Informal and formal care of older people in Iceland.

Informal and formal care of older people in Iceland.
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冰岛老年人的非正式和正式护理。

DOI:
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发表时间:
2014
影响因子:
1.9
通讯作者:
I. Kåreholt
I. Kåreholt
中科院分区:
医学3区
文献类型:
--
作者:
Sigurveig H Sigurdardottir;I. Kåreholt

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背景 即使北欧国家的老年人住在自己家里通常有很好的机会获得正式的帮助,家庭也发挥着重要作用。很少有研究着眼于非正式和正式护理的分布以及这些领域之间的相互作用。这项研究的目的是阐明护理的分配情况,并根据限制程度、接受者的性别以及她/他是否同居来分析护理模式。 方法和样品 冰岛的“冰岛老年人”调查是在65岁以上的老年人中进行的一项具有全国代表性的随机调查。在参与调查的782人中,男性341人,女性441人,应答率为66%。 结果 在调查中,约60%的人有工具性日常生活活动(IADL)的限制,10%的人有个人日常生活活动(PADL)的限制。大多数有IADL或PADL限制的受访者接受了非正式或正式的帮助,但不是两者兼而有之。当IADL限制增加时,男性的非正式护理增加,而女性则没有,女性的正式护理增加,而男性则减少。同居男性更有可能接受非正式的IADL帮助,而不太可能接受正式的帮助。在妇女中,相应的差异要小得多,也不显著。在没有配偶的情况下,女儿比儿子帮助更多,她们帮助母亲比帮助父亲更多。 结论 接受非正式护理的人多于接受正式护理的人,这表明家庭的重要性。在接受护理方面存在性别差异。同居对于接受非正式护理很重要,特别是对男子而言。
BACKGROUND Even if older people in the Nordic countries living in their homes usually have good access to formal help, the family plays an important role. Few studies have looked at the distribution of informal and formal care and the interplay between these spheres. The aim of this study is to shed light on the distribution of care and to analyse the patterns of care depending on the degree of limitations, the gender of the recipient and whether she/he is cohabitating or not. METHOD AND SAMPLE The Icelandic survey 'Icelandic Older People' (ICEOLD) is a random nationally representative survey among persons 65+ living in their homes. Of those who participated (n = 782), 341 were men and 441 were women, giving a response rate of 66%. FINDINGS About 60% of the people investigated in the survey had limitations with instrumental activities of daily living (IADL), and 10% of people had limitations with personal activities of daily living (PADL). The majority of the respondents with IADL or PADL limitations received either informal or formal help, but not both. When the IADL limitations increase, the informal care increases for men, but not for women, and the formal care increases for women, but decreases for men. Cohabiting men are much likelier to receive informal IADL help and less likely to receive formal help than men not cohabiting. Among women, corresponding differences are much smaller and not significant. When there is no spouse, the daughters help more than the sons and they help their mothers more than they help their fathers. CONCLUSION More persons receive informal care than formal care, which shows the importance of the family. There is a gender difference in receiving care. Cohabitation is important for receiving informal care, especially for men.
DOI: 10.1016/j.jhealeco.2008.09.002
发表时间: 2009-01-01
影响因子: 3.5
作者:
Bonsang, Eric
通讯作者: Bonsang, Eric