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大衰退对有心理健康问题或发育障碍的个体的中年和老年父母的影响。

The Impact of the Great Recession on Midlife and Older parents of Individuals With a Mental Health Problem or a Developmental Disability.

机构信息

Waisman Center, University of Wisconsin-Madison.

School of Social Work and Waisman Center, University of Wisconsin-Madison.

出版信息

Gerontologist. 2018 May 8;58(3):448-455. doi: 10.1093/geront/gnw269.

DOI:10.1093/geront/gnw269
PMID:28329847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5946810/
Abstract

BACKGROUND AND OBJECTIVES

Parents of sons and daughters with disabilities have ongoing financial burdens and vulnerability due to the demands of caregiving responsibilities and their related direct and indirect costs. This study aims to investigate whether midlife and older parents of individuals with a mental health problem or a developmental disability were particularly vulnerable to the impact of the recession.

RESEARCH DESIGN AND METHODS

The data were drawn from Midlife in the United States (MIDUS), a longitudinal survey of a national probability sample in the United States, Waves II (2004-2006) and III (2013-2014; 84 parents of individuals with a mental health problem, 98 parents of individuals with a developmental disability, and 2,029 parents of individuals without any conditions as a comparison group).

RESULTS

The findings suggest that the midlife and older parents whose son or daughter had a mental health problem experienced more recession impacts than comparison parents, even after controlling prerecession financial status and sociodemographic characteristics.

DISCUSSION AND IMPLICATIONS

The results indicate the need for policies that provide effective financial support and reduce restrictions on health service access in order to relieve the financial burden experienced by midlife and older parents of individuals with a mental health problem.

摘要

背景与目的

由于照顾责任及其相关的直接和间接成本的要求,有残疾子女的父母一直面临经济负担和脆弱性。本研究旨在调查中年和老年父母,其子女是否有心理健康问题或发育障碍,是否特别容易受到经济衰退的影响。

研究设计与方法

数据来自美国中年(MIDUS),这是一项针对美国全国概率样本的纵向调查,包括第二波(2004-2006 年)和第三波(2013-2014 年);有心理健康问题的个体的 84 名父母、有发育障碍的个体的 98 名父母、以及作为对照组的无任何疾病的个体的 2029 名父母。

结果

研究结果表明,即使在控制了衰退前的财务状况和社会人口特征后,有子女患有心理健康问题的中年和老年父母比对照组父母经历了更多的衰退影响。

讨论与启示

研究结果表明,需要制定政策,提供有效的财政支持,并减少对获取卫生服务的限制,以减轻有心理健康问题的个体的中年和老年父母所面临的经济负担。

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本文引用的文献

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Int J Aging Hum Dev. 2017 Mar;84(3):294-312. doi: 10.1177/0091415016671722. Epub 2016 Oct 4.
2
Cumulative Advantage, Cumulative Disadvantage, and Evolving Patterns of Late-Life Inequality.累积优势、累积劣势与晚年不平等的演变模式。
Gerontologist. 2017 Oct 1;57(5):910-920. doi: 10.1093/geront/gnw056.
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Financial Strain and Mental Health Among Older Adults During the Great Recession.大衰退期间老年人的经济压力与心理健康
J Gerontol B Psychol Sci Soc Sci. 2016 Jul;71(4):745-54. doi: 10.1093/geronb/gbw001. Epub 2016 Feb 3.
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Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow-up.《国家共病调查十年随访中精神障碍对就业的长期影响》
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A systematic review on health resilience to economic crises.关于健康对经济危机恢复力的系统评价。
PLoS One. 2015 Apr 23;10(4):e0123117. doi: 10.1371/journal.pone.0123117. eCollection 2015.
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The impact of autism services on mothers' occupational balance and participation.自闭症服务对母亲职业平衡与参与的影响。
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Financial and nonfinancial burden among families of CSHCN: changes between 2001 and 2009-2010.患有慢性特殊健康护理需求儿童(CSHCN)家庭的经济和非经济负担:2001年至2009 - 2010年期间的变化
Acad Pediatr. 2014 Jan-Feb;14(1):92-100. doi: 10.1016/j.acap.2013.10.001.
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