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性别差异与家庭照料。女性照料者做的多还是承担的任务不同?

Gender Differences in Family Caregiving. Do female caregivers do more or undertake different tasks?

机构信息

Faculty of Health Sciences and Medicine, University of Lucerne, Alpenquai 4, Lucerne, 6005, Switzerland.

Swiss Paraplegic Research, Guido A. Zäch Str. 4, Nottwil, 6207, Switzerland.

出版信息

BMC Health Serv Res. 2024 Jun 14;24(1):730. doi: 10.1186/s12913-024-11191-w.

Abstract

BACKGROUND

Two out of three family caregivers are female. However, current trends show that men are more likely to undertake caregiving duties, yet female caregivers report a higher burden. This paper analyzed data from long-term family caregivers to determine whether, under similar circumstances, gender differences in caregiving persist. We examined whether the observed gender gap affects caregivers' satisfaction with their health and quality of life.

METHODS

We analyze cross-sectional data from family caregivers of persons with spinal cord injury (SCI) in Switzerland. The data provides comprehensive information about the time and type of weekly tasks family caregivers undertake. To determine differences in caregiving related to gender, we balanced the characteristics of the caregiver and the cared-for person using a propensity score kernel matching. With the balanced sample, we estimated how the observed differences in caregiving varied across cohorts using a Poisson regression.

RESULTS

Under similar circumstances, male and female caregivers invest similar time in caregiving. This result holds for 21 caregiving tasks, except for household chores, where women spent, on average, four more hours per week than male caregivers. Despite these differences, female caregivers report a quality of life and satisfaction with their health that is similar to that of male caregivers.

CONCLUSION

Gender differences in caregiving narrow over time, except for household chores, where female caregivers continue to spend significantly more hours than male caregivers. Measures designed for family caregivers must consider these gender differences, as the support needs of female caregivers can differ greatly from those of male caregivers.

摘要

背景

三分之二的家庭照顾者为女性。然而,目前的趋势表明,男性更有可能承担照顾责任,但女性照顾者报告的负担更高。本文分析了长期家庭照顾者的数据,以确定在类似情况下,照顾责任是否存在性别差异。我们研究了观察到的性别差距是否会影响照顾者对自身健康和生活质量的满意度。

方法

我们分析了瑞士脊髓损伤(SCI)患者家庭照顾者的横断面数据。这些数据提供了关于家庭照顾者每周承担的时间和类型的全面信息。为了确定与性别相关的照顾责任差异,我们使用倾向评分核匹配平衡照顾者和被照顾者的特征。在平衡样本中,我们使用泊松回归估计观察到的照顾责任差异在不同队列中的变化。

结果

在类似的情况下,男性和女性照顾者在照顾上投入的时间相似。这一结果适用于 21 项照顾任务,除了家务劳动,女性照顾者每周平均多花四个小时。尽管存在这些差异,但女性照顾者报告的生活质量和对健康的满意度与男性照顾者相似。

结论

除了家务劳动外,照顾责任的性别差异随着时间的推移而缩小,在这方面,女性照顾者继续比男性照顾者多花显著更多的时间。为家庭照顾者设计的措施必须考虑到这些性别差异,因为女性照顾者的支持需求可能与男性照顾者有很大不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4393/11177503/add2df793112/12913_2024_11191_Fig1_HTML.jpg

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