Dornsife Center for Economic and Social Research, University of Southern California, Log Angeles, California, USA.
Department of Sociology and Demography, University of Texas at San Antonio, San Antonio, Texas, USA.
J Gerontol A Biol Sci Med Sci. 2024 Nov 7;79(Supplement_1):S59-S67. doi: 10.1093/gerona/glae141.
Dementia is expected to increase more rapidly in low- and middle-income countries (LMIC) than in high-income countries (HIC) in the coming decades. Nevertheless, research on dementia care remains limited for LMIC. This study aims to fill this gap by investigating care needs and care receipt in 3 LMIC: China, Mexico, and India.
Using harmonized data from the Gateway to Global Aging Data in China, Mexico, and India and focusing on individuals aged 65 and older with cognitive impairment (N = 15 118), we estimated the proportions of care needs related to difficulties with activities of daily living and instrumental activities of daily living, and care receipt. We then used logistic regressions to examine the association between caregiver availability and informal care receipt.
We observed relatively similar patterns in care need measures across countries and over time. In contrast, the association between caregiver availability and informal care receipt showed some cross-country variations. Generally, living with family members was associated with a higher probability of receiving informal care in China and India. However, for Mexico, this association was only evident for men. Additionally, we found that the magnitude of the association between caregiver availability and informal care receipt varied with the care recipient's gender.
Although living with family members was generally associated with a higher likelihood of receiving informal care in China, Mexico, and India, there are differences in the association between caregiver availability and informal care receipt across countries and over time.
在未来几十年，痴呆症在中低收入国家（LMIC）的增长速度预计将高于高收入国家（HIC）。然而，针对 LMIC 的痴呆症护理研究仍然有限。本研究旨在通过调查 3 个中低收入国家（中国、墨西哥和印度）的护理需求和护理接受情况来填补这一空白。
使用来自中国、墨西哥和印度全球老龄化数据网关的协调数据，聚焦于有认知障碍的 65 岁及以上老年人（N=15118），我们估计了与日常生活活动和工具性日常生活活动困难相关的护理需求比例，以及护理接受情况。然后，我们使用逻辑回归检验了照顾者可用性与非正式护理接受之间的关系。
我们观察到各国和不同时间的护理需求测量值呈现出相对相似的模式。相比之下，照顾者可用性与非正式护理接受之间的关联在不同国家之间存在一些差异。一般来说，在中国和印度，与家人同住与接受非正式护理的可能性更高相关。然而，对于墨西哥，这种关联仅在男性中明显。此外，我们发现，照顾者可用性与非正式护理接受之间的关联程度因护理接受者的性别而异。
尽管在中国、墨西哥和印度，与家人同住通常与接受非正式护理的可能性更高相关，但在不同国家和不同时间，照顾者可用性与非正式护理接受之间的关联存在差异。
