Department of Public Health, Graduate School, Yonsei University, Seoul, Korea.
Institute of Health Services Research, Yonsei University, Seoul, Korea.
Int J Geriatr Psychiatry. 2017 Dec;32(12):1381-1391. doi: 10.1002/gps.4625. Epub 2016 Dec 1.
The aim of this study was to investigate the impact of intensive grandchild care on depressive symptoms among grandparents.
We used data from 2008 to 2012 of the Korea Longitudinal Study of Aging. Using the data from 2008 at baseline, data included 5129 individuals aged 50 years and more without depression with at least one grandchild. A generalized estimating equation was used to investigate the impact of intensive grandchild care on depressive symptoms. Investigated factors included the intensity of grandchild care, measured by hours spent caring for a grandchild per week: (i) none (0 h); (ii) non-intensive grandchild care (1-39 h); and intensive grandchild care (≥40 h). Depressive symptoms were measured using the 10-item Center for Epidemiological Studies Depression scale.
Among 5128 participants from 2008 to 2012, 3.0% were providing non-intensive grandchildren care, and 1.9% were providing intensive grandchild care. Compared with grandparents providing no grandchild care, those who provided intensive grandchild care experienced reduced depressive symptoms (β = -0.51 [p = 0.007] vs. no childcare). Men (β = -1.22 [p = 0.012] vs. no childcare) providing intensive grandchild care experienced a greater reduction in depressive symptoms compared with women (β = -0.44 [p = 0.029] vs. no childcare) providing grandchild care. Grandparents who were receiving financial support from adult children were more likely to experience reduced depressive symptoms than those not receiving such support.
The results of this study reveal that intensive grandchild care is associated with lower depressive symptoms among older adults, particularly men. The findings emphasize the importance of encouraging older adults to participate in grandchild care, regardless of gender. Copyright © 2016 John Wiley & Sons, Ltd.
本研究旨在探讨密集型孙辈照料对祖辈抑郁症状的影响。
我们使用了 2008 年至 2012 年韩国老龄化纵向研究的数据。利用 2008 年基线数据,数据包括 5129 名 50 岁及以上、无抑郁且至少有一名孙辈的个体。采用广义估计方程来探讨密集型孙辈照料对抑郁症状的影响。研究因素包括孙辈照料强度,以每周照料孙辈的时间衡量:(i)无(0 小时);(ii)非密集型孙辈照料(1-39 小时);和密集型孙辈照料(≥40 小时)。抑郁症状采用 10 项流行病学研究中心抑郁量表进行测量。
在 2008 年至 2012 年的 5128 名参与者中,3.0%提供非密集型孙辈照料,1.9%提供密集型孙辈照料。与未提供孙辈照料的祖辈相比,提供密集型孙辈照料的祖辈抑郁症状减轻(β=-0.51,p=0.007)。与未提供孙辈照料的祖辈相比,提供密集型孙辈照料的男性(β=-1.22,p=0.012)抑郁症状减轻程度大于女性(β=-0.44,p=0.029)。从成年子女那里获得经济支持的祖辈比未获得此类支持的祖辈更有可能减轻抑郁症状。
本研究结果表明,密集型孙辈照料与老年人,特别是男性的较低抑郁症状相关。研究结果强调了鼓励老年人参与孙辈照料的重要性,无论其性别如何。版权所有©2016 John Wiley & Sons, Ltd.