Spousal care-giving arrangements in Europe. The role of gender, socio-economic status and the welfare state
Spousal care-giving arrangements in Europe. The role of gender, socio-economic status and the welfare state
复制标题
DOI：
10.1017/s0144686x18001320
复制
发表时间：
2020-04-01
期刊：
影响因子：
2.5
通讯作者：
Strauss, Susanne
中科院分区：
文献类型：
--
作者：
Bertogg, Ariane;Strauss, Susanne
配偶(和伴侣)是老年人最重要的照料来源。在所有社会经济背景和福利政策背景下，对虚弱配偶的非正式照料由两性提供。然而，在配偶是否单独照顾、接受其他家庭成员的非正式支持或专业帮手的正式支持，还是完全将配偶的照顾外包方面，存在着有趣的差异。本文通过区分单独配偶照料和共同或外包照料安排，以及正式和非正式照料支助，对文献作出了贡献。此外，我们还展示了护理安排如何随性别、社会经济地位和福利政策的不同而变化。除了之前的研究，我们还比较了17个国家及其在两个老年护理计划上的支出：现金换护理和实物护理。这些实证分析借鉴了欧洲健康、老龄化和退休调查(SHARE)自2015年以来的最新一波数据。我们的结果表明，男性比女性有更高的分担照顾的倾向，尽管只有非正式的支持者。正如预期的那样，福利政策发挥了作用，因为现金换护理计划的更高支出鼓励了非正式的外包护理安排，而实物护理则减少了非正式分享或外包的护理安排的可能性。此外，这些福利政策措施的影响在不同社会经济地位的个人之间有所不同，但在男性和女性之间则不同。
Spouses (and partners) are the most important source of care in old age. Informal care for frail spouses is provided by both sexes and across all socio-economic backgrounds and welfare policy contexts. There are, however, interesting differences as to whether spouses care alone, receive informal support from other family members or formal support from professional helpers, or outsource the care of their spouse completely. The present article contributes to the literature by differentiating between solo spousal care-giving and shared or outsourced care-giving arrangements, as well as between formal and informal care support. Moreover, we show how care-giving arrangements vary with gender, socio-economic status and welfare policy. Adding to previous research, we compare 17 countries and their expenditures on two elder-care schemes: Cash-for-Care and Care-in-Kind. The empirical analyses draw on the most recent wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) data from 2015. Our results show that men have a higher propensity to share care-giving than women, albeit only with informal supporters. As expected, welfare policy plays a role insofar as higher expenditure on Cash-for-Care schemes encourage informally outsourced care-giving arrangements, whereas Care-in-Kind reduce the likelihood for informally shared or outsourced care-giving arrangements. Moreover, the influence of these welfare policy measures differs between individuals of different socio-economic status but not between men and women.