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祖辈照料在痴呆风险中保护作用的性别差异。

Gender Differences in the Protective Role of Grandparenting in Dementia Risk.

机构信息

Department of Sociology, Anthropology, and Social Work, Texas Tech University, Lubbock, Texas, USA.

Department of Sociology, Michigan State University, East Lansing, Michigan, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2024 Jun 1;79(6). doi: 10.1093/geronb/gbae034.

Abstract

OBJECTIVES

This study provides one of the first national longitudinal studies of the association between caring for grandchildren (i.e., grandparenting) and the risk of dementia in the United States, with a focus on gender-specific variations.

METHODS

We estimated discrete-time event history models, drawing upon data from the Health and Retirement Study (2000-2016). The analytic sample included 10,217 community-dwelling White and Black grandparents aged 52 years and older at baseline.

RESULTS

Noncoresident grandparenting was associated with a lower risk of dementia for both women and men compared to grandparents who did not take care of grandchildren. However, the cognitive advantage showed different patterns based on gender and the combination of care intensity and family structure. Grandmothers had a lower risk of dementia than noncaregiving grandmothers when providing a light level of noncoresident grandparenting, whereas grandfathers who provided intensive noncoresident grandparenting had a reduced risk of dementia compared to their noncaregiving counterparts. Grandparenting experiences within multigenerational households and skipped-generation households were not associated with dementia risk.

DISCUSSION

Intergenerational caregiving plays a pivotal role in shaping cognitive health during later life; however, the impact is nuanced, depending on factors such as gender, care intensity, and family structure.

摘要

目的

本研究提供了首个关于照顾孙辈(即祖辈育儿)与美国痴呆风险之间关联的全国性纵向研究之一,重点关注性别特异性差异。

方法

我们利用健康与退休研究(2000-2016 年)的数据,估计了离散时间事件历史模型。分析样本包括 10217 名居住在社区的白人和黑人祖父母,他们在基线时年龄为 52 岁及以上。

结果

与没有照顾孙辈的祖父母相比,非核心居住的祖辈育儿对女性和男性的痴呆风险都较低。然而,基于性别和照顾强度以及家庭结构的组合,认知优势呈现出不同的模式。与不照顾孙辈的祖母相比,提供轻度非核心居住祖辈育儿的祖母痴呆风险较低,而提供密集非核心居住祖辈育儿的祖父与不照顾孙辈的祖父相比,痴呆风险降低。多代家庭和隔代家庭中的祖辈育儿经历与痴呆风险无关。

讨论

代际照顾在塑造晚年认知健康方面起着关键作用;然而,其影响因性别、照顾强度和家庭结构等因素而有所不同。

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