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[远程照护:来自欧洲健康、老龄化与退休调查的实证研究结果]

[Distance caregiving : Empirical findings from the Survey of Health, Ageing and Retirement in Europe].

作者信息

Wagner Melanie, Franke Annette, Otto Ulrich

机构信息

Munich Center for the Economics of Aging (MEA), Max-Planck-Institut für Sozialrecht und Sozialpolitik, München, Deutschland.

Evangelische Hochschule Ludwigsburg, Ludwigsburg, Deutschland.

出版信息

Z Gerontol Geriatr. 2019 Oct;52(6):529-536. doi: 10.1007/s00391-019-01605-4. Epub 2019 Sep 6.

Abstract

BACKGROUND

The support of relatives living far away in terms of distance caregiving between children and their parents has gained in importance in Europe. At the same time, little is known about these care arrangements based on representative European survey data.

OBJECTIVE

This article is concerned with the following questions: which statements are possible in Europe about the prevalence of persons caring for at least one parent from a geographical distance? Which forms of support are provided and which other specific socioeconomic and health-related aspects characterize these care situations? In this respect special attention is paid to differences to relatives who provide help close to their parents who are in need of care.

MATERIAL AND METHODS

Data from the Survey of Health, Ageing and Retirement in Europe (SHARE) from the sixth wave of the survey in 2015 were used to perform a descriptive analysis and multivariate logistic regression.

RESULTS AND CONCLUSION

The analysis showed that distance caregiving is more than a marginal phenomenon in Europe with a prevalence of 11% for a relatively close terminology (over 100 km distance between locations) and 23% for a broader terminology (over 25 km); however, the various countries are very different in terms of prevalence. The findings also point to some significant differences in terms of resources, care tasks and quality of life compared to caregivers in the same household. In light of these dynamically developing distance caregiving arrangements, this article can provide further discussion, critical reflection, and advancement to the operationalization of informal care.

摘要

背景

在欧洲,子女对远方父母的远程照护支持变得越发重要。与此同时,基于具有代表性的欧洲调查数据,人们对这些照护安排却知之甚少。

目的

本文关注以下问题:在欧洲,对于远距离照顾至少一位父母的人群比例,有哪些说法是合理的?提供了哪些支持形式?这些照护情况还有哪些其他特定的社会经济和健康相关特征?在这方面,特别关注与在需要照顾的父母身边提供帮助的亲属之间的差异。

材料与方法

使用来自2015年欧洲健康、老龄化与退休调查(SHARE)第六轮调查的数据进行描述性分析和多因素逻辑回归分析。

结果与结论

分析表明,远程照护在欧洲并非边缘现象,相对较近的定义(两地距离超过100公里)下的发生率为11%,更宽泛定义(两地距离超过25公里)下的发生率为23%;然而,各国在发生率方面差异很大。研究结果还表明,与同住一户的照护者相比,在资源、照护任务和生活质量方面存在一些显著差异。鉴于这些动态发展的远程照护安排,本文可为非正式照护的实施提供进一步的讨论、批判性反思和推进。

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