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Internet self-efficacy moderates the association of information technology ability with successful ageing among older employees in three African samples. 在三个非洲样本中,互联网自我效能调节了信息技术能力与老年雇员成功老龄化之间的关系。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-10-18 DOI: 10.1007/s10433-024-00827-9
Nestor Asiamah, Sylvester Hatsu, Frank Frimpong Opuni, Faith Muhonja, Confidence Chinwe Opara, Sarra Sghaier, Emelia Danquah

The literature suggests that two distinct competencies [i.e., information technology ability (ITA), and internet self-efficacy] are necessary for the effective use of information technologies for successful ageing, but no study has examined the association of these skills on successful ageing and its domains (i.e., illness avoidance, functioning, and engagement with life). This study investigated whether Internet Self-Efficacy (ISE) moderates the potential association of ITA with successful ageing. The study adopted a cross-sectional design based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and includes measures against confounding and common methods bias. The participants were 1186 older workers aged 50 years or older in three African countries (Kenya = 350; Nigeria = 260; Ghana = 576). The minimum sample size necessary was calculated, and data were analysed with hierarchical linear regression analysis. After controlling for the covariates, ITA and ISE had a positive association with successful ageing as well as illness avoidance, functioning, and engagement with life in the whole sample. ITA was also positively associated with successful ageing and its domains in Kenya and Ghana. The associations of ITA with successful ageing and its domains were positively moderated by ISE in the whole sample and within each of the three samples. Higher ITA can be associated with successful ageing among working older adults, and ITA positively influences successful ageing at different levels of ISE. Older adults with high ITA are more likely to avoid illness at a higher ISE.

文献表明,有效利用信息技术促进成功老龄化需要两种不同的能力[即信息技术能力(ITA)和互联网自我效能感],但还没有研究探讨这些技能与成功老龄化及其领域(即避免疾病、功能和参与生活)之间的关联。本研究探讨了互联网自我效能感(ISE)是否会调节 ITA 与成功老龄化之间的潜在关联。研究采用了基于加强流行病学观察性研究报告(STROBE)核对表的横断面设计,并采取了防止混淆和常见方法偏差的措施。参与者是非洲三个国家(肯尼亚 = 350 人;尼日利亚 = 260 人;加纳 = 576 人)的 1186 名 50 岁或以上的老年工人。计算出了所需的最小样本量,并采用分层线性回归分析法对数据进行了分析。在控制了协变量后,在整个样本中,ITA 和 ISE 与成功老龄化以及疾病规避、功能和生活参与度呈正相关。在肯尼亚和加纳,ITA 也与成功老龄化及其领域呈正相关。在整个样本和三个样本中的每个样本中,ITA 与成功老龄化及其领域的关系都受到 ISE 的正向调节。在工作的老年人中,较高的 ITA 与成功步入老年有关,并且在不同的 ISE 水平下,ITA 对成功步入老年有积极影响。在较高的 ISE 水平下,高 ITA 的老年人更有可能避免生病。
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引用次数: 0
Does social capital enhance political participation in older adults? Multi-level evidence from the European Quality of Life Survey. 社会资本会提高老年人的政治参与度吗?来自欧洲生活质量调查的多层次证据。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-10-14 DOI: 10.1007/s10433-024-00825-x
Fredrica Nyqvist, Rodrigo Serrat, Mikael Nygård, Marina Näsman

This study explored the role of social capital for non-institutionalised and institutionalised political participation among older adults compared to younger age groups using European Quality of Life Survey data (EQLS) from 2016 and 33 countries (n = 36,908). Multilevel logistic regression analysis was employed to assess the association between individual- and country-level social capital and political participation. Findings revealed that, at the individual level, active associational engagement was positively related to both forms of political participation, while social trust and political trust were linked only to non-institutionalised participation-higher social trust and lower political trust were associated with a greater likelihood of participation. Country-level associational engagement was related to non-institutionalised political participation and country-level political trust with institutionalised participation. For older adults, active associational engagement had stronger individual and contextual effects on non-institutionalised political participation. These results enrich our understanding of political engagement in later life and highlight the unexplored potential for civic involvement among older adults.

