Durville Laura Grace
School of Health/Te Wāhanga Tātai Hauora, Victoria University of Wellington, Wellington, New Zealand.
Health Promot J Austr. 2025 Apr;36(2):e70023. doi: 10.1002/hpja.70023.
Caregiving carries risks to caregivers because of the burdens associated with it, including impacts on caregiver health and wellbeing. It also has the potential to increase existing health inequities for women and Black, Indigenous and People of Colour (BIPOC). This exploratory research asked: What are the lived experiences of women and people who are double-duty caregivers (those with both formal and informal caregiving roles), what are the impacts on health and wellbeing and how do socio-cultural gender roles impact these experiences?
A qualitative feminist intersectional approach was used in this study. Data were collected through individual semi-structured interviews with four women who were double-duty caregivers, and analysed using reflexive thematic analysis.
Health and wellbeing were seen to be affected by caregiving roles and responsibilities, which were influenced by socio-cultural pressures. These impacts were either alleviated or compounded by intersections of caregivers' identities with wider social systems of power.
Double-duty caregivers need more support and resources to do their jobs well and look after their own wellbeing. SO WHAT?: The need for caregivers will only increase due to ageing populations. Findings from this research point to intersectional inequities in caregiver burdens, which need to be addressed by health promotion as a matter of social justice.
由于护理工作带来的负担，包括对护理人员健康和福祉的影响，护理工作给护理人员带来了风险。它还可能加剧妇女以及黑人、原住民和有色人种（BIPOC）现有的健康不平等。这项探索性研究提出了以下问题：身兼双重护理职责（同时承担正式和非正式护理角色）的女性和人群有哪些实际经历？对健康和福祉有哪些影响？社会文化性别角色如何影响这些经历？
本研究采用了定性的女性主义交叉性方法。通过对四名身兼双重护理职责的女性进行个人半结构化访谈收集数据，并使用反思性主题分析进行分析。
健康和福祉被认为受到护理角色和责任的影响，而这些角色和责任又受到社会文化压力的影响。护理人员的身份与更广泛的社会权力系统的交叉，要么减轻了这些影响，要么使其更加复杂。
身兼双重护理职责的人员需要更多支持和资源，以便做好工作并照顾好自己的福祉。那又如何？：由于人口老龄化，对护理人员的需求只会增加。本研究的结果指出了护理负担方面的交叉不平等，作为社会正义问题，这需要通过健康促进来解决。
