老年人的婚姻状况和提前照顾计划:性别模式是否因年龄而异?
Lucie Kalousová1, Deborah Carr2
1Departments of Medicine, Health, and Society and Sociology, Vanderbilt University, Nashville, Tennessee, USA.
概括
婚姻状况对不同年龄段的男性和女性的预先护理计划 (ACP) 有不同的影响. 在终身讨论和医疗保健代理中理解这些性别模式对于个性化护理至关重要.
科学领域:
- 老年学是指老年学的学科.
- 卫生社会学 卫生社会学
- 家庭研究 家庭研究
背景情况:
- 预先护理计划 (ACP) 是一个关系过程,涉及活着的遗嘱,医疗保健的持久授权权 (DPAHC) 和生命结束讨论.
- 婚姻状况对非洲和非洲的影响,特别是根据性别和年龄的差异,仍未得到充分研究.
研究的目的:
- 检查婚姻状况如何影响男性和女性在一生中的ACP.
- 调查非洲和非洲国家/地区的性别和年龄差异,重点关注生命终结讨论和DPAHC指定.
主要方法:
- 利用了2020年健康和退休研究 (HRS) 的数据,该研究是美国老年人代表性样本 (N=7,074).
- 采用后勤回归模型来评估年龄和性别对ACP国家婚姻状况差异的适度影响.
- 使用多项逻辑回归来分析已婚父母之间的DPAHC指定中的年龄和性别变化,调整为共变量.
主要成果:
- 在终身讨论中发现了显著的性别差异,根据婚姻状况和年龄而异.
- 当女性结婚/同居和离婚时,她们更有可能进行讨论,随着年龄的增长,差距越来越小.
- 男人更有可能将配偶命名为DPAHC,这种差异随着年龄的增长而减少.
结论:
- 医疗保健提供者需要了解晚年发展的性别和家庭动态,以有效指导终身护理讨论.
- 根据婚姻状况,性别和年龄来定制ACP干预措施,可以改善以患者为中心的护理规划.
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