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与成为患有慢性健康状况成年人的年长而非年轻非带薪照料者相关的因素:南澳大利亚一项基于人群的横断面调查结果。

Factors associated with being an older rather than younger unpaid carer of adults with a chronic health condition: Results from a population-based cross-sectional survey in South Australia.

作者信息

Chang Sungwon, Luckett Tim, Phillips Jane, Agar Meera, Lam Lawrence, DiGiacomo Michelle

机构信息

110561University of Technology Sydney (UTS), Faculty of Health, Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Ultimo, NSW, Australia.

1969Queensland University of Technology, School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland.

出版信息

Chronic Illn. 2023 Mar;19(1):208-220. doi: 10.1177/17423953211054033. Epub 2021 Nov 10.

Abstract

OBJECTIVE

To examine sociodemographic characteristics and caring experiences associated with being an older rather than younger carer of an adult with a chronic health condition.

METHODS

The population-based cross-sectional South Australian Health Omnibus survey was administered in 2016. Multiple logistic regression was used to identify sociodemographic characteristics and caring experiences associated with being an older (≥65 years) versus younger (<65 years) carer of one or more adult(s) with a chronic health condition.

RESULTS

Of 988 survey respondents who self-identified as carers, 198(20%) were 65 years or over. Characteristics associated with being an older carer included having a partner, having poor physical health, being born outside Australia, have no formal qualification, living in a household of 1-2 people, have an annual household income ≤$60,000, and owning one's home. Carer experiences associated with older carer status included providing ≥40 h of care per week, perceived control over caring, and caring for someone with a neurological condition, whereas caring for someone with a mental illness, reporting poor mental health of their own, and providing personal care were inversely associated.

DISCUSSION

Interventions directed at older carers should consider the increased likelihood that they may be investing large amounts of time in caring for someone with a neurological condition, and be culturally and linguistically diverse.

摘要

目的

研究与成为患有慢性健康状况的成年人的老年而非年轻照料者相关的社会人口学特征和照料经历。

方法

2016年开展了基于人群的南澳大利亚综合健康调查。采用多重逻辑回归来确定与成为一名或多名患有慢性健康状况的成年人的老年(≥65岁)照料者而非年轻(<65岁)照料者相关的社会人口学特征和照料经历。

结果

在988名自认为是照料者的调查受访者中,198人(20%)年龄在65岁及以上。与成为老年照料者相关的特征包括有伴侣、身体健康状况差、出生在澳大利亚境外、没有正规学历、居住在1 - 2人的家庭、家庭年收入≤60,000澳元以及拥有自己的住房。与老年照料者身份相关的照料经历包括每周提供≥40小时的照料、对照料有掌控感以及照料患有神经系统疾病的人,而照料患有精神疾病的人、报告自身心理健康状况差以及提供个人护理则与之呈负相关。

讨论

针对老年照料者的干预措施应考虑到他们更有可能投入大量时间照料患有神经系统疾病的人,且在文化和语言上具有多样性。

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