Entry and re-entry into informal care-giving over a 3-year prospective study among older people in Nairobi slums, Kenya.
Entry and re-entry into informal care-giving over a 3-year prospective study among older people in Nairobi slums, Kenya.
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对肯尼亚内罗毕贫民窟老年人进行为期 3 年的前瞻性研究，了解他们进入和重新进入非正式护理服务的情况。
DOI：
10.1111/hsc.12114
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发表时间：
2014
影响因子：
2.4
通讯作者：
Chepngeno-Langat G
中科院分区：
文献类型：
--
作者：
Chepngeno-Langat G
本文分析了一项为期3年的前瞻性研究的数据，以了解与成为慢性病患者的照顾者相关的因素，并研究了照顾者随时间的动态变化。从肯尼亚内罗毕贫民窟进行的一项研究中，共抽取了1485名参与者。使用了2006年基线和2009年随访收集的两波数据。使用了关于人口统计学、自我报告的健康和社会经济特征（如教育、生计来源和就业状况）的信息。年龄是成为照顾者的一个重要因素，但性别或婚姻状况没有显著差异。新的照顾者和那些有一个以上的照顾事件有更高的社会经济地位比非照顾者。与非照顾者相比，照顾者的健康状况也较差，突出了照顾者与负面健康结果之间的关联。此外，与其他慢性疾病相比，照顾艾滋病毒相关疾病的人增加了随后照顾另一个需要长期护理的人的可能性。这可能是由于撒哈拉以南非洲的艾滋病毒传播方式是异性恋，因此在家庭或已婚夫妇中聚集感染。这一发现引起了人们的注意，需要为艾滋病毒相关疾病患者的护理人员提供及时的干预措施，这些患者最终可能会为多个护理对象提供护理。此外，有必要加强非正规护理人员不可或缺的贡献，将他们的作用纳入有效管理艾滋病毒和艾滋病的连续护理工作。总体而言，慢性病患者的非正式护理人员在没有卫生或社会服务部门任何正式支持的情况下履行护理任务。因此，必须启动政策和方案，减轻非正规护理人员承担的护理负担。
This paper analyses data from a 3‐year prospective study to understand the factors associated with becoming a caregiver to a person with a chronic illness and examines the dynamics among caregivers over time. A total of 1485 participants were drawn from a study conducted in the slums of Nairobi, Kenya. Two waves of data collected in 2006 for the baseline and a follow‐up in 2009 were used. Information on the demographic, self‐reported health and socioeconomic characteristics such as education, sources of livelihood and employment status was used. Age was a significant factor in becoming a caregiver, but there were no significant differences by gender or marital status. New caregivers and those with more than one care‐giving episode had a higher socioeconomic position than non‐caregivers. Caregivers also had poorer health compared with non‐caregivers, highlighting the association between being a caregiver and negative health outcomes. Additionally, having cared for someone with a HIV‐related illness compared with other chronic conditions increased the likelihood of subsequently caring for another person in need of long‐term care. This may be due to the heterosexual mode of HIV transmission in sub‐Saharan Africa, hence clustering of infection within family or married couples. This finding draws attention to the need to provide timely interventions to caregivers for people with HIV‐related illness who are likely to end up providing care to multiple care recipients. Furthermore, there is a need to enhance the indispensable contribution of informal caregivers through incorporating their role within the continuum of care for effective HIV and AIDS management. Overall, informal caregivers to persons with chronic illnesses perform the tasks of care‐giving without any formal support from health or social services. Therefore, it is crucial to initiate policies and programmes to ease the burden of care that is borne by informal caregivers.
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影响因子：
5.7
作者：
Seltzer, MM;Li, LW
通讯作者：
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影响因子：
1.4
作者：
W. K. Lee
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影响因子：
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作者：
Idler, EL;Benyamini, Y
通讯作者：
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作者：
Evandrou, M;Glaser, K
通讯作者：
Glaser, K
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作者：
Ainsworth, M;Dayton, J
通讯作者：
Dayton, J