Does country influence the health burden of informal care? An international comparison between Belgium and Great Britain
Does country influence the health burden of informal care? An international comparison between Belgium and Great Britain
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DOI：
10.1016/j.socscimed.2011.07.016
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发表时间：
2011-10-01
影响因子：
5.4
通讯作者：
Lorant, Vincent
中科院分区：
文献类型：
--
作者：
Dujardin, Claire;Farfan-Portet, Maria-Isabel;Lorant, Vincent
本文的目的是确定提供非正式护理与护理人员健康状况之间的关联是否受到居住国的影响。我们专注于比利时和英国这两个欧洲国家，并开发了一种方法，该方法包括将英国的一部分地区与人口和社会经济方面相似的比利时地区进行匹配。然后将这些区域对用作健康状况不佳的逻辑回归中的固定效应。这使我们能够考虑地区类型对健康的影响，并从估计的国家影响中消除这些当地背景特征的影响。结果表明，尽管英国的看护工作更为普遍，但与繁重的看护活动相关的健康负担在英国却低于比利时。这可能是因为英国的长期家庭护理政策比比利时更有针对性地针对更严重的依赖患者。 (C) 2011 Elsevier Ltd. 保留所有权利。
The aim of this paper is to determine whether the association between the provision of informal care and the health status of caregivers is affected by the country of residence. We focus on two European countries, Belgium and Great Britain, and develop a methodology, which consists of matching a subset of areas from Britain with areas in Belgium that are demographically and socioeconomically similar. These pairs of areas are then used as fixed effects in logistic regressions of poor health. This allows us to take into account the influence of area type on health and to remove the influence of these local contextual characteristics from the estimated country effects. Results suggest that, although caregiving is more prevalent in Britain, the health burden associated with heavy caregiving activities is lower in Britain than in Belgium. This may be explained by the better targeting of long-term home care policies towards more severely dependent patients in Britain than in Belgium. (C) 2011 Elsevier Ltd. All rights reserved.