Graduate School of Business, University of Cape Town, Cape Town, South Africa,
Graduate School of Business, University of Cape Town, Cape Town, South Africa.
Dement Geriatr Cogn Disord. 2019;48(5-6):337-348. doi: 10.1159/000506511. Epub 2020 Apr 2.
In societies where the value of filial piety is observed, a preference for caregiving to take place at home exists. In fact, institutional and paid home care for people with dementia (PWD) are still taboo in some Muslim societies. However, economic development and globalisation have resulted in intergenerational separation, thus impacting the ability by young adults to provide care for the elderly at home.
We establish the demographic characteristics most likely to be associated with the use of paid home care - age, gender, education level, marital status, family structure, experience with dementia care in the family, and number of dependents - for PWD among South African Muslims.
A survey, administered in the form of an online questionnaire, of Muslim families across each of the 9 provinces of South Africa was conducted. Multiple logistic regression was used to test the effects of the demographic variables on the type of care choice arrangement (family as primary caregiver vs. paid home caregiving).
422 responses were analysed, 28% of which indicated the respondents' desire to use paid home caregivers. The multiple logistic regression results indicate that South African Muslim families are more likely to use paid home care if they are older (that is, over 40 years; OR = 1.972, 95% CI: 1.445-2.695), are female (OR = 1.637, 95% CI: 1.089-2.457), and have high levels of education (OR = 1.828, 95% CI: 1.070-3.125).
Home-based care is touted as the next dementia care model. Given that intergenerational mobility is likely to increase as future generations continue to participate more in the labour market, minority groups with a disposition to the same familial social values will require appropriate support in order to cope with the demands of caring for PWD. Suitable interventions for Muslim families who are not open to using external assistance, as well as those who are, need to be administered to enable the caregiver and care recipient to thrive at home.
在重视孝道的社会中，人们更倾向于选择在家中进行护理。事实上，在一些穆斯林社会中，痴呆症患者（PWD）的机构和有偿家庭护理仍然是禁忌。然而，经济发展和全球化导致了代际分离，从而影响了年轻人在家中为老年人提供护理的能力。
我们确定与南非穆斯林 PWD 使用有偿家庭护理最相关的人口统计学特征-年龄、性别、教育水平、婚姻状况、家庭结构、家庭中痴呆症护理经验以及受抚养人数。
对南非 9 个省份的穆斯林家庭进行了一项在线问卷调查。使用多变量逻辑回归检验人口统计学变量对护理选择安排类型（家庭作为主要照顾者与有偿家庭护理）的影响。
分析了 422 份回复，其中 28%的回复者表示希望使用有偿家庭护理员。多变量逻辑回归结果表明，如果南非穆斯林家庭年龄较大（即 40 岁以上）、女性（OR=1.637，95%CI：1.089-2.457）和受教育程度较高（OR=1.828，95%CI：1.070-3.125），则更有可能使用有偿家庭护理。
家庭护理被吹捧为下一个痴呆症护理模式。考虑到随着未来几代人继续更多地参与劳动力市场，代际流动性可能会增加，具有相同家庭社会价值观的少数群体将需要得到适当的支持，以应对照顾 PWD 的需求。需要为那些不愿意或愿意接受外部援助的穆斯林家庭提供适当的干预措施，以使照顾者和被照顾者能够在家中茁壮成长。
