Bidenko Katharina, Bohnet-Joschko Sabine
Lehrstuhl für Management und Innovation im Gesundheitswesen, Universität Witten Herdecke, Witten.
Gesundheitswesen. 2021 Feb;83(2):122-127. doi: 10.1055/a-1173-8918. Epub 2020 Jul 9.
The aim of this study was to investigate how the health effects of informal care are influenced by the contextual factor employment.
The analysis is based on representative German population data for 2015 and 2016 (n=19 791). The focus group "family caregivers" includes persons who informally support or care for a person at least one hour a week. A comparison group was identified by using propensity score matching. Relations in these two groups were examined by employing multivariate regression analysis. For a graphic presentation, subgroups were formed with regard to the amount of time spent on family caregiving and work.
The mental health of family caregivers deteriorated with increasing effort for caregiving (B=-0.44; p=0.02). The negative health effects of family caregiving were reduced through employment (B=0.58; p<0.01), but only up to a certain number of working hours. With a higher workload for both activities, there was a decrease in the moderating effect (up to 32% of standard deviation).
The significant moderating effect of employment is mainly influenced by the overall burden in the two areas of activity. Results suggest the potentially protective and restorative effects of employment on family caregivers' health.
本研究旨在调查就业这一背景因素如何影响非正式护理对健康的影响。
该分析基于2015年和2016年德国具有代表性的人口数据(n = 19791)。焦点群体“家庭护理人员”包括每周至少为他人提供一小时非正式支持或护理的人员。通过倾向得分匹配确定了一个对照组。采用多元回归分析检验这两组之间的关系。为了进行图表展示,根据家庭护理和工作所花费的时间量形成了亚组。
家庭护理人员的心理健康随着护理努力程度的增加而恶化(B = -0.44;p = 0.02)。就业减轻了家庭护理对健康的负面影响(B = 0.58;p < 0.01),但这种影响仅在一定工作时长内存在。当两项活动的工作量都较高时,调节作用会减弱(高达标准差的32%)。
就业的显著调节作用主要受这两个活动领域的总体负担影响。结果表明就业对家庭护理人员的健康具有潜在的保护和恢复作用。