The health of caregiving grandmothers: a rural-urban comparison.

The health of caregiving grandmothers: a rural-urban comparison.
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DOI:
10.1111/j.1748-0361.2010.00340.x
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发表时间:
2011
期刊:
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子:
--
通讯作者:
Kenski D
Kenski D
中科院分区:
其他
文献类型:
--
作者:
Bigbee JL;Musil C;Kenski D

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本研究的目的是比较农村和城市照顾奶奶的特点以及她们的身心健康状况。对俄亥俄州485名祖母进行的纵向研究的第一波数据进行了二次分析。健康状况使用SF-36健康调查和20个条目的CES-D抑郁量表进行测量。基于居民邮政编码,使用农村-城市通勤区(RUCA)代码进行城乡分类,样本中识别出97名农村祖母和388名城市祖母。农村和城市的祖母在年龄、教育水平和就业状况上相似;然而,90%的农村祖母是白人,而城市祖母的比例为60%。农村的祖母最有可能与孙子孙女有传统的非居民关系。大约38%的农村和城市祖母都是孙子孙女的主要照顾者,但农村祖母住在几代人的家中的比例较低。农村老奶奶和城市老奶奶在身心健康方面没有显著差异。在农村祖母中,主要照顾者的心理健康水平明显低于其他照顾者群体。这些发现表明,尽管农村和城市的祖母在人口统计和照看安排上存在差异,但他们的身心健康水平相似。建议与农村照顾祖父母一起努力促进健康,解决心理和身体健康问题。
The purpose of this study was to compare the characteristics of rural versus urban caregiving grandmothers along with their physical and mental health status. A secondary analysis of data produced from the first wave of a longitudinal study of 485 Ohio grandmothers was conducted. Health status was measured using the SF-36 Health Survey and the 20-item CES-D depression scale. Rural-urban classification was made using Rural Urban Commuting Area (RUCA) codes based on resident ZIP codes, identifying 97 rural and 388 urban grandmothers in the sample. The rural and urban grandmothers were similar in age, educational level and employment status; however, 90% of the rural grandmothers compared with 60% of the urban grandmothers were white. Rural grandmothers were most likely to have traditional nonresidential relationships with their grandchildren. Approximately 38% of both the rural and urban grandmothers served as primary caregivers for their grandchildren, but a lower percentage of rural grandmothers lived in multigenerational homes. There was no significant difference between the rural and urban grandmothers in relation to physical or mental health. Among rural grandmothers, primary caregivers had significantly lower levels of mental health compared with the other caregiver groups. These findings suggest that rural and urban grandmothers have similar levels of physical and mental health, despite differences in demographics and caregiving arrangements. Health promotion efforts with rural caregiving grandparents are indicated, addressing both mental and physical health.
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