Quashie Nekehia T, Wagner Melanie, Verbakel Ellen, Deindl Christian
Department of Social Sciences, TU Dortmund University, Dortmund, Germany.
Max Planck Institute for Social Law and Social Policy, Munich Center for the Economics of Aging (MEA), Munich, Germany.
Eur J Ageing. 2021 Dec 14;19(3):621-632. doi: 10.1007/s10433-021-00666-y. eCollection 2022 Sep.
Disclosing socioeconomic differences in informal care provision is increasingly important in aging societies as it helps to identify the segments of the population that may need targeted support and the types of national investments to support family caregivers. This study examines the association between individual-level socioeconomic status and informal care provision within the household. We also examine the role of contextual factors, income inequality, and the generosity of social spending, to identify how macro-level socioeconomic resource structures shape individuals' provision of care to household members. We use pooled data from the Survey of Health, Ageing and Retirement in Europe (SHARE, waves 1, 2, 4, 5, 6) and the English Longitudinal Study of Ageing (ELSA, waves 2, 3, 4, 6, 7). Poisson regression multilevel models estimate the associations between household socioeconomic status (education, income, and wealth), and country socioeconomic resources (income inequality and social spending as a percentage of GDP), and the likelihood of older adults' informal care provision within the household. Results indicate that lower individual socioeconomic resources-education, income, and wealth-were associated with a higher incidence of older adults' informal care provision within the household. At the macro-level, income inequality was positively associated while social spending was negatively associated with older adults' care provision within the household. Our findings suggest that socioeconomically disadvantaged groups are more likely to provide informal care, which may reinforce socioeconomic inequalities. At the national level, more equitable resource distribution and social spending may reduce intensive family caregiving.
在老龄化社会中,揭示非正式护理提供方面的社会经济差异变得越来越重要,因为这有助于确定可能需要有针对性支持的人群以及支持家庭护理人员的国家投资类型。本研究考察了个体层面的社会经济地位与家庭内部非正式护理提供之间的关联。我们还考察了背景因素、收入不平等和社会支出慷慨程度的作用,以确定宏观层面的社会经济资源结构如何塑造个人为家庭成员提供护理的行为。我们使用了来自欧洲健康、老龄化和退休调查(SHARE,第1、2、4、5、6轮)和英国老龄化纵向研究(ELSA,第2、3、4、6、7轮)的汇总数据。泊松回归多层次模型估计了家庭社会经济地位(教育、收入和财富)、国家社会经济资源(收入不平等和社会支出占国内生产总值的百分比)与老年人在家庭中提供非正式护理可能性之间的关联。结果表明,较低的个人社会经济资源——教育、收入和财富——与老年人在家庭中提供非正式护理的较高发生率相关。在宏观层面,收入不平等与老年人在家庭中提供护理呈正相关,而社会支出与老年人在家庭中提供护理呈负相关。我们的研究结果表明,社会经济弱势群体更有可能提供非正式护理,这可能会加剧社会经济不平等。在国家层面,更公平的资源分配和社会支出可能会减少家庭密集护理行为。