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随时间推移的加拿大照护员工比较分析:对 2012 年和 2018 年加拿大综合社会调查的横断面分析。

A comparative analysis of carer-employees in Canada over time: a cross-sectional analysis of Canada's General Social Survey, 2012 and 2018.

机构信息

Department of Mathematics, University of Waterloo, Waterloo, ON, Canada.

School of Earth, Environment & Society, McMaster University, Hamilton, ON, Canada.

出版信息

Can J Public Health. 2023 Oct;114(5):840-855. doi: 10.17269/s41997-023-00762-9. Epub 2023 May 10.

Abstract

OBJECTIVES

The aims of the study are to identify trends in the socio-demographic, health, and work profiles of Canadian carer-employees (CEs) over time, as well as the gender difference in the intensity of caring.

METHODS

Cross-sectional data from cycles 26 and 32, collected in 2012 and 2018 respectively, of the Canadian General Social Survey (GSS) were used. Logistic, multinomial logistic, and linear regressions were used to estimate how caregiving is associated with caregivers' health, well-being, and work in both cycles. Regressions from both cycles were then compared with chi-square tests for significant differences over time.

RESULTS

The proportion of male CEs grew between 2012 and 2018, and women were no longer more likely to be a CE. The intensity of care for female CEs was significantly increased from 2012 to 2018 as compared with their male counterparts. General health (2018: OR = 0.25[0.11, 0.61] vs. 2012: OR = 0.33[0.15, 0.72]) and life satisfaction ([Formula: see text] = -0.42[0.54, -0.30] vs. [Formula: see text] = -0.22[-0.30, -0.14]) were significantly worsened with respect to the role of CEs from 2012 to 2018.

CONCLUSION

Our study provides the evidence that CEs' health and well-being have worsened over time, especially for female CEs, indicating that the needs of CEs are growing at a faster rate than the supports available. The results are meaningful in informing and justifying the provision of CE supports at work in order to sustain CEs in the workplace, such as the carer-friendly workplace policies.

摘要

目的

本研究旨在确定加拿大护工雇员(CE)的社会人口统计学、健康和工作状况随时间的变化趋势,以及护理强度的性别差异。

方法

使用 2012 年和 2018 年加拿大综合社会调查(GSS)的第 26 轮和第 32 轮的横断面数据。使用逻辑回归、多项逻辑回归和线性回归来估计在两轮调查中,护理与护理人员的健康、幸福感和工作之间的关系。然后,使用卡方检验比较两轮调查中随时间的显著差异。

结果

2012 年至 2018 年间,男性 CE 的比例有所增加,而女性不再更有可能成为 CE。与男性相比,女性 CE 的护理强度从 2012 年到 2018 年显著增加。一般健康(2018 年:OR=0.25[0.11, 0.61] vs. 2012 年:OR=0.33[0.15, 0.72])和生活满意度([Formula: see text]=-0.42[0.54, -0.30] vs. [Formula: see text]=-0.22[-0.30, -0.14])在 2012 年至 2018 年期间因担任 CE 的角色而显著恶化。

结论

我们的研究表明,CE 的健康和幸福感随时间恶化,尤其是女性 CE,这表明 CE 的需求增长速度快于可用的支持。这些结果在告知和证明在工作场所提供 CE 支持方面具有意义,以维持 CE 在工作场所的地位,例如护工友好型工作场所政策。

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