟形式的重要性以及研究同居对老年人福祉的影响的研究提供了更多依据。