Opportunity costs associated with caring for older Mexican-Americans.
Opportunity costs associated with caring for older Mexican-Americans.
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与照顾老年墨西哥裔美国人相关的机会成本。
DOI：
10.1007/s10823-013-9208-3
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发表时间：
2013
影响因子：
2
通讯作者：
Angel,JacquelineL
中科院分区：
文献类型：
--
作者：
Brown3rd,HShelton;Herrera,AngelicaP;Angel,JacquelineL
尽管对这一弱势群体的健康和经济劣势产生不利影响，但对墨西哥裔美国老年人的长期护理使用情况知之甚少。本研究调查了2000-2001年和2004-2005年西班牙裔老年人流行病学研究既定人群中年龄在70岁及以上的628名女性和391名男性长期护理使用的性别风险。采用Logistic回归模型评估家庭支持（亲属可用性和共同居住）相对于医疗保健需求（质量调整生命年（QALY）加权得分和功能限制）的机会成本含义对妇女进入养老院风险的影响。一小部分（约5%）的男性和女性进入了长期护理机构。女性的QALY体重比男性低，残疾程度也比男性高，但平均而言，她们更有可能与成年子女生活在一起，或者与成年子女生活在一起。残疾率越高（p< 0.01），不论性别，都增加了机构化的风险，因为残疾增加了时间负担。成年子女较少的家庭在照顾年迈父母方面面临较高的时间负担；尤其是对年长的母亲。人口趋势表明，可以分担照顾负担的成年子女的数量可能会减少长期护理的使用。
Long-term care use among older Mexican-Americans is poorly understood, despite the adverse effects on health and economic disadvantage in this vulnerable population. This study examines gender-based risk of long-term care use in 628 women and 391 men, age 70 and over in the 2000–2001 and 2004–2005 waves of the Hispanic Established Populations for Epidemiologic Studies of the Elderly. Logistic regression models are employed to assess the impact of the opportunity cost implications of family support (kin availability and co-residence) relative to health care needs (quality-adjusted life years (QALY) weighted scores and functional limitations) on women’s risk of entry into a nursing home. A small percentage (~5 %) of men and women had entered a long-term care facility. Women had lower weights for QALY weights and greater disability than men, but on average were more likely to live with or in closer proximity to an adult child. Higher disability rates (p< 0.01) increased the risk of institutionalization regardless of gender because disability increases time burdens. Families with fewer adult children faced higher time burdens per child in caring for elderly parents; particularly for elderly mothers. Demographic trends suggest that the number of adult children available to share the caregiving load may decrease long-term care use.