本研究利用 2016 年欧洲生活质量调查(EQLS)数据和 33 个国家的数据(n = 36908),探讨了与年轻年龄组相比,社会资本对老年人非制度化和制度化政治参与的作用。研究采用多层次逻辑回归分析来评估个人和国家层面的社会资本与政治参与之间的关联。研究结果表明,在个人层面,积极的结社参与与两种形式的政治参与呈正相关,而社会信任和政治信任仅与非制度化参与相关--较高的社会信任和较低的政治信任与较大的参与可能性相关。国家层面的结社参与与非制度化政治参与相关,国家层面的政治信任与制度化参与相关。对于老年人来说,积极的结社对非制度化政治参与有更强的个人和环境影响。这些结果丰富了我们对晚年政治参与的理解,并强调了老年人参与公民事务的潜力尚未被发掘。
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引用次数: 0
Do middle-aged and older people underreport loneliness? experimental evidence from the Netherlands. 荷兰的实验证据:中老年人是否少报了孤独感?
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-10-05 DOI: 10.1007/s10433-024-00826-w
Thijs van den Broek, Jack Lam, Cecilia Potente

Despite the growing acknowledgment of the importance of loneliness among older individuals, questionnaire length constraints may hinder the inclusion of common multi-item loneliness scales in surveys. Direct, single-item loneliness measures are a practical alternative, but scholars have expressed concerns that such measures may lead to underreporting. Our aim was to test whether such reservations are justified. We conducted a preregistered list experiment among 2,553 people aged 50 + who participated in the Dutch Longitudinal Internet studies for the Social Sciences (LISS) panel. The list experiment method has been developed to unobtrusively gather sensitive information. We compared the list experiment estimate of the prevalence of frequent loneliness with the corresponding direct question estimate to assess downward bias in the latter. Next to pooled models, we estimated models stratified by gender to assess whether loneliness underreporting differed between women and men. Relying on the direct question, we estimated that 5.9% of respondents frequently felt lonely. Our list experiment indicated that the prevalence of frequent loneliness was 13.1%. Although substantial in magnitude, the difference between both estimates was only marginally significant (Δb: 0.072, 95% CI: - 0.003;0.148, p = .06). No evidence of gender differences was found. Although we cannot be conclusive that loneliness estimates are biased downward when a direct question is used, our results call for caution with direct, single-item measures of loneliness if researchers want to avoid underreporting. Replications are needed to gain more precise insights into the extent to which direct, single-item loneliness measures are prone to downward reporting bias.

尽管越来越多的人认识到孤独感在老年人中的重要性,但问卷长度的限制可能会妨碍将常见的多项目孤独感量表纳入调查。直接的单项孤独感测量是一种实用的替代方法,但有学者担心这种测量可能会导致报告不足。我们的目的是检验这种保留意见是否合理。我们对参加荷兰社会科学纵向互联网研究(LISS)小组的 2553 名 50 岁以上的人进行了预先登记的名单实验。名单实验法是为了不露痕迹地收集敏感信息而开发的。我们将列表实验对经常性孤独感发生率的估计值与相应的直接问题估计值进行了比较,以评估后者的向下偏差。除了汇总模型外,我们还估算了按性别分层的模型,以评估女性和男性的孤独感漏报率是否存在差异。根据直接提问,我们估计有 5.9% 的受访者经常感到孤独。我们的列表实验表明,经常感到孤独的比例为 13.1%。尽管两者的估计值相差很大,但差异却很小(Δb:0.072,95% CI:- 0.003;0.148,p = .06)。没有发现性别差异的证据。虽然我们不能断定使用直接问题时孤独感的估计值会向下偏移,但如果研究人员想避免少报,我们的结果要求谨慎使用直接的、单项的孤独感测量方法。要想更准确地了解直接的、单一项目的孤独感测量方法在多大程度上容易产生向下报告偏差,还需要进行重复研究。
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引用次数: 0
The lifestyle of new middle-aged and older adults in Taiwan described by wearable device: age and gender differences. 用可穿戴设备描述台湾新中老年人的生活方式:年龄与性别差异。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-09-28 DOI: 10.1007/s10433-024-00824-y
Chih-Liang Wang, Cheng-Xue Li, Sheng-Fu Liang

