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 : 2025-05-08 DOI:10.1093/geronb/gbaf025

Gyeongrim Oh, Samsik Lee

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引用次数: 0

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 (n = 722) with limitations in activities of daily living or instrumental activities of daily living or dementia. Multinomial logistic regression was adopted to analyze the impact of family structure on the choice of informal caregivers. Two-stage least squares, 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 1 hr (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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平衡老年人的正式和非正式照顾资源：家庭空间邻近的作用。

目的：为了探讨在韩国由于社会人口变化而导致的非正式照顾制度弱化的情况下，老年人的非正式和正式家庭照顾是如何平衡的，本研究考察了两种类型的照顾之间的关系以及与家庭照顾者的接近对他们的影响。方法：我们分析了来自韩国老龄化纵向研究（KLoSA）第七波65岁及以上的成年人（n = 722），他们的日常生活活动（ADL）或日常生活工具活动（IADL）有限制，或痴呆。采用多项逻辑回归（MLR）分析家庭结构对非正式照顾者选择的影响。采用两阶段最小二乘（2SLS）、Heckman和IV-Heckman模型来解决内质性和样本选择偏差。结果：结果表明，配偶和子女接近老年父母似乎是主要的照顾者。根据IV-Heckman模型，非正式的家庭护理替代了正式的家庭护理（b = -0.416, p < 0.01），已婚（b = 0.715, p < 0.01）和在一小时内靠近孩子（b = 0.888, p < 0.01）似乎都有助于正式的家庭护理的使用。讨论：这项研究揭示了非正式和正式的家庭护理是密不可分的。配偶和与父母关系密切的成年子女在直接提供非正式照料和间接促进正式家庭照料方面发挥着关键作用。应在中期和长期计划中考虑平衡非正式/正式家庭护理，以改善老年人的福祉并减轻正式护理的经济负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.