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[老年样本中的家庭结构与身心健康状况]

[Family configuration and physical and psychological health status in a sample of elderly].

作者信息

Rabelo Doris Firmino, Neri Anita Liberalesso

出版信息

Cad Saude Publica. 2015 Apr;31(4):874-84. doi: 10.1590/0102-311x00087514.

DOI:10.1590/0102-311x00087514
PMID:25945995
Abstract

This study focused on the relations between family configuration (living arrangements, heads of family, and financial contributions to the family's support), age, gender, and physical health (functional capacity, number of diseases and signs and symptoms, and social involvement) and psychological health (depression and anxiety) among the elderly, based on self-reported data. The probabilistic sample included 134 elderly without cognitive deficit, with data collected in home interviews. Cluster analyses were performed using the partitioning method (three groupings). The variables that contributed the most to forming groups were basic activities of daily living (R(2) = 0.732) and instrumental activities of daily living (R(2) = 0.487), number of diseases (R(2) = 0.241), and age (R(2) = 0.225). The predominant family configuration was living with children and/or grandchildren, with the elderly as providers and heads of the family. The study showed associations between family configuration and physical and psychological health status. Women showed a higher financial burden and worse psychological health than men.

摘要

本研究基于自我报告数据,聚焦于老年人的家庭结构(居住安排、户主以及对家庭支持的经济贡献)、年龄、性别与身体健康(功能能力、疾病数量及体征和症状、社会参与度)和心理健康(抑郁和焦虑)之间的关系。概率样本包括134名无认知缺陷的老年人,数据通过入户访谈收集。采用划分法(分为三组)进行聚类分析。对形成分组贡献最大的变量是日常生活基本活动(R(2) = 0.732)和日常生活工具性活动(R(2) = 0.487)、疾病数量(R(2) = 0.241)以及年龄(R(2) = 0.225)。主要的家庭结构是与子女和/或孙辈同住,老年人作为家庭供养者和户主。该研究显示了家庭结构与身体和心理健康状况之间的关联。女性比男性承担更高的经济负担且心理健康状况更差。

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