Studies of lifestyle through comprehensive objective and subjective measurements of health outcomes are lacking. An examination of lifestyle factors in middle-aged and older adults in terms of age, gender, and the interaction effect of age and gender from physiological and psychological perspectives are imperative. Recent advances in technology such as actigraphy have facilitated objective measurements. This exploratory study contributes to research on age and gender interactions on circadian rhythm, physical activity, sleep, and psychological variables by employing wrist accelerometers to measure behavioral circadian rhythm objectively and by using questionnaires to assess psychological status subjectively. The data were drawn from 218 participants aged 50 and older from the "Middle-aged and older adults Chinese Health and Actigraphy in Taiwan (MOCHA-T)". The results: (1) older adult group is associated with declined physical activity (MVPA time 79.9 min VS. 107.9 min, p = .002), worse sleep efficiency (78.1% VS. 81.9%, p = .008), and earlier lifestyle (Acrophase 14.19 h VS. 14.69 h, p = .01) comparing to middle-aged group. (2) Women have a more regular lifestyle (Interdaily stability 0.6 VS. 051, p < 0.001), higher physical activity (MVPA time 105.7 min VS. 79.3 min, p = .004), and better sleep efficiency (81.6% VS. 77.8%, p = .011) than men. (3) Significant age-by-gender interactions existed in life satisfaction (p = .025), relative amplitude (p = .016), and total wake time (p = .038). Furthermore, aging was associated with significant increases in life satisfaction among men as well as significant decreases in relative amplitude and reductions in the total wake time among women. In conclusion, aging exerted differential effects on life satisfaction in men as well as relative amplitude and the total wake time in women. This result highlights disparities in lifestyle arising from interconnected social and biological challenges.

目前还缺乏通过对健康结果的客观和主观综合测量来研究生活方式。当务之急是从生理和心理角度,从年龄、性别以及年龄和性别的交互影响等方面对中老年人的生活方式因素进行研究。最近,行动记录仪等技术的进步为客观测量提供了便利。这项探索性研究通过使用腕式加速度计客观测量行为昼夜节律,并使用问卷主观评估心理状态,为研究年龄和性别对昼夜节律、身体活动、睡眠和心理变量的相互作用做出了贡献。数据来自于 "台湾中老年华人健康与行动测量(MOCHA-T)"的 218 名 50 岁及以上的参与者。结果显示:(1)与中年组相比,老年组的体力活动减少(MVPA 时间为 79.9 分钟 VS 107.9 分钟,p = .002),睡眠效率降低(78.1% VS 81.9%,p = .008),生活方式提前(Acrophase 14.19 h VS 14.69 h,p = .01)。(2)与中年组相比,女性的生活方式更有规律(日间稳定性 0.6 VS.051, p
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引用次数: 0
Disability during the last ten years of life: evidence from a register-based study in Austria. 生命最后十年的残疾:来自奥地利登记研究的证据。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-09-28 DOI: 10.1007/s10433-024-00823-z
Erwin Stolz, Anna Schultz, Julia Zuschnegg, Franziska Großschädl, Thomas E Dorner, Regina Roller-Wirnsberger, Wolfgang Freidl

