Health-related quality of life in Spanish informal caregivers: gender differences and support received
Health-related quality of life in Spanish informal caregivers: gender differences and support received
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DOI：
10.1007/s11136-017-1678-2
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发表时间：
2017-12-01
影响因子：
3.5
通讯作者：
Larranaga-Padilla, Isabel
中科院分区：
文献类型：
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作者：
del Rio Lozano, Maria;del Mar Garcia-Calvente, Maria;Larranaga-Padilla, Isabel
我们分析了西班牙非正式男性和女性照顾者之间的健康相关生活质量（HRQoL）和相关因素的性别差异。这是很重要的，因为依赖的人的增长率和减少的公共resources.We进行了横断面研究的610个非正式照顾者（265名男性和345名女性）使用特设的结构式问卷。我们进行了描述性分析，并使用多变量logistic回归分析，根据照顾者性别、照顾者和家属的社会人口学特征、养育环境和获得的支持，用EQ-5D-5L测量HRQoL较差的风险。更多的妇女使用家庭生活津贴、临时护理服务和咨询服务，而更多的男子使用有偿帮助、家务帮助和其他形式的工具性帮助。女性的HRQoL比男性差，特别是在疼痛/不适方面。除年龄较大和既往健康状况差外，照顾伴侣（OR = 2.379）、照顾有严重依赖的人（OR = 1.917）、社会阶层低（OR = 1.634）和社会支持低（OR = 2.311）是HRQoL较差的相关因素。接受FCA与更好的HRQoL相关（OR = 0.319）。控制所有这些变量，女性有131%的几率比男性有穷人HRQoL.Male和女性照顾者在西班牙不同的支持和他们的HRQoL是如何受到影响。这些差异对于设计干预措施以促进更公平地分担护理责任和改善护理人员的健康非常重要。
We analyzed gender differences in health-related quality of life (HRQoL) and associated factors between informal male and female caregivers in Spain. It is important because of growing rates of dependent people and dwindling public resources.We conducted a cross-sectional study of 610 informal caregivers (265 male and 345 female) using an ad hoc structured questionnaire. We performed a descriptive analysis and used multivariate logistic regression to analyze the risk of poor HRQoL, measured with the EQ-5D-5L, according to caregiver sex, sociodemographic characteristics of caregivers and dependents, caregiving circumstances, and support received.Male caregivers were older than women were, and cared more often for their partners. More women used family caregiving allowance (FCA), respite care services, and counseling services, while more men used paid help, home help, and other forms of instrumental help. Women had worse HRQoL than men, particularly in the pain/discomfort dimension. In addition to older age and poor previous health, caring for a partner (OR = 2.379), for a person with major dependence (OR = 1.917), low social class (OR = 1.634), and low social support (OR = 2.311) were factors associated with poor HRQoL. Receiving FCA was associated with better HRQoL (OR = 0.319). Controlling for all these variables, women had 131% more odds than men to have poor HRQoL.Male and female caregivers in Spain differ in received support and how their HRQoL is affected. These differences are important to design interventions to promote more equitable sharing of care responsibilities and better caregiver health.