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Changes in Perceived Filial Obligation Norms Among Coresident Family Caregivers in Japan

机译:日本同居家庭看护人对孝顺义务规范的看法变化

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摘要

>Purpose of the Study: Japan introduced a nationwide long-term care insurance (LTCI) system in 2000, making long-term care (LTC) a right for older adults regardless of income and family availability. To shed light on its implications for family caregiving, we investigated perceived filial obligation norms among coresident primary family caregivers before and after the policy change. >Design and Methods: Descriptive and multiple regression analyses were conducted to examine changes in perceived filial obligation norms and its subdimensions (financial, physical, and emotional support), using 2-wave panel survey data of coresident primary family caregivers (N = 611) in 1 city. The baseline survey was conducted in 1999, and a follow-up survey 2 years later. >Results: On average, perceived filial obligation norms declined (p < .05). Daughters-in-law had the most significant declines (global and physical: p < .01, emotional: p < .05) among family caregivers. In particular, physical support, which Japan’s LTC reform targeted, declined significantly among daughters and daughters-in-law (p < .01). Multiple regression analysis indicated that daughters-in-law had significantly lower perceived filial obligation norms after the policy introduction than sons and daughters (p < .01 and p < .05, respectively), controlling for the baseline filial obligation and situational factors. >Implications: Our research indicates declining roles of daughters-in-law in elder care during Japan’s LTCI system implementation period. Further international efforts are needed to design and implement longitudinal studies that help promote understanding of the interplay among national LTC policies, social changes, and caregiving norms and behaviors.
机译:>研究目的:日本于2000年引入了全国性的长期护理保险(LTCI)系统,使长期护理(LTC)成为老年人的一项权利,而不论其收入和家庭状况如何。为了阐明其对家庭护理的影响,我们调查了政策变更前后共同居住的主要家庭护理人员中的孝顺义务规范。 >设计和方法:使用同居主要家庭的两波面板调查数据,进行了描述性和多元回归分析,以考察孝顺义务规范及其子维度(财务,身体和情感支持)的变化。 1个城市的看护者(N = 611)。基线调查于1999年进行,而后续调查则在2年后进行。 >结果:平均而言,感知到的孝顺义务规范有所下降(p <.05)。在家庭照顾者中,-妇的下降最为明显(总体和身体方面:p <.01,情感方面:p <.05)。特别是,日本LTC改革所针对的身体支持在女儿和-妇中显着下降(p <.01)。多元回归分析表明,在控制基本的孝顺义务和情境因素之后,policy子在实行政策后的孝顺感明显低于儿女(分别为p <.01和p <.05)。 >意义:我们的研究表明,在日本LTCI系统实施期间,of妇在老年护理中的作用正在下降。需要进一步的国际努力来设计和实施纵向研究,以帮助增进对国家LTC政策,社会变革以及护理规范和行为之间相互作用的理解。

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