丧亲之痛后的孤独:生存者性别与照顾参与的角色。

IF 4.9 3区 医学 Q1 GERIATRICS & GERONTOLOGY
Innovation in Aging Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI:10.1093/geroni/igaf035
Sujeong Park, Jinho Kim
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引用次数: 0

摘要

背景和目的:尽管有越来越多的关于配偶丧失影响的研究,但很少有人知道配偶丧失是否与丧偶个体孤独感的变化有长期联系。此外,在这种情况下,很少有研究调查配偶照顾和性别的作用。本研究调查了(a)配偶去世前后的孤独轨迹,以及(b)这些孤独轨迹是否因性别和幸存配偶的照顾参与而不同。研究设计与方法:利用韩国老龄化纵向研究(KLoSA)的九波数据,采用固定效应模型分析个体异质性。此外,我们还进行了分层分析,探讨性别和配偶照顾的调节作用。结果:研究表明,配偶的丧失在丧亲后的第一年显著增加了孤独感,此后孤独感水平回到基线水平。性别分层分析表明,女性幸存者经历了暂时的孤独感增加,而男性幸存者则没有明显的变化。此外,提供照顾的男性配偶在死亡后的第一年孤独感增加,这种情况一直持续到第二年。讨论和启示:研究结果强调了为失去亲人的个人提供文化敏感的、针对性别的支持项目的必要性,特别是针对失去亲人的第一年,并解决男性照顾者面临的独特挑战。促进社会参与和社区支持丧偶老年人的政策对于减轻韩国丧亲之痛的情感负担至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Loneliness After Bereavement: The Role of Survivor Gender and Caregiving Involvement.

Background and objectives: Despite a growing body of research on the effects of spousal bereavement, little is known about whether spousal loss is longitudinally associated with changes in loneliness among widowed individuals. Furthermore, few studies have examined the roles of spousal caregiving and gender in this context. The present study investigates (a) trajectories of loneliness before and after the death of a spouse and (b) whether these trajectories of loneliness differ by gender and caregiving involvement of surviving spouse.

Research design and methods: Using data from nine waves of the Korean Longitudinal Study of Aging (KLoSA), the analysis employed fixed effects models to account for individual heterogeneity. Moreover, stratified analyses were conducted to investigate the moderating effect of gender and spousal caregiving.

Results: The study revealed that spousal loss significantly increased loneliness during the first-year postbereavement, with levels returning to baseline thereafter. Gender-stratified analyses indicated that female survivors experienced a temporary increase in loneliness, whereas male survivors showed no significant changes. Moreover, male spouses, who provided care, experienced an increase in loneliness within the first year after the death, which persisted through the second year.

Discussion and implications: The findings underscore the need for culturally sensitive, gender-specific support programs for bereaved individuals, particularly targeting the first year of loss and addressing the unique challenges faced by male caregivers. Policies promoting social engagement and community support for widowed older adults are essential to mitigating the emotional burden of bereavement in Korea.

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来源期刊
Innovation in Aging
Innovation in Aging GERIATRICS & GERONTOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
72
审稿时长
15 weeks
期刊介绍: Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.
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