丧偶对幸福感、健康和护理使用的影响:欧洲的一项纵向分析。
The impact of widowhood on wellbeing, health, and care use: A longitudinal analysis across Europe.
机构信息
University of Castilla-La Mancha, Spain.
University of Castilla-La Mancha, Spain.
出版信息
Econ Hum Biol. 2021 Dec;43:101049. doi: 10.1016/j.ehb.2021.101049. Epub 2021 Jul 24.
OBJECTIVE
To estimate whether becoming widowed had a significant effect on individual's health status as well as on healthcare and non-healthcare resources use, compared to people who remained in a couple in Europe.
DATA AND METHOD
It was used the Survey of Health, Aging and Retirement in Europe from 2004 to 2015. The statistical technique used was genetic matching which analysed the differences in wellbeing, mental health, health status, risk of death, health care resources and long-term care utilization of people who have become widowed, comparing with people who remained married or with a partner. We considered shortterm and medium-term effects.
RESULTS
In the short term, those who became widowed had a worse wellbeing and mental health, in addition to a greater probability of receiving formal care and informal care from outside the household. There seems to be a significant effect in the use of formal and informal care from outside the household in the medium term.
CONCLUSIONS
The results might help to concentrate a major effort of any policy or strategy, not only in the field of health but also in the provision of long-term care, immediately after the negative shock occurs.
目的
与在欧洲仍处于伴侣关系的人相比,评估丧偶对个人健康状况以及医疗和非医疗资源使用是否有重大影响。
数据和方法
本研究使用了 2004 年至 2015 年的欧洲健康、老龄化和退休调查数据。采用遗传匹配的统计技术,分析了丧偶者与已婚或有伴侣者的幸福感、心理健康、健康状况、死亡风险、医疗资源和长期护理利用的差异。我们考虑了短期和中期影响。
结果
短期内,丧偶者的幸福感和心理健康状况较差,此外,他们更有可能获得来自家庭以外的正式照顾和非正式照顾。从中期来看,来自家庭以外的正式和非正式护理的使用似乎存在显著影响。
结论
这些结果可能有助于集中精力制定任何政策或战略,不仅在卫生领域,而且在长期护理方面,在负面冲击发生后立即采取行动。