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体弱老年女性的家庭、住户与照料安排:一项结构分析

Family, households, and care arrangements of frail older women: a structural analysis.

作者信息

Soldo B J, Wolf D A, Agree E M

机构信息

Department of Demography, Georgetown University, Washington, DC.

出版信息

J Gerontol. 1990 Nov;45(6):S238-49. doi: 10.1093/geronj/45.6.s238.

DOI:10.1093/geronj/45.6.s238
PMID:2229950
Abstract

Previous research has examined determinants of the living arrangements and the informal-care arrangements of older women; research on care arrangements has often taken living arrangements as given. Here we consider each separately, then go on to analyze the simultaneous determinants of living and care arrangements. Factors influencing these outcomes can be categorized as indicators of opportunities, resources, needs, or preferences. Of particular interest is the extent to which kin availability--specifically, the existence of living children--constrains opportunities, the role of financial resources, and the consequences of needs as revealed by levels of physical and mental disability. Our analysis consists of multinomial-logit models estimated with data from the 1982 National Long-Term Care Survey. The results indicate the importance of kin availability, with striking differences in the living and care arrangements between childless and other older women. Among those with children, there are less striking but consistent differences according to the number and sex composition of living children. Finally, variables representing needs for care are generally the strongest predictors of all the outcomes analyzed.

摘要

以往的研究探讨了老年女性生活安排和非正式照料安排的决定因素;关于照料安排的研究通常将生活安排视为既定条件。在此,我们分别对二者进行考量,然后继续分析生活安排和照料安排的同时决定因素。影响这些结果的因素可归类为机会、资源、需求或偏好的指标。特别值得关注的是亲属可及性——具体而言,在世子女的存在——对机会的限制程度、财政资源的作用,以及身体和精神残疾程度所揭示的需求后果。我们的分析采用了1982年全国长期护理调查的数据估计多项逻辑模型。结果表明了亲属可及性的重要性,无子女老年女性与其他老年女性在生活和照料安排上存在显著差异。在有子女的女性中,根据在世子女的数量和性别构成也存在不太显著但一致的差异。最后,代表照料需求的变量通常是所有分析结果中最强的预测因素。

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