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性别在社区居住的老年人接受非正式护理方面是否重要?来自美国、韩国和中国的跨国比较研究的证据。

Does Gender Matter in the Receipt of Informal Care Among Community-Dwelling Older Adults? Evidence from a Cross-National Comparative Study Across the United States, South Korea, and China.

机构信息

Daegu University, Gyongsan, South Korea.

University of New Hampshire, Durham.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Jun 8;76(Suppl 1):S64-S75. doi: 10.1093/geronb/gbaa018.

Abstract

OBJECTIVES

This study compares patterns of gender difference in the receipt of informal care among community-dwelling older adults across the United States, Korea, and China where family-oriented systems for providing care to older adults are emphasized.

METHOD

Data came from the 2014 Health and Retirement Study, the 2014 Korea Longitudinal Study of Aging, and the 2015 China Health and Retirement Longitudinal Study. Logistic regression models were used to predict the receipt of informal care by gender. We also examined how the effects of health and living arrangement on the receipt of informal care differ depending on gender.

RESULTS

In the United States and China, older women were more likely to receive informal care than men. However, older Korean women were less likely to receive informal care than men. The effects of health and living arrangement on the use of informal care were moderated by gender in different ways across countries.

DISCUSSION

This study provides evidence that patterns of gender differences in the receipt of informal care vary across the three countries. More attention needs to be paid to the design and implementation of long-term supports and services to address the unique patterns of gender difference in care arrangement in each country.

摘要

目的

本研究比较了强调为老年人提供家庭式照护的美国、韩国和中国这三个国家和地区中,社区居住的老年人在接受非正式照护方面的性别差异模式。

方法

数据来自 2014 年美国健康与退休研究、2014 年韩国老龄化纵向研究和 2015 年中国健康与退休纵向研究。使用逻辑回归模型预测性别对非正式照护的接受程度。我们还研究了健康和生活安排对非正式照护的影响如何因性别而异。

结果

在美国和中国,女性比男性更有可能接受非正式照护。然而,韩国的老年女性比男性更不可能接受非正式照护。健康和生活安排对非正式照护使用的影响在不同国家以不同的方式受到性别的调节。

讨论

本研究提供了证据,表明在接受非正式照护方面的性别差异模式在这三个国家有所不同。需要更加关注长期支持和服务的设计和实施,以解决每个国家独特的性别差异照护模式。

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本文引用的文献

1
Gender Patterns of Eldercare in China.中国老年人护理中的性别模式。
Fem Econ. 2018;24(2):54-76. doi: 10.1080/13545701.2018.1438639. Epub 2018 Mar 13.
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Gender Differences in Spousal Care Across the Later Life Course.晚年生活中配偶照料的性别差异。
Res Aging. 2017 Sep;39(8):934-959. doi: 10.1177/0164027516644503. Epub 2016 Apr 24.
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Disability and care needs among older Americans.美国老年人的残疾与护理需求。
Milbank Q. 2014 Sep;92(3):509-41. doi: 10.1111/1468-0009.12076.

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