Xia Cong, Wei Ting, Tang Qi, Zheng Hongying, Chen Gang, Lu Jun
School of Health Management, Anhui Medical University, Hefei 230032, China.
School of Public Health, Fudan University, Shanghai 200032, China.
Healthcare (Basel). 2023 Oct 8;11(19):2693. doi: 10.3390/healthcare11192693.
Family caregivers of children with disabilities might face high risks of depression, whereas the existing literature focused more on parents neglecting grandparents. This study investigated 380 parents and 108 grandparents of children with disabilities to identify depression and associated factors. Descriptive statistics, Chi-square test, Mann-Whitney U test, and multivariable logistic regression were performed to describe the participants' characteristics and risks of depression and identify significant factors. Results showed that parents (35.5%) had higher risks of depression than grandparents (32.4%), but statistical differences were not found. Children's sleep problems (AOR = 1.751, 95%CI = 1.019, 3.008), harmonious family relationships (AOR = 0.694, 95%CI = 0.569, 0.846), and better barrier-free construction (AOR = 0.742, 95%CI = 0.568, 0.970) were significantly associated with depression among parents. As for grandparents, higher education (AOR = 4.108, 95%CI = 1.526, 11.057) and caring for children who experience frequent mood swings (AOR = 2.242, 95%CI = 1.161, 4.329) were associated with higher risks of depression. Further, house ownership (AOR = 0.167, 95%CI = 0.031, 0.887), higher family cohesion (AOR = 0.545, 95%CI = 0.297, 1.000), and better barrier-free construction (AOR = 0.401, 95%CI = 0.185, 0.869) were associated with lower odds of depression. Therefore, both parents and grandparents of children with disabilities had high risks of depression and thus required urgent attention. Healthcare providers and policymakers should develop and implement interventions considering intergenerational differences to reach optimal efficiency.
残疾儿童的家庭照顾者可能面临较高的抑郁风险，而现有文献更多地关注父母忽视祖父母的情况。本研究调查了380名残疾儿童的父母和108名祖父母，以确定抑郁情况及相关因素。采用描述性统计、卡方检验、曼-惠特尼U检验和多变量逻辑回归来描述参与者的特征和抑郁风险，并确定显著因素。结果显示，父母（35.5%）的抑郁风险高于祖父母（32.4%），但未发现统计学差异。儿童的睡眠问题（比值比[AOR]=1.751，95%置信区间[CI]=1.019，3.008）、和谐的家庭关系（AOR=0.694，95%CI=0.569，0.846）以及更好的无障碍设施建设（AOR=0.742，95%CI=0.568，0.970）与父母的抑郁显著相关。对于祖父母来说，较高的教育程度（AOR=4.108，95%CI=1.526，11.057）以及照顾情绪经常波动的儿童（AOR=2.242，95%CI=1.161，4.329）与较高的抑郁风险相关。此外，拥有住房（AOR=0.167，95%CI=0.031，0.887）、较高的家庭凝聚力（AOR=0.545，95%CI=0.297，1.000）以及更好的无障碍设施建设（AOR=0.401，95%CI=0.185，0.869）与较低的抑郁几率相关。因此，残疾儿童的父母和祖父母都有较高的抑郁风险，因此需要迫切关注。医疗保健提供者和政策制定者应制定并实施考虑代际差异的干预措施，以达到最佳效果。
