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非正规照护对孤独感和闲暇活动满意度的影响。基于德国人口的纵向研究结果。

Impact of informal caregiving on loneliness and satisfaction with leisure-time activities. Findings of a population-based longitudinal study in germany.

机构信息

Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf , Hamburg , Germany.

出版信息

Aging Ment Health. 2019 Nov;23(11):1539-1545. doi: 10.1080/13607863.2018.1506739. Epub 2018 Oct 17.

DOI:10.1080/13607863.2018.1506739
PMID:30328702
Abstract

Recent longitudinal studies have shown that informal caregiving increases depressive symptoms. However, little is known about the relation between informal caregiving and social ties as well as the evaluation of leisure-time activities longitudinally. Consequently, the aim of the current study was to investigate whether informal caregiving affects social ties as well as the perception of leisure-time activities. Data were drawn from a population-based sample of community-dwelling individuals (≥40 years) in Germany from 2002 to 2014 (n = 21,762 observations). Social ties were assessed twofold: The number of important people in regular contact, and a six-item scale by Gierveld and van Tilburg. Furthermore, using a 5-point rating scale, satisfaction with leisure-time activities were quantified. Individuals were asked whether they provide informal care regularly. Fixed effects regressions revealed that the onset of informal caregiving were not associated with changes in loneliness in the total sample and in both sexes. Besides, the onset of informal caregiving was associated with an in the number of individuals in regular contact in the total sample and in men, whereas it was associated with a decrease in satisfaction with leisure-time activities in the total sample and in both sexes. Data suggest that changes in informal caregiving were not associated with changes in loneliness. While the onset of informal caregiving was associated with an increase in the number of individuals in regular contact, it was associated with negative changes in satisfaction with leisure-time activities, emphasizing the variety of consequences that may unfold.

摘要

最近的纵向研究表明,非正式护理会增加抑郁症状。然而,人们对非正式护理与社会关系以及对休闲活动的评价之间的关系知之甚少。因此,本研究旨在调查非正式护理是否会影响社会关系以及对休闲活动的看法。

该数据来自于 2002 年至 2014 年德国一项基于人群的社区居住者(≥40 岁)的样本(n=21762 次观察)。社会关系通过两种方式进行评估:经常联系的重要人物数量和 Gierveld 和 van Tilburg 的六项目量表。此外,使用 5 点评分量表来量化对休闲活动的满意度。受访者被问及是否经常提供非正式护理。

固定效应回归显示,在总样本和男女两性中,非正式护理的开始与孤独感的变化无关。此外,在总样本和男性中,非正式护理的开始与经常联系的人数增加有关,而在总样本和男女两性中,与休闲活动满意度的下降有关。

数据表明,非正式护理的变化与孤独感的变化无关。虽然非正式护理的开始与经常联系的人数增加有关,但它与休闲活动满意度的负面变化有关,这强调了可能出现的各种后果。

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