Mental health and self-rated health of older carers during the COVID-19 pandemic: evidence from England.
Mental health and self-rated health of older carers during the COVID-19 pandemic: evidence from England.
复制标题
COVID-19 大流行期间老年护理人员的心理健康和自评健康：来自英格兰的证据。
DOI：
10.1080/13607863.2023.2236569
复制
发表时间：
2024
影响因子：
3.4
通讯作者：
DiGessa,Giorgio
中科院分区：
文献类型：
--
作者：
Price,Debora;DiGessa,Giorgio
老年照顾者在支持人口健康和保护卫生和社会保健系统方面发挥着至关重要的作用，但关于了解大流行对这一群体的影响的研究很少。在这篇文章中，我们调查了关爱作为促进心理健康和自我评估健康的一个因素。方法我们使用来自5,149名回应第9波的英国老龄化纵向研究成员(2018/2019年)和两项新冠肺炎子研究(2020年6/7月；2020年11/12)的纵向数据，研究提供家庭护理与心理健康和幸福感之间的横向和纵向关联。我们根据结果指标使用Logistic或线性回归模型，控制大流行前的社会经济、人口和健康相关变量。结果在大流行之前，21%的受访者关心家人或朋友。在大流行期间，照顾家庭中某人的老年人大多继续提供护理，超过四分之一的人报告提供的护理数量增加。共同居住的照顾者不成比例地是女性，年龄较大，处于最低财富的五分之一，更有可能报告残疾和慢性病。横断面和纵向分析都表明，与那些照顾家庭以外的人相比，共同居住的照顾者更有可能报告较差的心理健康和自我评估健康。结论在疫情爆发的第一年，老年照顾者的健康状况恶化得不成比例，这段时期也以支持中断和暂停喘息服务为特征。对照料者的心理和身体健康的支持需要更多的政策关注，特别是在大流行情况下。
ObjectivesOlder carers play a vital role supporting population health and protecting health and social care systems, yet there has been little research on understanding the effect of the pandemic on this group. In this paper, we investigate caring as a factor contributing to mental and self-rated health.MethodsWe investigate cross-sectional and longitudinal associations between provision of family care and mental health and wellbeing using longitudinal data from 5,149 members of the English Longitudinal Study of Ageing who responded to Wave 9 (2018/2019) and two COVID-19 sub-studies (June/July 2020; November/December 2020). We use logistic or linear regression models depending on outcome measures, controlling for pre-pandemic socioeconomic, demographic, and health-related variables.ResultsBefore the pandemic, 21% of respondents cared for family or friends. Older people caring for someone inside the household mostly continued to provide care during the pandemic, with more than a quarter reporting an increase in the amount of care provided. Co-resident carers were disproportionately female, older, in the lowest wealth quintile, and more likely to report disability and chronic conditions. Both cross-sectional and longitudinal analyses suggest that, compared to those caring for people living outside the household, co-resident carers were significantly more likely to report poorer mental health and self-rated health.ConclusionThe health of older carers worsened disproportionately in the first year of the pandemic, a period also characterised by disruptions to support and closure of respite services. Support for carers’ mental and physical health requires greater policy attention, especially in pandemic conditions.