Urban and Rural Development Unit, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Medical Research Council/Uganda Virus Research Institute, Entebbe, Uganda.
J Gerontol B Psychol Sci Soc Sci. 2019 Oct 4;74(8):1483-1491. doi: 10.1093/geronb/gby094.
Individual households remain important for elderly care and support in resource-limited settings. Factors such as availability of young people and ownership of assets are important for care and support for the elderly. This article examines changing trends in accessing care and support for the elderly in a context of socioeconomic changes such as increasing school attendance and outmigration of youth from rural areas.
Rich data from the life stories of individuals from 22 households in rural Uganda collected in 2009-2010 were analyzed.
The elderly were lacking care and support, as the youth experienced increasing schooling and outmigration. The loss of young adults from HIV infection deprived the elderly of care and support, and increased their responsibilities of caring for the sick and the orphans. Mitigating factors included remittances and asset ownership. The availability of free health care encouraged people to stay in households to utilize these resources while also caring for the elderly members.
With the current socioeconomic transformations, the rules and resources used in the traditional care system no longer serve as a "safety network" for the elderly. Adaptation efforts from individual households cannot deal with the multiple concurrent changes. Programs to increase education should consider investing in additional social programs, especially for those who are negatively impacted by increased access to education.
在资源有限的环境下，个体家庭仍然是老年人护理和支持的重要来源。年轻人的可用性和资产所有权等因素对于老年人的护理和支持至关重要。本文探讨了在社会经济变化的背景下，如入学率增加和农村青年外流，老年人获得护理和支持的变化趋势。
对 2009-2010 年在乌干达农村的 22 个家庭的个人生活故事进行了深入分析，获取了丰富的数据。
由于年轻人接受更多教育和外流，老年人缺乏护理和支持。年轻人因艾滋病感染而丧失，剥夺了老年人的护理和支持，并增加了他们照顾病人和孤儿的责任。减轻因素包括汇款和资产所有权。免费医疗保健的提供鼓励人们留在家庭中利用这些资源，同时也照顾老年成员。
随着当前社会经济转型，传统护理系统中使用的规则和资源不再成为老年人的“安全网”。个体家庭的适应努力无法应对多种并发变化。增加教育的计划应考虑投资于额外的社会计划，特别是针对那些因接受更多教育而受到负面影响的人。