Analyses of late-life disability based on survey data of the oldest old often suffer from non-representative samples due to selective participation and attrition. Here, we use register data on the Austrian long-term care allowance (ALTCA) as a proxy for late-life disability. In this retrospective mortality follow-back study, we analyze receipt of ALTCA, a universal cash benefit based on physician-assessed disability in activities of daily living during the last 10 years of life, among all decedents aged 65 years and over from 2020 in Austria (n = 76,781) and its association with sex, age at death, and underlying cause of death. We find that on average, ALTCA was received for 3.5 and 5.3 years in men and women. At 10 years before death, 10% of men and 25% of women received ALTCA, which increased to 56% and 77% at one year before death. Both the probability and duration of ALTCA increased with age at death and varied by cause of death: Those who died from cancer, myocardial infarction, and external causes of death were less likely to receive ALTCA and for shorter durations, while those who died from dementia, Parkinson's disease, chronic heart disease, or chronic lung disease were more likely to receive it and longer so. Overall, our register-based estimates of the prevalence of late-life disability were higher than previous survey-based estimates. Policy-makers should be aware that costs of long-term care will rise as life expectancy rises and deaths from dementia and chronic heart disease will likely increase in the rapidly aging European societies.

由于选择性参与和自然减员的原因,基于高龄老人调查数据的晚年残疾分析往往存在样本不具代表性的问题。在此,我们使用奥地利长期护理津贴(ALTCA)的登记数据作为晚年残疾的替代数据。在这项回顾性死亡率跟踪研究中,我们分析了 2020 年奥地利所有 65 岁及以上死者(n = 76,781 人)领取 ALTCA(一种基于医生评估的生命最后 10 年日常生活活动残疾情况的普遍现金津贴)的情况及其与性别、死亡年龄和基本死因的关系。我们发现,男性和女性接受 ALTCA 治疗的平均时间分别为 3.5 年和 5.3 年。在死亡前 10 年,10% 的男性和 25% 的女性接受了 ALTCA,而在死亡前一年,这一比例分别上升到 56% 和 77%。ALTCA的概率和持续时间随着死亡年龄的增加而增加,并因死亡原因而异:死于癌症、心肌梗死和外部死因的人接受 ALTCA 的概率较低,持续时间也较短,而死于痴呆症、帕金森病、慢性心脏病或慢性肺病的人接受 ALTCA 的概率较高,持续时间也较长。总体而言,我们根据登记册估算出的晚年残疾发生率高于之前根据调查估算出的发生率。政策制定者应该意识到,随着预期寿命的延长,长期护理的成本将会增加,在快速老龄化的欧洲社会中,因痴呆症和慢性心脏病死亡的人数可能会增加。
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引用次数: 0
The use of individual and collective selection, optimisation and compensation (SOC) strategies and their association with work ability among senior workers. 高级工个人和集体选择、优化和补偿(SOC)策略的使用及其与工作能力的关系。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-09-18 DOI: 10.1007/s10433-024-00821-1
Annette Meng, E Sundstrup, Lars Louis Andersen

Background Selection, optimisation, and compensation (SOC) can be important strategies for maintaining work ability as we age. This study aimed to explore differences in self-reported individual and collective use of SOC strategies across job functions, as well as their association with self-rated work ability.

Methods: In the third wave of the SeniorWorkingLife study, 10,798 workers aged 50 + , across the job function categories "Office work", "work with people", and "work in the field of production", replied to questions about collective and individual SOC strategies and work ability. Using multiple regression, we modelled associations between SOC and work ability.

Results: Associations between SOC and work ability were generally weaker among participants working in the field of production. Both individual and collective use of selection had much weaker associations with work ability in the job functions "office work" and "working with people". In the job function "working in the field of production", only collective compensation was positively associated with work ability while individual selection was significantly but negatively associated with work ability.

Conclusions: The use of SOC may be particularly beneficial for older employees working with people. Optimisation and compensation may be the most important SOC strategies for maintaining the work ability of older employees working with people and doing office work. For older employees working in the field of production, collective optimisation may support the maintenance of work ability while reduced work ability may be associated with the use of individual selection as a "coping strategy".

