墨西哥老年人减少接受日常活动援助是否表明未满足需求增加或护理需求减少?
Brian Downer1,2, Rafael Samper-Ternent3, Philip Cantu4
1Department of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
概括
在墨西哥,接受日常生活困难帮助的老年人比例正在下降. 这一趋势与更少的孩子和更少的痴呆症有关,不一定是未满足的需求.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在墨西哥,接受日常生活活动 (ADL) 家庭援助的老年人比例似乎在下降.
- 这一趋势引发了这样的问题:它是否意味着增加未满足的护理需求,还是老年人对护理的需求减少.
研究的目的:
- 为了比较墨西哥两个老年人的出生队伍,以确定家庭提供的ADL援助下降趋势背后的原因.
- 调查观察到的趋势是否表明未满足的护理需求增加或实际护理需求减少.
主要方法:
- 来自墨西哥健康与衰老研究的数据分析,比较了2001年和2018年60-76岁的参与者.
- 利用后勤回归来评估群体之间的ADL限制和援助差异.
- 采用分解分析来识别介导ADL获得帮助的队列差异的因素.
主要成果:
- 2018年的队列在至少一个ADL中表现出更高的经历限制的几率 (aOR=1.85),但在ADL中获得帮助的几率较低 (aOR=0.66).
- 诸如活着的儿童数量减少和2018年队列中可能痴呆症的发病率较低等因素部分解释了援助减少.
- 在接受ADL帮助的队列效应中,较少的儿童占9.34%,较低的痴呆症患病率占43.7%.
结论:
- 墨西哥老年人的ADL援助减少可能不仅仅表明未得到满足的需求.
- 越来越多的ADL残疾可能会导致未来更多的老年人需要非正式照顾.
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