The health of grandparents raising grandchildren: Results of a national study
The health of grandparents raising grandchildren: Results of a national study
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DOI：
10.2105/ajph.89.9.1384
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发表时间：
1999-09-01
影响因子：
12.7
通讯作者：
Fuller-Thomson, E
中科院分区：
文献类型：
--
作者：
Minkler, M;Fuller-Thomson, E
目标。本研究试图比较抚养孙辈的祖父母和没有照顾孙辈的祖父母的功能和自评健康状况。对1992至1994年全国家庭和家庭调查的数据进行了二次分析。双变量和Logistic分析比较了173名监护祖父母和3304名非监护祖父母在功能健康限度、自我健康状况和健康满意度方面的差异。监护祖父母在所检查的5项日常生活活动(ADL)中有4项存在限制的可能性显著增加，超过一半的人报告在5项ADL中的1项存在限制。Logistic回归分析表明，照顾祖父母的ADL限制的几率高出50%。照顾者对健康的满意度明显较低，且统计趋势显示照顾者的自评健康程度较低。需要进一步的研究来确定观察到的差异是否反映了功能能力和其他健康指标的人为因素或实际差异。强调需要支持而不是惩罚祖父母抚养孙子孙女的政策。
Objectives. This study sought to compare the functional and self-rated health of grandparents raising grandchildren with that of noncaregiving grandparents.Methods. A secondary analysis of data from the 1992 to 1994 National Survey of Families and Households was conducted. Bivariate and logistic analyses compared 173 custodial and 3304 noncustodial grandparents in terms of functional health limitations, self-rated health, and satisfaction with health.Results. Custodial grandparents were significantly more likely to have limitations in 4 of the 5 activities of daily living (ADLs) examined, with more than half reporting some limitation in 1 of the 5 ADLs, A logistic regression analysis indicated that caregiving grandparents had 50% higher odds of having atl ADL limitation. Caregivers are significantly more likely to report lower satisfaction with health, and a statistical trend indicated that the caregivers had lower self-rated health.Conclusions. further research is needed to determine whether the differences observed reflect artifacts or actual differences in functional abilities and other health measures. The need for policies that support rather than penalize grandparents raising grandchildren is stressed.