一项关于非正式护理对老年人健康影响的研究——来自中国的证据。

A study on the effects of informal care on the health of older adults-Evidence from China.

机构信息

Center for Health Policy and Management Studies, School of Government, Nanjing University, Nanjing, China.

School of Health Policy & Management, Nanjing Medical University, Nanjing, China.

出版信息

Public Health Nurs. 2024 Sep-Oct;41(5):1154-1164. doi: 10.1111/phn.13386. Epub 2024 Jul 25.

Abstract

PURPOSE

This study aimed to explore the impact of informal care on the health of older adults, providing data to inform the development of informal care systems and social support policies for long-term care services in developing countries.

METHODS

Based on data from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study employed the Propensity Score Matching (PSM) method to empirically analyze the effects of informal care on older adults' self-rated health, depression, and anxiety.

RESULTS

A total of 4790 older adults were included in the study sample, with 3194 receiving informal care and 1596 not receiving informal care. The results indicated that older adults who received informal care reported better self-rated health and had lower depression and anxiety scores compared to those who did not receive informal care. Among different groups, the positive effects of informal care on physical and mental health were more significant for very old adults, rural residents, and those without a spouse. Informal care had a greater positive impact on the physical health of women and the mental health of men.

CONCLUSION

Government agencies should promote effective coordination between informal and formal care through financial support, awareness campaigns, and policy incentives. This will help to accelerate the improvement of the long-term care system and effectively meet the long-term care needs of older adults.

摘要

目的

本研究旨在探讨非正式照料对老年人健康的影响,为发展中国家长期护理服务中非正式照料系统和社会支持政策的制定提供数据支持。

方法

本研究基于 2018 年中国健康长寿纵向研究(CLHLS)的数据,采用倾向评分匹配(PSM)方法,实证分析了非正式照料对老年人自评健康、抑郁和焦虑的影响。

结果

共纳入 4790 名老年人作为研究样本,其中 3194 名接受了非正式照料,1596 名未接受非正式照料。结果表明,与未接受非正式照料的老年人相比,接受非正式照料的老年人报告的自评健康状况更好,抑郁和焦虑得分更低。在不同群体中,非正式照料对非常老年、农村居民和无配偶老年人的身心健康的积极影响更为显著。非正式照料对女性的身体健康和男性的心理健康有更大的积极影响。

结论

政府机构应通过财政支持、宣传活动和政策激励,促进非正式和正式照料之间的有效协调。这将有助于加快长期护理系统的改善,有效满足老年人的长期护理需求。

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