Informal Caregivers’ Benefits of Residing in a Neighborhood with High Social Participation: A Multilevel Analysis in Japan

IF 2.5 3区社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY

Applied Research in Quality of Life Pub Date : 2024-11-06 DOI:10.1007/s11482-024-10399-6

Takashi Oshio, Kemmyo Sugiyama, Toyo Ashida

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引用次数: 0

Abstract

Social participation (SP) has been shown to positively impact the mental health of family caregivers. However, a key concern for local authorities is understanding how and to what extent living in a neighborhood with high SP can moderate the psychological burden of caregivers. This study aimed to address this issue. We conducted a multilevel analysis using 17-wave longitudinal data from 33,813 individuals (16,416 men and 17,397 women) aged 50–59 years residing in 2,446 neighborhoods in 2005. We examined how neighborhood SP (NSP) moderated the impact of caregiving on caregivers’ psychological distress (PD), defined as a Kessler (K6) score ≥5. We also incorporated individual SP (ISP) and its interaction with NSP. The results revealed an asymmetric moderation effects of high NSP and ISP on the impact of caregiving on PD, with sex differences. For men, high NSP moderated 73.3% (95% confidence interval (CI): 21.3–125.2%) of the impact when it interacted with ISP. Conversely, for women, ISP moderated 31.3% (95% CI: 10.8–51.9%) of the impact when it interacted with high NSP. We obtained similar findings using both the K6 score and a more severe threshold for severe mental disorder (K6 ≥13). These results suggest that high NSP and ISP moderate the psychological impact of caregiving differently for men and women, highlighting the importance of considering the interaction between NSP and ISP when developing policies to support caregivers through enhancing NSP.

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非正式照顾者居住在高社会参与社区的利益：日本的多层次分析

社会参与已被证明对家庭照顾者的心理健康有积极影响。然而，地方当局关注的一个关键问题是了解生活在高SP社区如何以及在多大程度上减轻照顾者的心理负担。本研究旨在解决这一问题。2005年，我们对居住在2446个社区的33,813名年龄在50-59岁之间的个体（16,416名男性和17,397名女性）的17波纵向数据进行了多水平分析。以Kessler （K6）评分≥5分为标准，我们研究了邻里SP （NSP）如何调节照顾对照顾者心理困扰（PD）的影响。我们还纳入了个体SP （ISP）及其与NSP的相互作用。结果显示，高NSP和高ISP对护理对PD的影响具有不对称的调节作用，且存在性别差异。对于男性来说，高NSP在与ISP互动时缓和了73.3%（95%置信区间（CI）： 21.3-125.2%）的影响。相反，对于女性来说，当与高NSP相互作用时，ISP缓和了31.3% （95% CI: 10.8-51.9%）的影响。我们使用K6评分和更严格的重度精神障碍阈值（K6≥13）获得了类似的结果。这些结果表明，高NSP和高ISP对男性和女性照顾者的心理影响有不同的调节作用，强调了在制定通过提高NSP来支持照顾者的政策时，考虑NSP和高ISP之间的相互作用的重要性。

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

Applied Research in Quality of Life SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

6.40

自引率

11.80%

发文量

期刊介绍： The aim of this journal is to publish conceptual, methodological and empirical papers dealing with quality-of-life studies in the applied areas of the natural and social sciences. As the official journal of the ISQOLS, it is designed to attract papers that have direct implications for, or impact on practical applications of research on the quality-of-life. We welcome papers crafted from interdisciplinary, inter-professional and international perspectives. This research should guide decision making in a variety of professions, industries, nonprofit, and government sectors, including healthcare, travel and tourism, marketing, corporate management, community planning, social work, public administration, and human resource management. The goal is to help decision makers apply performance measures and outcome assessment techniques based on concepts such as well-being, human satisfaction, human development, happiness, wellness and quality-of-life. The Editorial Review Board is divided into specific sections indicating the broad scope of practice covered by the journal. The section editors are distinguished scholars from many countries across the globe.