背景 随着年龄的增长,选择、优化和补偿(SOC)是保持工作能力的重要策略。本研究旨在探讨不同工作职能中个人和集体使用选择、优化和补偿(SOC)策略的自我报告差异,以及这些策略与自我评价的工作能力之间的关系:在 "老年工作生活"(SeniorWorkingLife)研究的第三轮调查中,10798 名年龄在 50 岁以上的工作者回答了有关集体和个人 SOC 策略与工作能力的问题,他们的工作职能类别分别为 "办公室工作"、"与人打交道的工作 "和 "生产领域的工作"。我们使用多元回归法建立了 SOC 与工作能力之间的关系模型:结果:在生产领域工作的参与者中,SOC 与工作能力之间的关系普遍较弱。在 "办公室工作 "和 "与人打交道 "的工作职能中,个人和集体选择与工作能力之间的关系要弱得多。在 "生产领域工作 "的工作职能中,只有集体补偿与工作能力呈正相关,而个人选择与工作能力呈显著负相关:结论:使用 SOC 可能对从事与人打交道工作的老年雇员特别有益。优化和补偿可能是与人打交道和从事办公室工作的老年雇员保持工作能力的最重要的 SOC 策略。对于在生产领域工作的老年雇员来说,集体优化可能有助于保持工作能力,而工作能力的降低可能与使用个人选择作为 "应对策略 "有关。
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引用次数: 0
Soft skills and their relationship with life satisfaction and cognitive reserve in adulthood and older age. 软技能及其与成年期和老年期生活满意度和认知储备的关系。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-09-09 DOI: 10.1007/s10433-024-00820-2
Tommaso Feraco, Nicole Casali, Elena Carbone, Chiara Meneghetti, Erika Borella, Barbara Carretti, Veronica Muffato

Soft skills are key factors for success in multiple contexts of daily life, as well as for life satisfaction, but little is known about their role in late adulthood and older age. In this study, we aimed to investigate the relationships of soft skills, as defined by the World Economic Forum, with two indicators of successful/healthy aging: life satisfaction and cognitive reserve. A sample of 435 adults aged 50 and over completed self-reported measures of soft skills, life satisfaction, and cognitive reserve. As control, fluid (reasoning) and crystalized (vocabulary) intelligence were assessed too, along with socio-demographic characteristics. A series of regression analyses showed that soft skills were positively related to both life satisfaction and, to a lower extent, cognitive reserve, above and beyond gender, age, and both fluid and crystallized intelligence. Interestingly, these associations were independent from participants' age. Overall, these results highlight the importance of considering soft skills also over the middle-late adult life course, due to the potential role of these individual qualities in supporting an individual's well-being and an active and engaged lifestyle, with implications for the promotion of a healthy aging.

软技能是在日常生活的多种环境中取得成功以及获得生活满意度的关键因素,但人们对其在成年晚期和老年期的作用却知之甚少。在这项研究中,我们旨在调查世界经济论坛所定义的软技能与成功/健康老龄化的两个指标(生活满意度和认知储备)之间的关系。435 名 50 岁及以上的成年人完成了对软技能、生活满意度和认知储备的自我报告测量。作为对照,还对流体智力(推理)和晶体智力(词汇)以及社会人口特征进行了评估。一系列回归分析表明,软技能与生活满意度呈正相关,在较低程度上与认知储备也呈正相关,超越了性别、年龄以及流体智力和晶体智力。有趣的是,这些关联与参与者的年龄无关。总之,这些结果凸显了在中晚年生活过程中考虑软技能的重要性,因为这些个人素质在支持个人福祉和积极投入的生活方式方面具有潜在作用,对促进健康老龄化具有重要意义。
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引用次数: 0
Determinants of trajectories of informal caregiving in later life: evidence from England. 晚年非正式护理轨迹的决定因素:来自英格兰的证据。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-08-31 DOI: 10.1007/s10433-024-00818-w
Giorgio Di Gessa, Christian Deindl

