a Department of Applied Social Sciences , The Hong Kong Polytechnic University , Hong Kong.
b Personal Social Services Research Unit , London School of Economics and Political Science , UK.
Aging Ment Health. 2018 Aug;22(8):980-989. doi: 10.1080/13607863.2017.1330872. Epub 2017 May 25.
The objective of this study was to examine multidimensional determinants of the caregiving burden among Chinese male caregivers of older family members in Hong Kong. Based on a modified stress process model, this study explored how background and contextual factors (demographic characteristics and mental health status of caregivers, caregiving-related factors, and support and services), primary stressors (degree of care dependency and special care needs), and secondary stressors (self-efficacy and gender role conflict) might affect the caregiving burden among male caregivers.
A questionnaire survey was completed by 204 male caregivers who considered themselves as primary caregivers for older family members with care needs aged 60 and over. Descriptive, bivariate, and multivariate analyses were conducted.
Being the son of the care receiver, the presence of depressive symptoms, a higher degree of gender role conflict, a lower degree of caregiving self-efficacy, and the use of support and services all predicted greater caregiving burden among male caregivers.
This study established a modified stress process model specifically for male caregivers. Gender role conflict and caregiving self-efficacy were introduced into the model as secondary stressors and found to be significantly associated with the degree of caregiving burden. The findings of this study could inform the development of services and interventions to reduce the caregiving burden among male caregivers.
本研究旨在探讨香港老年家庭成员男性照顾者的多维照顾负担决定因素。基于修正的压力过程模型,本研究探讨了背景和环境因素(照顾者的人口统计学特征和心理健康状况、照顾相关因素、支持和服务)、主要压力源(照顾依赖程度和特殊照顾需求)以及次要压力源(自我效能感和性别角色冲突)如何影响男性照顾者的照顾负担。
对 204 名自认为是有照顾需求的 60 岁及以上老年家庭成员的主要照顾者的男性照顾者进行了问卷调查。进行了描述性、双变量和多变量分析。
照顾对象是被照顾者的儿子、存在抑郁症状、性别角色冲突程度较高、照顾自我效能感较低以及使用支持和服务均预示着男性照顾者的照顾负担更大。
本研究为男性照顾者建立了修正的压力过程模型。性别角色冲突和照顾自我效能感被引入模型作为次要压力源,并发现与照顾负担程度显著相关。本研究的结果可以为减轻男性照顾者的照顾负担提供服务和干预措施的制定提供信息。