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配偶和成年子女照顾者的社会隔离:来自加拿大老龄化纵向研究的结果。

Social Isolation Among Spousal and Adult-Child Caregivers: Findings From the Canadian Longitudinal Study on Aging.

机构信息

Gerontology Research Centre, Simon Fraser University, Vancouver, British Columbia, Canada.

Department of Gerontology & Department of Sociology/Anthropology, Simon Fraser University, Burnaby, British Columbia, Canada.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Aug 13;76(7):1415-1429. doi: 10.1093/geronb/gbaa197.

Abstract

OBJECTIVES

The caregiving outcomes of spousal and adult-child caregivers are widely studied since they are the most common source of support provided to adults. However, the literature on social isolation among spousal and adult-child caregivers is very limited. In order to further elaborate and specify unique caregiving outcomes, this study focuses on social isolation, both longitudinally and comparatively between spousal and adult-child caregivers.

METHODS

This study was based on the Baseline and Follow-up 1 data from the Canadian Longitudinal Study on Aging. A total of 5,226 participants (1,293 spousal caregivers and 3,933 adult-child caregivers) were selected. The Linear mixed models were used to examine the effect of caregiver type and caregiving intensity on social isolation over the course of survey.

RESULTS

Spousal and adult-child caregivers reported greater social isolation over time, and spousal caregivers exhibited a steeper increase in social isolation from Baseline to Follow-up 1 than adult-child caregivers. Also, an increase in caregiving hours resulted in greater social isolation. Finally, male spousal or adult-child caregivers were more likely to be socially isolated over time than their female counterparts.

DISCUSSION

The findings of this study contribute to the existing literature on caregiving outcomes by demonstrating an association between family caregiving and social isolation. The results indicate a strong need for intervention programs that aim to enhance social connectedness among family caregivers, and especially for those who perform intensive caregiving, are older age, and are from a lower socioeconomic status.

摘要

目的

配偶和子女照顾者的照顾结果受到广泛研究,因为他们是为成年人提供支持的最常见来源。然而,关于配偶和子女照顾者社会隔离的文献非常有限。为了进一步详细说明和具体说明独特的照顾结果,本研究重点关注社会隔离,包括配偶和子女照顾者的纵向和比较。

方法

本研究基于加拿大老龄化纵向研究的基线和第 1 次随访数据。共选择了 5226 名参与者(1293 名配偶照顾者和 3933 名子女照顾者)。线性混合模型用于检查照顾者类型和照顾强度对调查过程中社会隔离的影响。

结果

配偶和子女照顾者随着时间的推移报告了更大的社会隔离,配偶照顾者从基线到第 1 次随访的社会隔离增加幅度大于子女照顾者。此外,照顾时间的增加导致更大的社会隔离。最后,男性配偶或子女照顾者随着时间的推移比女性更有可能感到社会隔离。

讨论

本研究的发现通过展示家庭照顾与社会隔离之间的关联,为现有照顾结果文献做出了贡献。结果表明,非常需要干预计划,旨在增强家庭照顾者的社会联系,特别是对于那些从事密集照顾、年龄较大和社会经济地位较低的照顾者。

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