关键词: Caregiving Frailty index In-law relationship Living arrangements Propensity score matching Quantile regression

来  源:   DOI:10.1016/j.ssmph.2024.101649   PDF(Pubmed)

Abstract:
UNASSIGNED: The increasing geriatric population and variation in the disease spectrum among older adults in China contribute to a growing demand for more aged adult care in Chinese society. Relevant studies have shown that living arrangements with various family members have variable impacts on the older adult\'s health. This study employs the Frailty Index as a unified measurement standard to assess the overall health levels, integrating the specific \"in-law relationships\" into the research on living arrangements and the health of older adults.
UNASSIGNED: This study used data from the China Longitudinal Aging Social Survey 2016-2018. OLS and Quantile Regression were used to investigate the in-law relationship on older adult health and whether this impact is homogeneous across older individuals with varying infirmity levels. The study used a lag model and propensity score matching to compensate for potential endogeneity concerns.
UNASSIGNED: The study found that residing with a daughter-in-law (20.22%) had a significant positive correlation with the frailty index (β=0.0088, P<0.001), indicating that the relationship between parents-in-law and daughters-in-law can influence the health of the older adult. This impact is nonlinear and non-homogeneous for older adult people with various levels of frailty, exhibiting an approximately decreasing and then increasing U-shaped distribution, which denotes that older adult people with different health conditions have distinct demands for intergenerational care. In addition, this impact varies among older adult groups of disparate genders, urban and rural areas, and age groups.
UNASSIGNED: This study investigates the impact of \"in-law relationships\" within living arrangements on the health of older adults. It shows that co-residing with a daughter-in-law has adverse effects on the health of older adults. Therefore, the study suggests that when the health and economic conditions of the elderly permit, a \"live-near-but-not-with\" living arrangement with their children can be considered.
摘要:
中国老年人群的增加和老年疾病谱的变化导致中国社会对更多老年成人护理的需求不断增长。相关研究表明,与不同家庭成员的生活安排对老年人的健康有不同的影响。本研究采用衰弱指数作为统一的衡量标准来评估整体健康水平,将具体的“法律关系”纳入关于老年人生活安排和健康的研究。
本研究使用了2016-2018年中国纵向老龄化社会调查的数据。使用OLS和分位数回归来调查法律与老年人健康的关系,以及这种影响在具有不同体弱水平的老年人中是否均匀。该研究使用滞后模型和倾向得分匹配来补偿潜在的内生性担忧。
研究发现,与daughter妇(20.22%)居住与虚弱指数呈显着正相关(β=0.0088,P<0.001),这表明公婆和媳妇之间的关系会影响老年人的健康。这种影响是非线性和非均匀的老年人有不同程度的脆弱,表现出近似递减然后递增的U形分布,这表示具有不同健康状况的老年人对代际护理有不同的需求。此外,这种影响在不同性别的老年成年人群体中有所不同,城市和农村地区,和年龄组。
这项研究调查了生活安排中的“法律关系”对老年人健康的影响。它表明与daughter妇共同居住对老年人的健康有不利影响。因此,研究表明,当老年人的健康和经济条件允许时,可以考虑与他们的孩子“住得近但不和”的生活安排。
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