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谁在乎呢?西班牙、英国和美国非正式与正式护理服务的比较。

Who cares? A comparison of informal and formal care provision in Spain, England and the USA.

作者信息

Solé-Auró Aïda, Crimmins Eileen M

机构信息

RFA-IREA, Department of Econometrics, Statistics and Spanish Economy, University of Barcelona, Spain ; Ethel Percy Andrus Gerontology Center, University of Southern California, Los Angeles, USA.

Ethel Percy Andrus Gerontology Center, University of Southern California, Los Angeles, USA.

出版信息

Ageing Soc. 2014 Mar 1;34(3):495-517. doi: 10.1017/S0144686X12001134.

Abstract

This paper investigates the prevalence of incapacity in performing daily activities and the associations between household composition and availability of family members and receipt of care among older adults with functioning problems in Spain, England and the United States of America (USA). We examine how living arrangements, marital status, child availability, limitations in functioning ability, age and gender affect the probability of receiving formal care and informal care from household members and from others in three countries with different family structures, living arrangements and policies supporting care of the incapacitated. Data sources include the 2006 Survey of Health, Ageing and Retirement in Europe for Spain, the third wave of the English Longitudinal Study of Ageing (2006), and the eighth wave of the USA Health and Retirement Study (2006). Logistic and multinomial logistic regressions are used to estimate the probability of receiving care and the sources of care among persons age 50 and older. The percentage of people with functional limitations receiving care is higher in Spain. More care comes from outside the household in the USA and England than in Spain. The use of formal care among the incapacitated is lowest in the USA and highest in Spain.

摘要

本文调查了西班牙、英国和美国(USA)有功能问题的老年人在进行日常活动时无行为能力的普遍程度,以及家庭构成、家庭成员可获得性与接受护理之间的关联。我们研究了居住安排、婚姻状况、子女可获得性、功能能力限制、年龄和性别如何影响在三个家庭结构、居住安排和支持无行为能力者护理政策不同的国家中,从家庭成员和其他人那里获得正式护理和非正式护理的可能性。数据来源包括西班牙的《2006年欧洲健康、老龄化和退休调查》、英国纵向老龄化研究的第三波(2006年)以及美国健康与退休研究的第八波(2006年)。使用逻辑回归和多项逻辑回归来估计50岁及以上人群接受护理的可能性以及护理来源。在西班牙,有功能限制且接受护理的人群比例更高。在美国和英国,来自家庭外部的护理比西班牙更多。无行为能力者中正式护理的使用率在美国最低,在西班牙最高。

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