THE PREVALENCE OF GRANDMOTHERS AS PRIMARY CAREGIVERS IN A POOR PEDIATRIC POPULATION
THE PREVALENCE OF GRANDMOTHERS AS PRIMARY CAREGIVERS IN A POOR PEDIATRIC POPULATION
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DOI：
10.1007/bf02260436
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发表时间：
1995-10-01
影响因子：
5.9
通讯作者：
BROUARD, A
中科院分区：
文献类型：
--
作者：
JOSLIN, D;BROUARD, A
在艾滋病毒/艾滋病和强效可卡因流行之后，贫困的城市社区面临着越来越多的老年人，其中大部分是祖母，他们成为因这些流行病而成为孤儿的代理父母。这项研究是美国第一项确定在儿科诊所登记的家庭中老年代孕父母患病率的研究。选定的三个诊所位于纽约市的低收入社区，女性艾滋病毒/艾滋病和药物滥用的发病率很高。通过对 1,375 份登记家庭记录进行 50% 随机抽样，获得了充当代孕父母的亲属的数量和年龄数据。在这 1,375 个有 12 岁及以下儿童的家庭中，有 11% 的父母不是看护者。 8% 的照顾者是祖母。这些女性中 47% 的年龄为 55 岁或以上，25% 为 60 岁或以上，8% 为 70 岁或以上。这些妇女中的大多数都照顾不止一个孩子。 2,445 名 12 岁及以下儿童中，有 10% 生活在非家长家庭中。 8% 的人与祖母住在一起，1% 与其他父母辈亲戚住在一起，1% 的人在寄养家庭。考虑到晚年照顾带来的压力以及低收入非裔美国人和西班牙裔老年人健康状况不佳的风险更大，来自这些社区的老年代孕父母是潜在的高健康风险人群，他们的需求可能会被忽视和忽视。孩子们年纪还小，这表明许多祖父母在他们六七十岁甚至八十多岁的时候可能会继续照顾孩子。需要临床和纵向数据来确定晚年延长的代理养育方式如何影响老年护理人员及其照顾的儿童的健康。需要协调老年人和儿童的卫生和社会服务，以促进针对这些家庭的有效计划。
In the wake of the HIV/AIDS and crack cocaine epidemics, poor urban communities face growing numbers of older adults, largely grandmothers, who have become surrogate parents to children orphaned by these epidemics. This study is the first in the United States to determine the prevalence of older surrogate parents among families registered at pediatric clinics. The three clinics selected were in low income neighborhoods of New York City with a high incidence of female HIV/AIDS and substance abuse. Using a 50% random sample of 1,375 records of registered families, data were obtained on the number and ages of relatives serving as surrogate parents. In 11% of these 1,375 families with children 12 years and under a parent was not the caregiver. In 8% the caregiver was a grandmother. Forty-seven percent of these women were 55 years or older, 25% were 60 years or older and 8% were 70 years or older. Most of these women were caring for more than one child. Ten percent of the total of 2,445 children, 12 years and under, lived in non-parent headed families. Eight percent lived with a grandmother, 1% with other parental generation relatives and 1% in foster care.Given the stresses associated with caregiving in late life and the greater risk of poor health among low income African-American and Hispanic elderly, older surrogate parents from these communities are a potentially high health risk population whose own needs may go unrecognized and unattended. The young ages of the children suggest that many grandparents may continue to be caregivers as they reach their sixties, seventies and even eighties. Clinical and longitudinal data are needed to determine how prolonged surrogate parenting in late life affects the health of older caregivers and the children in their care. Coordination between health and social services for the elderly and for children are needed to promote effective programs for these families.