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青少年(10-16 岁)的非正式护理:使用东京青少年队列数据的纵向研究。

Informal Caregiving in Adolescents from 10 to 16 Years Old: A Longitudinal Study Using Data from the Tokyo Teen Cohort.

机构信息

Department of Public Health and Primary Care, Leiden University Medical Center, 2300RC Leiden, The Netherlands.

Department of Psychiatric Nursing, Tohoku University Graduate School of Medicine, Sendai-shi 980-8575, Japan.

出版信息

Int J Environ Res Public Health. 2023 Jul 31;20(15):6482. doi: 10.3390/ijerph20156482.

Abstract

There is growing evidence of the impact of informal caregiving on adolescent mental health, and its role is often hidden unintentionally or intentionally, which may hamper early identification and support for young informal caregivers. However, the quantitative evidence regarding household factors relating to informal caregiving has mostly been based on cross-sectional findings. This study examines the longitudinal associations between household characteristics and the duration of informal caregiving in adolescents from 10 to 16 years of age. Child-household respondent pairs ( = 2331) from the Tokyo Teen Cohort in Japan were followed every 2 years from 10 to 16 years of age. Informal caregiving was assessed repeatedly based on the household respondent's survey responses. Persistent caregiving was defined as daily caregiving at two or more waves. There were 2.2% of children who gave daily care at two or more waves. Cross-sectional associations with daily informal caregiving at each wave were found with girls, low household income, and cohabiting with grandparents. A significant association with persistent caregiving was found only in cohabiting with grandparents at 10 years of age after adjusting for sex, number of siblings, single parent, and household income. Our longitudinal examination highlighted cohabiting with grandparents as a preceding factor for persistent caregiving. Identification and support for young informal caregivers should be integrated into social care service systems for older adults. The mechanism of persistent caregiving requires clarification.

摘要

越来越多的证据表明,非正式护理对青少年心理健康有影响,而且其作用往往是无意或有意隐藏的,这可能会阻碍对年轻非正式护理者的早期识别和支持。然而,关于与非正式护理相关的家庭因素的定量证据大多基于横断面研究结果。本研究考察了从 10 岁到 16 岁的青少年的家庭特征与非正式护理持续时间之间的纵向关联。日本东京青少年队列的儿童-家庭应答者对(=2331)从 10 岁到 16 岁每 2 年随访一次。根据家庭应答者的调查答复,反复评估非正式护理情况。持续性护理定义为在两个或更多波次中进行日常护理。有 2.2%的儿童在两个或更多波次中进行日常护理。在每个波次中,与日常非正式护理有横断面关联的是女孩、低家庭收入和与祖父母同住。在调整了性别、兄弟姐妹数量、单亲家庭和家庭收入后,仅发现与祖父母同住与 10 岁时的持续性护理存在显著关联。我们的纵向研究强调了与祖父母同住是持续性护理的一个前置因素。应为年轻非正式护理者的识别和支持纳入老年人的社会护理服务系统。持续性护理的机制需要进一步阐明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c136/10419092/08f61029beb1/ijerph-20-06482-g001.jpg

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