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中年女性非正式照料中基于性别的社会经济差距:来自日本全国性调查的证据。

The socioeconomic within-gender gap in informal caregiving among middle-aged women: Evidence from a Japanese nationwide survey.

作者信息

Tokunaga Mutsumi, Hashimoto Hideki

机构信息

Department of Health and Social Behavior, The University of Tokyo, School of Public Health, Japan.

Department of Health and Social Behavior, The University of Tokyo, School of Public Health, Japan.

出版信息

Soc Sci Med. 2017 Jan;173:48-53. doi: 10.1016/j.socscimed.2016.11.037. Epub 2016 Nov 28.

Abstract

Caregiving to older people with needs has been mainly dependent on informal care provision by female caregivers. Compared with the care burden gender gap, the within-gender gap in women's socioeconomic status (SES) has attracted less policy attention. We investigated the association between middle-aged women's SES and the likelihood of being a primary caregiver for elderly informal care, focusing on household income, women's marital status, work status, and educational background under the universal and public system of formal long-term care provision in Japan. We used repeated cross-sectional data from nationally representative household surveys conducted between 2010 and 2013 to obtain a sample of 2399 women aged between 40 and 60 years living in the same household as a care recipient. We conducted multiple logistic regression analysis to obtain odds ratios of being a primary caregiver in the household regressed on women's SES variables, adjusting for the characteristics of care recipients and household composition. The results showed that single women with lower education were likely to be primary caregivers when the care recipients had severe levels of care needs, whereas the association was null in the case of care recipients with milder conditions. The results indicated that women's low education and non-married status were related to a higher likelihood of becoming a primary caregiver of severely disabled elderly for reasons other than lower economic power. To emancipate socioeconomically vulnerable women from the care burden, a broader set of social, economic, and welfare policies are needed.

摘要

照顾有需求的老年人主要依赖女性照顾者提供的非正式照料。与照料负担的性别差距相比,女性社会经济地位(SES)的性别内差距受到的政策关注较少。我们调查了中年女性的社会经济地位与成为老年人非正式照料主要照顾者可能性之间的关联,重点关注日本正式长期照料提供的普遍和公共体系下的家庭收入、女性婚姻状况、工作状况和教育背景。我们使用了2010年至2013年期间全国代表性家庭调查的重复横截面数据,以获取与受照料者同住一个家庭的2399名年龄在40至60岁之间女性的样本。我们进行了多项逻辑回归分析,以获得以女性社会经济地位变量为自变量、在对受照料者特征和家庭构成进行调整后家庭中成为主要照顾者的优势比。结果表明,当受照料者有严重照料需求时,教育程度较低的单身女性更有可能成为主要照顾者,而对于照料需求较轻的受照料者,这种关联则不存在。结果表明,女性的低教育程度和未婚状况与因经济能力以外的原因成为严重残疾老年人主要照顾者的较高可能性有关。为了使社会经济弱势女性从照料负担中解放出来,需要一套更广泛的社会、经济和福利政策。

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