Although the long-term consequences of informal care provision have been well investigated, few studies have examined the trajectories of informal care provision among older people and the socioeconomic, demographic, health, and family characteristics associated with them. We use data from four waves of the English Longitudinal Study of Ageing, with 6561 respondents followed for 6 years (2012/3-2018/9). We used group-based trajectory modelling to group people's provision of care over time into a finite number of distinct trajectories of caregiving. Using multinomial logistic regressions, we then investigated the characteristics associated with these trajectories. Four distinct trajectories of caregiving were identified: "stable intensive", "increasing intensive", "decreasing", and "stable no care". Results suggest that although there are socioeconomic, demographic, and health differences across the trajectories of caregiving (with younger women in good health and poorer socioeconomic status more likely to care intensively throughout), family characteristics are their main drivers. Respondents who live alone, with no children, and no parents alive are more likely to never provide care, whereas those with older parents and who live with adults in poor health are more likely to provide stable intensive care. Also, changes in family characteristics (e.g. death of parents, widowhood, or deterioration of the partner's health) are associated with trajectories representing increases or decreases in caregiving over time. Overall, trajectories of informal caregiving undertaken by older people are varied and these patterns are mostly associated with both the availability and health of family members, suggesting that need factors represent the most immediate reason for caregiving commitments.

尽管对提供非正规护理的长期后果进行了深入研究,但很少有研究考察了老年人提供非正规护理的轨迹以及与之相关的社会经济、人口、健康和家庭特征。我们使用了英国老龄化纵向研究(English Longitudinal Study of Ageing)的四波数据,对 6561 名受访者进行了为期 6 年(2012/3-2018/9)的跟踪调查。我们使用基于群体的轨迹模型,将人们在一段时间内提供的护理归类为有限数量的不同护理轨迹。然后,我们使用多叉逻辑回归法研究了与这些轨迹相关的特征。我们确定了四种不同的护理轨迹:"稳定的强化护理"、"强化护理的增加"、"强化护理的减少 "和 "稳定的无护理"。结果表明,虽然在不同的护理轨迹中存在社会经济、人口和健康方面的差异(健康状况良好和社会经济地位较差的年轻女性更有可能在整个过程中都进行密集护理),但家庭特征是其主要驱动因素。独居、无子女和父母不在世的受访者更有可能从不提供护理,而父母年长和与健康状况不佳的成年人生活在一起的受访者则更有可能提供稳定的集中护理。此外,家庭特征的变化(如父母双亡、丧偶或伴侣健康状况恶化)也与随着时间推移护理增加或减少的轨迹有关。总体而言,老年人进行非正式护理的轨迹是多种多样的,这些模式大多与家庭成员的可用性和健康状况有关,这表明需求因素是承诺提供护理的最直接原因。
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引用次数: 0
Look on the bright side: the relation between family values, positive aspects of care and caregiver burden. 往好的方面看:家庭价值观、护理的积极方面与护理负担之间的关系。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-08-30 DOI: 10.1007/s10433-024-00819-9
Larissa Zwar, Hans-Helmut König, André Hajek

Family-centered values are important for caregiving. However, findings on their association with burden are inconsistent. We aim to analyze whether positive aspects of caregiving are mediating the effect of familism on burden among informal caregivers of older adults in Germany. Participants (n = 277) were drawn from the Attitudes Toward Informal Caregivers (ATTIC) project and include informal long-term caregivers of older relatives (aged ≥ 60) quota-sampled from Germany (December 2023). Mediation analyses (linear OLS regression) with robust standard errors were conducted with the classic and the counterfactual causal mediation framework. The classic approach indicated a significant positive direct effect of familism on burden, a significant negative direct effect of PAC on burden and a significant negative indirect effect of familism via PAC on burden; the total effect was not significant. The causal mediation approach supports this; the interaction between familism and PAC was not significant. Thus, sociocultural family-centered values seemed to worsen burden but also to reduce it through positive experiences of caregiving, which did not depend on the strength of familism values. The findings advance our understanding of the mechanisms underlying the stress appraisal of the informal care situation and emphasize the role of positive experiences of care.

