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加纳的照顾者概况及照顾负担的决定因素

Caregiver profiles and determinants of caregiving burden in Ghana.

作者信息

Sanuade O A, Boatemaa S

机构信息

Regional Institute for Population Studies, University of Ghana, Accra, Legon, Ghana.

Regional Institute for Population Studies, University of Ghana, Accra, Legon, Ghana.

出版信息

Public Health. 2015 Jul;129(7):941-7. doi: 10.1016/j.puhe.2015.05.016. Epub 2015 Jun 23.

Abstract

OBJECTIVES

Due to the growing elderly population, the high cost of care in Ghana and low coverage of the National Health Insurance Scheme, demands for family caregiving have become more imperative in Ghana than ever before. Many caregivers experience high burdens, yet literature on caregiving in Ghana is lacking. This study examined caregiver profiles and determinants of the burden of caregiving in Ghana.

STUDY DESIGN

Cross-sectional study.

METHODS

This study used data from Wave 1 of the World Health Organization (WHO) Study on Global Ageing and Adult Health (2007-2008). In total, 238 caregivers were analysed in the study. The burden of caregiving was measured using the WHO Impact of Caregiving Scale. Independent sample t-tests, correlations and analysis of variance were used to investigate associations between background characteristics and the burden of caregiving. Linear regression was used to examine determinants of the burden of caregiving.

RESULTS

The mean age of caregivers was 61 years (standard deviation 14.5), and the male:female ratio was approximately equal. On average, approximately two adults per household required care. Less than five percent of caregivers received financial, emotional, health, physical and personal care support. Place of residence, provision of financial, health and physical support to care recipients, and receipt of financial, physical and health support were significant determinants of the burden of caregiving.

CONCLUSIONS

This study found a mismatch between the number of people needing care and the number of people providing care. In order to improve the health of caregivers and care recipients, there is a need to provide financial support for caregivers. In addition, pro-caregiving government programmes and policies should be established.

摘要

目标

由于加纳老年人口不断增加、护理成本高昂且国家健康保险计划覆盖范围低,家庭护理的需求在加纳比以往任何时候都更加迫切。许多护理人员负担沉重,但加纳缺乏关于护理的文献。本研究调查了加纳护理人员的概况以及护理负担的决定因素。

研究设计

横断面研究。

方法

本研究使用了世界卫生组织(WHO)全球老龄化与成人健康研究(2007 - 2008年)第一波的数据。该研究共分析了238名护理人员。使用世界卫生组织护理影响量表来衡量护理负担。采用独立样本t检验、相关性分析和方差分析来调查背景特征与护理负担之间的关联。使用线性回归来检验护理负担的决定因素。

结果

护理人员的平均年龄为61岁(标准差14.5),男女比例大致相等。平均而言,每户约有两名成年人需要护理。不到5%的护理人员获得了经济、情感、健康、身体和个人护理方面的支持。居住地点、向受护理者提供经济、健康和身体支持以及获得经济、身体和健康支持是护理负担的重要决定因素。

结论

本研究发现需要护理的人数与提供护理的人数之间存在不匹配。为了改善护理人员和受护理者的健康状况,有必要为护理人员提供经济支持。此外,应制定支持护理的政府计划和政策。

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