Centre for Research on Ageing, University of Southampton, Southampton SO17 1BJ.
J Gerontol B Psychol Sci Soc Sci. 2013 Mar;68(2):278-89. doi: 10.1093/geronb/gbs160. Epub 2013 Jan 3.
Minority ethnic groups are often assumed to exchange higher levels of informal support than the majority population, despite evidence that controlling for socioeconomic and health inequalities eliminates differences. Using a unique data set from England and Wales, we examined instrumental support across ethnic groups in mid and later life.
Employing data from the Home Office Citizenship Survey 2005 (N = 14,081), we investigated ethnic group differences in instrumental support among people aged 55 and older in England and Wales (n = 4,710). Multiple logistic regression was used to investigate the determinants of support given and received, guided by the Andersen-Newman behavioral model.
Compared with the White British group, the Indian group reported significantly higher odds (odds ratio [OR] = 2.2, 95% confidence interval [CI] 1.0-4.7) of receiving instrumental support from household members but significantly lower odds of giving support to relatives outside the household (OR = 0.7, 95% CI 0.5-0.9). Three other ethnic groups (Pakistani and Bangladeshi, Mixed, Other) reported significantly lower odds in unadjusted findings, but when adjusted, ethnic group differences were no longer significant.
Our analyses suggest few ethnic group differences in instrumental support once need and enabling factors were taken into account. Such findings are contrary to the belief that minority groups exchange more informal support and therefore have less need for formal services. The Andersen-Newman model is useful for guiding the analysis of support both given and received.
尽管有证据表明,控制社会经济和健康不平等可以消除差异,但少数民族群体被认为比多数人群体交换更多的非正式支持。利用来自英格兰和威尔士的独特数据集,我们在中老年人群中检查了不同种族群体之间的工具支持。
我们利用内政部公民调查 2005 年的数据(N=14081),调查了英格兰和威尔士 55 岁及以上人群中不同种族群体之间的工具支持差异(n=4710)。采用安德森-纽曼行为模型,采用多变量逻辑回归来研究支持的给予和接受的决定因素。
与英国白人组相比,印度组报告说从家庭成员那里获得工具支持的可能性显著更高(优势比[OR]=2.2,95%置信区间[CI]1.0-4.7),但向家庭以外的亲戚提供支持的可能性显著更低(OR=0.7,95%CI 0.5-0.9)。其他三个族裔群体(巴基斯坦裔和孟加拉裔、混血儿、其他)在未调整的发现中报告的可能性显著较低,但在调整后,族裔群体差异不再显著。
我们的分析表明,在考虑到需求和促成因素后,工具支持方面的种族群体差异很小。这些发现与少数民族群体交换更多非正式支持的观点相悖,因此对正式服务的需求较小。安德森-纽曼模型对于指导支持的给予和接受分析非常有用。