Department of Health Systems Management, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel.
School of Nursing, University of Rochester Medical Center, Rochester, NY 14627-0446, USA.
Int J Environ Res Public Health. 2022 Mar 17;19(6):3570. doi: 10.3390/ijerph19063570.
Global population aging and increased longevity are making family care a nearly universal experience. Caregiving is a dynamic process that varies over time and in intensity but often takes a physical and emotional toll on carers and may inflict financial costs by attenuating their labor market participation. The study explores the implications of the 'cessation of care' of frail elders by adult (middle-aged and older) kin by comparing two ethnic groups in Israel with respect to their health and their psychological and economic life. Using secondary data analyses based on SHARE-Israel data for persons aged 50+, it is found that subjective health assessment and financial capability are significantly higher among those who stop providing care than among those who continue to do so, while carers report a downturn in life satisfaction after they stop giving care. Those who continue are younger than the others, and their labor force participation rate is higher. Significant implications of cessation of care for all three areas studied-psychological, health, and economic-are found as well: the subjective rating of health and financial capability improve whereas life satisfaction decreases. Furthermore, a cessation of care moderates the relation between individuals' age and their self-rated health, which is better among those who continue to provide care. These results emphasize and deepen our understanding of the cessation-of-care phase as a key component of the process of care for frail older adults by family members.
全球人口老龄化和预期寿命的延长使得家庭护理成为一种普遍现象。护理是一个动态的过程，随着时间的推移而变化，强度也不同，但通常会对护理人员的身体和情绪造成影响，可能会通过削弱他们的劳动力市场参与度而产生经济成本。本研究通过比较以色列的两个族群，探讨了成年（中年及以上）亲属“停止照顾”体弱老年人的含义，比较了他们的健康状况以及他们的心理和经济生活。本研究使用基于 SHARE-Israel 对 50 岁以上人群数据的二次数据分析，发现与继续提供护理的人相比，停止提供护理的人主观健康评估和经济能力显著更高，而护理人员在停止提供护理后报告生活满意度下降。继续护理的人比其他人年轻，他们的劳动力参与率也更高。研究还发现，停止护理对所研究的三个领域——心理、健康和经济——都有重要影响：主观健康评分和经济能力提高，而生活满意度下降。此外，停止护理还调节了个体年龄与其自评健康之间的关系，对于继续提供护理的人来说，这种关系更好。这些结果强调并深化了我们对护理人员停止护理阶段的理解，这是家庭成员照顾体弱老年人过程中的一个关键组成部分。
