德国首次COVID-19封锁期间的家庭护理:关于护理人员福祉影响的纵向证据

IF 3.7 2区 社会学 Q1 GERONTOLOGY European Journal of Ageing Pub Date : 2023-05-11 DOI:10.1007/s10433-023-00761-2
Katja Möhring, Sabine Zinn, Ulrike Ehrlich
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引用次数: 0

摘要

我们使用德国社会经济研究小组(SOEP)和SOEP- cov研究的数据,研究了德国COVID-19大流行早期家庭照顾者福祉的变化。COVID-19大流行给家庭护理人员带来了巨大挑战,因为护理对象是需要特殊保护的高风险群体,专业护理服务严重减少。COVID-19大流行的具体情况使我们能够重新审视护理人员的压力过程模型。使用一阶差分回归模型,我们分析了2019年至2020年春季家庭照顾者总体生活满意度和抑郁症状(PHQ-4评分)的变化,并根据照顾强度和护理持续时间进行了区分。照顾者在幸福感方面表现出与非照顾者相似的变化:2019年至2020年期间,抑郁症状和生活满意度同时增加。然而,我们的研究结果揭示了家庭照顾者群体内部的异质性,因为我们发现根据照顾的动态和强度存在差异。在持续照顾者群体中,与非照顾者相比,高强度照顾者的生活满意度增加较大,而低强度照顾者的生活满意度增加较小。因此,我们的研究结果为高时间承诺的持续照顾者的角色增强假说提供了一些支持。
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Family care during the first COVID-19 lockdown in Germany: longitudinal evidence on consequences for the well-being of caregivers.

We examine changes in the well-being of family caregivers during the early phase of the COVID-19 pandemic in Germany, using data from the German Socio-Economic Panel (SOEP) and the SOEP-CoV study. The COVID-19 pandemic posed an extraordinary challenge for family caregivers, as care recipients are a high-risk group requiring special protection, and professional care services were severely cut back. The specific situation of the COVID-19 pandemic allows us to re-examine the caregiver stress process model. Using first difference regression models, we analyse changes in general life satisfaction and depressive symptoms (PHQ-4 score) among family caregivers between 2019 and spring 2020, differentiating by care intensity and duration of the care episode. Caregivers show similar changes in well-being as non-caregivers: a simultaneous increase in depressive symptoms and life satisfaction between 2019 and 2020. However, our results reveal heterogeneity within the group of family caregivers as we find differences according to caregiving dynamics and intensity. Among the group of continuing caregivers, high-intensity caregivers experience a larger increase in life satisfaction, and low-intensity caregivers a smaller increase in life satisfaction, compared to non-caregivers. Our results therefore provide some support for the role enhancement hypothesis for continuing caregivers with high time commitment.

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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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