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祖辈照顾与智利老年人的心理社会健康:一项纵向分析。

Grandparenting and psychosocial health among older Chileans: a longitudinal analysis.

机构信息

Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.

出版信息

Aging Ment Health. 2012;16(8):1047-57. doi: 10.1080/13607863.2012.692766. Epub 2012 Jun 12.

Abstract

OBJECTIVES

To investigate factors associated with Chilean grandparents' provision of help to grandchildren and associations between provision of such help and grandparents' mental well-being two years later.

METHODS

Data are drawn from a representative sample of 2000 people aged 66-68 resident in low- or middle-income areas of Santiago who were surveyed in 2005 and re-interviewed two years later. Multivariable analyses were used to investigate factors associated with provision of help to grandchildren at baseline and associations between providing such help and life satisfaction, SF36-Mental Component Summary scores, and depression two years later.

RESULTS

41% of grandparents lived with one or more grandchildren and over half provided four or more hours per week of help to grandchildren. Models controlling for baseline mental health, grandchild characteristics, marital and household characteristics, socio-economic status and functional health showed that grandfathers who provided four or more hours per week of help to grandchildren had better life satisfaction two years later and that those providing material help had higher SF36 MCS scores at follow-up. Grandmothers providing four or more hours of help a week had lower risks of depression.

CONCLUSION

Older Chileans make important contributions to their families through the provision of help to grandchildren and these appear to have some benefits for their own psychosocial health. Gender differences in the pattern of associations may reflect differences in overall family responsibilities and merit further investigation.

摘要

目的

调查与智利祖父母为孙辈提供帮助相关的因素,以及两年后提供此类帮助与祖父母心理健康之间的关联。

方法

本研究的数据来自圣地亚哥低收入和中等收入地区 2000 名年龄在 66-68 岁的代表性样本,他们在 2005 年接受了调查,并在两年后进行了重新访谈。多变量分析用于调查与基线时为孙辈提供帮助相关的因素,以及提供此类帮助与两年后生活满意度、SF36 心理健康分量表评分和抑郁之间的关联。

结果

41%的祖父母与一个或多个孙辈同住,超过一半的祖父母每周为孙辈提供四小时或以上的帮助。控制基线心理健康、孙辈特征、婚姻和家庭特征、社会经济地位和功能健康的模型表明,每周为孙辈提供四小时或以上帮助的祖父两年后生活满意度更高,提供物质帮助的祖父 SF36 MCS 评分更高。每周提供四小时或以上帮助的祖母抑郁风险较低。

结论

智利老年人通过为孙辈提供帮助,为家庭做出了重要贡献,这似乎对他们自己的心理社会健康有一定益处。关联模式中的性别差异可能反映了整体家庭责任的差异,值得进一步研究。

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