Is caring associated with an increased risk of mortality? A longitudinal study
Is caring associated with an increased risk of mortality? A longitudinal study
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DOI：
10.1016/j.socscimed.2008.06.025
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发表时间：
2008-10-01
影响因子：
5.4
通讯作者：
Patterson, Chris
中科院分区：
文献类型：
--
作者：
O'Reilly, Dermot;Connolly, Sheelah;Patterson, Chris
非正规护理是社区护理的一个基本组成部分，鉴于目前的人口趋势和日益普遍的慢性病，非正规护理在今后可能具有更大的重要性。研究表明，照顾者比非照顾者更有可能报告健康状况不佳，尽管这通常是根据心理或情绪健康来衡量的，如抑郁或“照顾者紧张”。关于护理对身体健康的影响，人们知之甚少。本研究调查了2001年北方爱尔兰人口普查中记录的照顾者的健康状况及其随后四年的死亡率。照顾者是一个异质群体，与那些提供较少的照顾时间相对更富裕比那些提供更大强度的照顾。总体而言，照顾者的死亡风险低于非照顾者，对妇女，老年人和那些在研究开始时报告健康状况较差的人的影响更为明显。虽然这项研究并不排除照顾照顾者的一些亚组的显着有害健康的影响的可能性，它确实增加了支持越来越多的文献表明，照顾的积极方面被低估。(C)2008爱思唯尔有限公司保留所有权利。
Informal care is a fundamental component of care in the community which, given current demographic trends and increasing prevalence of debilitating chronic disease, is likely to assume even greater significance in future. Research indicates that caregivers are more likely than non-carers to report poor health, though this has usually been measured in terms of psychological or emotional health such as depression or 'caregiver strain'. Relatively little is known about the effects of caring on physical health. This study examines the health of caregivers recorded in the 2001 Northern Ireland Census and their subsequent mortality over the following four years. Caregivers were a heterogeneous group, with those providing fewer hours of care being relatively more affluent than those providing care at greater intensities. Overall, caregivers had lower mortality risks than non-carers and effects were more pronounced for women, older people, and for those reporting poorer health at the start of the Study period. While this study does not exclude the possibility of significant detrimental health effects of caring for some sub-groups of caregivers, it does add support to the growing body of literature which Suggests that the positive aspects of caring have been underreported. (C) 2008 Elsevier Ltd. All rights reserved.