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照顾父母会付出代价吗?欧洲各地在照顾强度、共同居住情况及心理健康方面的性别差异

Does Caring for Parents Take Its Toll? Gender Differences in Caregiving Intensity, Coresidence, and Psychological Well-Being Across Europe.

作者信息

Labbas Elisa, Stanfors Maria

机构信息

Centre for Economic Demography, Lund University, PO Box 7080, 220 07, Lund, Sweden.

出版信息

Eur J Popul. 2023 Jun 28;39(1):18. doi: 10.1007/s10680-023-09666-3.

DOI:10.1007/s10680-023-09666-3
PMID:37378787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10307765/
Abstract

Given population ageing and the emphasis on in-home care, more working-age adults are facing the demands of providing unpaid care to the elderly with potential implications for their own well-being. Such effects likely vary across Europe because care is differently organized with a differing emphasis on public support, dependence on family, and orientation toward gender equality. We studied the relationship between unpaid caregiving for elderly parents and the psychological well-being of older working-age (50-64) men and women by analysing data from the Survey of Health, Retirement, and Ageing in Europe (SHARE), covering 18 countries between 2004 and 2020 (N = 24,338), using ordinary least squares (OLS). We examined risk of depression by caregiving intensity and tested whether coresidence mediated outcomes. Men and women providing care to parents experience important psychological well-being losses across Europe, especially when caregiving is intensive. A heavier caregiving burden associated with coresidence explains a regime gradient in depression, not least for women in Southern Europe. Results highlight the spillover costs of unpaid caregiving across Europe and the need to address caregiver psychological well-being, especially in contexts where state support for elder care is low and coresidence is common.

摘要

鉴于人口老龄化以及对居家护理的重视,越来越多处于工作年龄的成年人面临着为老年人提供无偿护理的需求,这可能会对他们自身的幸福产生影响。这种影响在欧洲各地可能有所不同,因为护理的组织方式不同,对公共支持、对家庭的依赖以及对性别平等的重视程度也不同。我们通过分析欧洲健康、退休和老龄化调查(SHARE)的数据,研究了照顾年迈父母的无偿护理与年龄较大的工作年龄(50 - 64岁)男性和女性心理健康之间的关系。该调查涵盖2004年至2020年间的18个国家(N = 24,338),采用普通最小二乘法(OLS)。我们通过护理强度来研究抑郁症风险,并测试同住是否会影响结果。在欧洲,为父母提供护理的男性和女性都经历了重要的心理健康损失,尤其是在护理强度较大时。与同住相关的更重护理负担解释了抑郁症的一种模式梯度,尤其是对南欧的女性而言。研究结果凸显了欧洲各地无偿护理的溢出成本,以及解决照顾者心理健康问题的必要性,特别是在国家对老年护理支持较低且同住情况普遍的背景下。

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本文引用的文献

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Caregiving time costs and trade-offs: Gender differences in Sweden, the UK, and Canada.护理时间成本与权衡:瑞典、英国和加拿大的性别差异。
SSM Popul Health. 2019 Oct 17;9:100501. doi: 10.1016/j.ssmph.2019.100501. eCollection 2019 Dec.
2
Six mechanisms behind carer wellbeing effects: A qualitative study of healthcare delivery.照料者健康效益的六个作用机制:医疗保健提供的定性研究。
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The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review.老年人非正式照料对各种类型照料者健康影响的系统性综述。
Gerontologist. 2019 Sep 17;59(5):e629-e642. doi: 10.1093/geront/gny137.
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Gendered support to older parents: do welfare states matter?对老年父母的性别化支持:福利国家重要吗?
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Health effects of informal caregiving across Europe: A longitudinal approach.欧洲非正式照料的健康影响:一种纵向研究方法。
Soc Sci Med. 2017 Jan;173:72-80. doi: 10.1016/j.socscimed.2016.11.036. Epub 2016 Nov 27.
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The Mental Health of Children Providing Care to their Elderly Parent.照顾年迈父母的儿童的心理健康。
Health Econ. 2017 Dec;26(12):1617-1629. doi: 10.1002/hec.3457. Epub 2016 Dec 4.
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Informal dementia care: Consequences for caregivers' health and health care use in 8 European countries.非正规痴呆症护理:对8个欧洲国家护理人员健康及医疗保健利用的影响
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