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남녀 노년기 배우자돌봄제공자의 돌봄전이와 건강 : 사회적 지지의 조절효과

The Old-aged Spousal Caregivers′Care-transition and Health by Gender : Moderating Effects of Social Support

초록/요약

The purpose of this study was to identify the relation between old-aged spousal caregiver’s care-transition types(remained not caregiving, started caregiving, continued caregiving and stopped caregiving) and their physical and psychological health and examine the moderating effect of social support(child support and friend support). Using data from the <Korean Longitudinal study of Ageing> 2nd-6th, we estimated a Generalized Estimating Equation model. Results indicated that male who started caregiving and continued caregiving and female who started caregiving and stopped caregiving were less physically healthier than noncaregivers. Next, male who started caregiving and stopped caregiving and female who stopped caregiving had significant results. However, there were difference that male were radically depressed when caregiving started. Furthermore, interaction effects between care-transition types and resources were different by gender. It showed that both male and female spousal caregivers needed fitted intervention depending on care-transition types. We concluded with implication of these main finding.

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초록/요약

본 연구의 목적은 남녀 노년기 배우자돌봄제공자의 돌봄과정에서 나타나는 돌봄전이유형(비돌봄유지형, 돌봄시작형, 돌봄지속형, 돌봄종결형)과 신체적 정신적 건강(우울) 간의 관계를 분석하고, 사회적지지(자녀지지, 친구지지)의 조절효과를 살펴보고자 하는 것이다. 이를위해 고령화연구패널 2~6차 자료를 활용하여 STATA16.0통계프로그램을 통해 GEE방법론으로분석하였다. 연구결과, 신체적 건강은 남성이 돌봄시작형과 돌봄지속형에서, 여성은 돌봄시작형과 돌봄종결형에서 유의하게 낮았다. 우울은 남성은 돌봄시작형과 돌봄종결형, 여성은돌봄종결이 유의하였다. 자원의 역할은 성별과 전이유형에 따라 상이하게 나타나 각 상황별적합한 자원의 연계 필요성을 확인하였다. 이를 토대로 노년기 배우자돌봄제공자의 건강증진을 위한 방안을 제언하였다.

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