中国经济问题 ›› 2025›› Issue (05): 170-.

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家庭老年照料对照料者认知功能的影响研究

  

  • 出版日期:2025-10-15 发布日期:2025-11-27

  • Online:2025-10-15 Published:2025-11-27

摘要:

家庭照料者在承担繁重照料任务的同时,也面临着巨大的健康挑战。本文基于中国健康与养老追踪调查数据 (CHARLS) ,考察了家庭老年照料对照料者认知功能的影响。研究发现:第一,相较于非照料者,提供家庭老年照料显著降低了照料者的认知功能。第二,低强度和高强度的照料投入,均对照料者的认知功能产生负面影响,且高强度的负面影响更大。第三,中等强度的照料则对照料者的认知功能展现出积极的促进作用。第四,心理健康是关键影响机制。中等照料强度通过缓解抑郁并提高生活满意度,对认知功能产生积极影响,而过高或过低的照料强度,均可能导致抑郁症状加剧及生活满意度下降,从而对认知功能造成负面影响。第五,与男性、城市地区和已退休的照料者相比,提供家庭老年照料对女性、农村地区和未退休照料者认知功能的负面影响更大。

关键词:

老年照料, 家庭照料者, 认知功能

Abstract:

Informal caregivers, while undertaking substantial caregiving responsibilities, also face significant health challenges. Using the data from the China Health and Retirement Longitudinal Study, we examined the impact of informal elderly caregiving on caregivers' cognitive function. We found that: First, compared to non-caregivers, providing informal elderly care significantly reduced caregivers' cognitive function. Moreover, both low-intensity and high-intensity caregiving had negative effects on caregivers' cognitive function, with higher-intensity caregiving having a greater negative impact. Furthermore, moderate-intensity caregiving had a positive effect on caregivers' cognitive function. In addition, mental health is a critical influencing mechanism. Moderate caregiving intensity mitigates depression and enhances life satisfaction, thereby positively affecting cognitive function; conversely, excessively high or low caregiving intensity can exacerbate depressive symptoms and reduce life satisfaction, leading to negative impacts on cognitive function. Finally, compared to male caregivers, urban caregivers, and retired caregivers, providing informal elderly care has a greater negative impact on cognitive function for female caregivers, rural caregivers, and non-retired caregivers.

Key words:

elderly caregiving, informal caregivers, cognitive function