Effects of spousal illness on self-rated health in older couples: Role of sex and proximity to adult children
Effects of spousal illness on self-rated health in older couples: Role of sex and proximity to adult children
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DOI：
10.1111/ggi.12646
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发表时间：
2016-12-01
影响因子：
3.3
通讯作者：
Kai, Ichiro
中科院分区：
文献类型：
--
作者：
Saito, Tami;Wakui, Tomoko;Kai, Ichiro
目的：本研究探讨了严重配偶疾病或住院治疗对社区居住老年人自评健康 (SRH) 的影响，并采用前瞻性和代表性调查设计探讨了性别和与成年子女居住距离的调节作用。 方法：样本来自于日本福井县 (n = 1573) 进行的一项针对 65 岁及以上非收容男性和女性的为期 2 年纵向调查。在控制基线 SRH、性别、年龄、社会经济状况、慢性病和其他基线协变量后，研究了调查期间严重配偶疾病或住院对 SRH 的影响。结果：总体而言，15.7% 的受访者在上一年内经历过严重配偶疾病或住院治疗。控制协变量后，随访时配偶疾病对 SRH 有显着的负面影响（P = 0.031）。与与孩子住在一起的夫妇相比，孩子居住距离超过 30 分钟的老年人受到配偶疾病的影响更严重（P = 0.009）。然而，性别与配偶疾病之间没有显着的交互作用。结论：严重的配偶疾病可能会导致老年配偶的健康状况恶化，特别是对于孩子住得很远的老年父母。
Aims: The present study examined the impact of serious spousal illness or hospitalization on community-dwelling older adults' self-rated health (SRH), and explored the moderating effects of sex and residential proximity to adult children using a prospective and representative survey design.Methods: The sample was obtained from a 2-year longitudinal survey of non-institutionalized men and women aged 65 years and older carried out in the Fukui Prefecture, Japan (n = 1573). The effect of serious spousal illness or hospitalization on SRH during the survey period was examined after controlling for baseline SRH, sex, age, socioeconomic status, chronic illness and other baseline covariates.Results: Overall, 15.7% of respondents had experienced a serious spousal illness or hospitalization within the previous year. After controlling for covariates, spousal illness had a significant negative effect on SRH at follow-up (P = 0.031). More serious effects of spousal illness were found in older adults whose children lived farther than 30 min away than in couples who lived with their children (P = 0.009). However, there was no significant interaction effect between sex and spousal illness.Conclusions: Serious spousal illness could cause deterioration in the health of older spouses, particularly for older parents whose children live a distance away.