Balancing Formal and Informal Caregiving Resources for Older Adults: The Role of Spatial Proximity of Family.

IF 4.8 2区医学 Q1 GERIATRICS & GERONTOLOGY Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-02-16 DOI:10.1093/geronb/gbaf025

Gyeongrim Oh, Samsik Lee

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Abstract

Objectives: To explore how informal and formal home care was balanced for older adults under the weakening informal caregiving systems due to sociodemographic changes in South Korea, this study examined the relationship between the two types of care and the effects of proximity to family caregivers on them.

Methods: We analyzed adults aged 65 years and older from the 7th wave of the Korean Longitudinal Study of Aging (KLoSA) (n = 722) with limitations in activities of daily living (ADL) or instrumental activities of daily living (IADL), or dementia. Multinomial logistic regression (MLR) was adopted to analyze the impact of family structure on the choice of informal caregivers. Two-stage least squares (2SLS), Heckman, and IV-Heckman models were applied to address endogeneity and sample selection biases.

Results: The results demonstrated that spouses and children close to older parents appeared to be primary caregivers. According to the IV-Heckman model, informal care substitutes for formal home care (b = -0.416, p < .01), and both being married (b = 0.715, p < .01) and proximity to children within one hour (b = 0.888, p < .01) appeared to facilitate formal home care use.

Discussion: This study reveals that Informal and formal home care are inextricably linked. Spouses and adult children close to parents play a pivotal role in directly providing informal care and indirectly facilitating formal home care. Balancing informal/formal home care should be considered in medium- and long-term plans to improve older adults' well-being and reduce formal care's financial burden.

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来源期刊

Journals of Gerontology Series B-Psychological Sciences and Social Sciences 医学-老年医学

CiteScore

11.60

自引率

8.10%

发文量

178

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.