Association of care recipients' care-need level with family caregiver participation in health check-ups in Japan
Association of care recipients' care-need level with family caregiver participation in health check-ups in Japan
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DOI：
10.1111/ggi.13131
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发表时间：
2018-01-01
影响因子：
3.3
通讯作者：
Noguchi, Haruko
中科院分区：
文献类型：
--
作者：
Sugiyama, Takehiro;Tamiya, Nanako;Noguchi, Haruko
目的：日本的公共强制性长期护理保险制度据称减轻了家庭照顾者对老年人的照顾负担，而家庭照顾者在提供照顾方面仍然发挥着相当大的作用。非正式照料对照料者健康的影响一直引起人们极大的兴趣。我们调查了日本非正式照顾的幅度和照顾者参与健康检查之间的关系。方法：本研究对日本具有全国代表性的数据（2010年生活条件综合调查）进行横断面分析。在最后一年的照顾者调查中，我们调查了照顾者的照顾需要水平与在家照顾者参与健康检查之间的关系。结果：研究共纳入3354对照顾者/接受者。护理人员按护理需要等级完成健康检查的粗略比例为68.4%（所需支持1和2）、63.5%（所需护理1-3）和60.3%（所需护理4和5）。在调整可能的混杂因素后，较高的护理需求水平与护理人员参与健康检查呈负相关（支持需求1和2作为参考，护理需求1-3：优势比0.82,95%可信区间0.75-0.90），护理需求4和5：优势比0.76,95%可信区间0.74-0.79)。将照顾者每天花在照顾上的时间和照顾者对健康的自我评价作为独立变量，并没有改变结果。结论：促进高照护需求家庭照顾者参与健康检查可能是减少非正式照护可能导致的健康行为差距的有效干预措施。
Aim: The public mandatory long-term care insurance system in Japan has supposedly mitigated the care burden for family caregivers of older adults, whereas family caregivers still play a considerable role in providing care. The effect of informal caregiving on the caregiver's health has been of great interest. We investigated the relationship between the amplitude of informal caregiving and caregiver participation in health check-ups in Japan.Methods: The present study was a cross-sectional analysis of nationally representative data in Japan (2010 Comprehensive Survey of Living Conditions). We investigated the relationship between care recipients' care-need level and in-home caregiver participation in health check-ups during the last year of the survey for caregivers.Results: A total of 3354 caregiver/recipient pairs were included in the study. Crude proportions of caregivers completing a health check-up by care-need level were 68.4% (support required 1 and 2), 63.5% (care required 1-3) and 60.3% (care required 4 and 5). Higher care-need level was negatively associated with caregiver participation in health checkups (support required 1 and 2as reference, care required 1-3: odds ratio 0.82, 95% confidence interval 0.75-0.90), care required 4 and 5: odds ratio 0.76, 95% confidence interval 0.74-0.79) after adjustment for possible confounders. Inclusion of the caregiver time devoted to care per day and caregiver self-rating of health as independent variables did not change the result.Conclusions: These results suggest that facilitating health check-up participation for family caregivers of care recipients with higher care-need levels might be an effective intervention for decreasing the gap in health behavior possibly caused by informal caregiving.