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残疾照顾者的双重劣势:中国香港的横断面研究,关于照顾时长和服务改进的重要性认知。

Double Disadvantage of Carers with a Disability: A Cross-Sectional Study of Care Duration and Perceived Importance for Service Improvement in Hong Kong, China.

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.

Mental Health Research Centre, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2022 Dec 20;20(1):20. doi: 10.3390/ijerph20010020.

DOI:10.3390/ijerph20010020
PMID:36612342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9819935/
Abstract

OBJECTIVES

this study examined (i) the relationships between the care duration of carers and their perceptions of the importance of service improvement by types of service, and (ii) whether carers had a disability that moderated the impacts of care duration on these perceptions.

DESIGN

survey data for cross-sectional analyses.

METHOD

The sample consisted of carers without disability ( = 625) and carers with a disability ( = 77). Hierarchical multiple regression was applied to examine the unique contribution of care duration. The interaction effects of the disability status of the carer was also estimated.

RESULTS

Longer care duration was associated with a greater perception of the importance of service improvement for certain services by carers. The positive relationships between care duration and perception of the importance of caregiver assistances and financial subsidy improvement were stronger for carers with disabilities compared to carers without disability.

CONCLUSIONS

Long-term carers with disabilities face a potential double disadvantage of service improvement needs with more years of caregiving. Policy makers should consider prioritizing caregiver assistances or financial subsidy service improvements for long-term carers who themselves have a disability.

摘要

目的

本研究考察了(i)照顾者的照顾时间与他们对服务改进重要性的看法之间的关系,以及(ii)照顾者是否存在残疾,从而调节照顾时间对这些看法的影响。

设计

横断面调查数据。

方法

样本包括无残疾的照顾者(n=625)和有残疾的照顾者(n=77)。采用分层多元回归分析来检验照顾时间的独特贡献。还估计了照顾者残疾状况的交互效应。

结果

照顾时间较长与照顾者对某些服务的服务改进重要性的感知呈正相关。与无残疾的照顾者相比,残疾照顾者的照顾时间与对照顾协助和经济补贴改进的重要性感知之间的正相关关系更强。

结论

长期残疾的照顾者面临着潜在的双重劣势,即需要更多年的护理服务改进。政策制定者应考虑优先为长期残疾的照顾者提供照顾协助或经济补贴服务改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/e8612dce0a82/ijerph-20-00020-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/635462e86663/ijerph-20-00020-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/3dc4f9adc656/ijerph-20-00020-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/e8612dce0a82/ijerph-20-00020-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/635462e86663/ijerph-20-00020-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/3dc4f9adc656/ijerph-20-00020-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a115/9819935/e8612dce0a82/ijerph-20-00020-g003.jpg

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Why Is Rehabilitation Assistance Policy for Children With Disabilities Deviated in Supply-Demand? A Case Study in Mainland China.为什么残疾儿童康复救助政策在供给需求上出现偏离?中国大陆的案例研究。
Front Public Health. 2021 Apr 7;9:666333. doi: 10.3389/fpubh.2021.666333. eCollection 2021.
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Health-Related Quality of Life and Related Factors among Primary Caregivers of Children with Disabilities in Shanghai, China: A Cross-Sectional Study.
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Int J Environ Res Public Health. 2020 Dec 12;17(24):9299. doi: 10.3390/ijerph17249299.
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Double disadvantage: Health impacts of parenting a child with a disability for parents with prior exposure to childhood maltreatment.双重困境:曾遭受儿童期虐待的父母养育残疾儿童对其健康的影响。
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