以家庭为中心的价值观对护理工作非常重要。然而,有关其与负担之间关系的研究结果并不一致。我们的目的是分析护理的积极方面是否会调节家庭主义对德国老年人非正式护理者负担的影响。参与者(n = 277)来自 "对非正式照护者的态度"(ATTIC)项目,包括从德国(2023 年 12 月)配额抽取的老年亲属(年龄≥ 60 岁)的非正式长期照护者。采用经典和反事实因果中介框架进行了带有稳健标准误差的中介分析(线性 OLS 回归)。经典方法表明,家庭主义对负担有显著的正向直接影响,PAC 对负担有显著的负向直接影响,家庭主义通过 PAC 对负担有显著的负向间接影响;总影响不显著。因果中介法支持这一观点;家庭主义与 PAC 之间的交互作用不显著。因此,以家庭为中心的社会文化价值观似乎会加重负担,但也会通过积极的护理体验减轻负担,而这并不取决于家庭主义价值观的强弱。这些研究结果加深了我们对非正式护理情况的压力评估机制的理解,并强调了积极护理体验的作用。
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引用次数: 0
Transitions between care networks: a prospective study among older adults in the Netherlands. 护理网络之间的过渡:一项针对荷兰老年人的前瞻性研究。
IF 3.7 2区 社会学 Q1 GERONTOLOGY Pub Date : 2024-08-13 DOI: 10.1007/s10433-024-00817-x
Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Emiel O Hoogendijk, Marjolein I Broese van Groenou

As health impairment increases, older adults utilize care from different types of caregivers, but little is known about changes in the composition of care networks. We mapped the transitions between different care networks to gain insight into which people develop care networks that include informal, privately and publicly paid care. We used three waves (2012-2015-2018) of the Longitudinal Aging Study Amsterdam with 1413 Dutch community-dwelling adults, aged 64-100. Network types were identified using six types of caregivers: (1) co-resident, (2) non-co-resident children, (3) other kin, (4) neighbours/friends/acquaintances, (5) publicly paid, (6) privately paid, in a latent transition analysis with mortality and moving to a care facility as missing states. Five types of care networks were identified: (1) no care, (2) privately paid, (3) mixed informal, (4) mixed publicly paid, (5) co-resident. The co-resident network was the most unstable and had a high transition rate to nursing homes. Participants from the privately paid care network often transitioned to a mixed informal network and rarely transitioned to a mixed publicly paid network. Transitions out of the no-care network were mostly to the privately paid network. The two mixed care networks were the most stable. Transitions appeared to be most triggered by deteriorating health. Transitions to institutional care were most likely in the mixed informal, mixed publicly paid and the co-resident network. Thus, these networks appear to require additional support to facilitate ageing in place.

随着健康受损程度的增加,老年人会利用不同类型的护理人员提供护理,但人们对护理网络构成的变化知之甚少。我们绘制了不同护理网络之间的过渡图,以深入了解哪些人建立了包括非正式、私人和公共付费护理在内的护理网络。我们使用了阿姆斯特丹老龄化纵向研究的三个波次(2012-2015-2018 年),对象是 1413 名年龄在 64-100 岁之间、居住在荷兰社区的成年人。在以死亡率和搬入护理机构为缺失状态的潜在转变分析中,我们使用六种类型的照顾者确定了网络类型:(1)同住者,(2)非同住者子女,(3)其他亲属,(4)邻居/朋友/熟人,(5)公共付费,(6)私人付费。确定了五种类型的护理网络:(1) 无护理,(2) 私人付费,(3) 非正式混合,(4) 公共付费混合,(5) 同住。共同居住网络最不稳定,向养老院过渡的比例很高。来自私人付费护理网络的参与者通常过渡到混合非正式网络,很少过渡到混合公共付费网络。从无护理网络转出的人主要是转入私人付费网络。两个混合护理网络最为稳定。健康状况恶化似乎最容易引发过渡。在非正规混合护理网络、公费混合护理网络和共同居住网络中,最有可能向机构护理过渡。因此,这些网络似乎需要额外的支持,以促进居家养老。
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European Journal of Ageing
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