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痴呆症护理社会支持方面的种族/民族差异:阿尔茨海默病患者的中年女性家庭护理人员

Racial/ethnic differences in social support for dementia caregiving: Midlife women family caregivers of people with Alzheimer's disease.

作者信息

Jeong Hyunwoo, Kim Heejung, Kim Euno, Chee Wonshik, Im Eun-Ok

机构信息

College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03722 Seoul, South Korea; Department of Internal Medical Nursing, Seoul National University Hospital, Seoul, 101 Daehak-ro Jongno-gu, 03080 Seoul, South Korea.

College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03722 Seoul, South Korea; Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03722 Seoul, South Korea; Institute for Innovation in Digital Healthcare, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03722 Seoul, South Korea; Visiting scholar, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA.

出版信息

Geriatr Nurs. 2025 Mar-Apr;62(Pt A):131-137. doi: 10.1016/j.gerinurse.2025.01.025. Epub 2025 Feb 1.

Abstract

This study explored racial/ethnic differences in social support among racial/ethnic minority midlife women who are family caregivers of people with Alzheimer's disease (MWPLAD) in the US. This secondary analysis used data from a cross-sectional online survey conducted among 136 MWPLAD. Structured questionnaires were used to assess the demographic and caregiving-related characteristics, perceived social support, and sociocultural factors. Moreover, the relative contributions of demographic and sociocultural factors to social support were evaluated by hierarchical linear regression analysis while controlling for race/ethnicity. Cultural justification for duty (β = .338, p < .001) and discrimination during caregiving (β = -.215, p = .014) were significant sociocultural influencing factors, and advanced age (β = -.188, p = .015) was significantly associated with low social support. Therefore, interventions based on social determinants of health are necessary to enhance social support among racial/ethnic MWPLAD.

摘要

本研究探讨了美国患有阿尔茨海默病患者的家庭照料者——少数族裔中年女性(MWPLAD)在社会支持方面的种族/民族差异。这项二次分析使用了对136名MWPLAD进行的横断面在线调查数据。采用结构化问卷评估人口统计学和与照料相关的特征、感知到的社会支持以及社会文化因素。此外,在控制种族/民族的同时,通过分层线性回归分析评估人口统计学和社会文化因素对社会支持的相对贡献。尽责的文化理由(β = .338,p < .001)和照料期间的歧视(β = -.215,p = .014)是显著的社会文化影响因素,高龄(β = -.188,p = .015)与低社会支持显著相关。因此,有必要基于健康的社会决定因素进行干预,以增强种族/民族MWPLAD的社会支持。

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