社会照料对失能老人抑郁的影响研究

• 作者： 杨华磊 ¹ 薛晴予 ¹ 李双双 ¹ 方格格 ¹
• 作者单位：
  1.  中南财经政法大学公共管理学院
• 发布时间：2025-04-22

摘要: 关于家庭照料对照料者心理健康的影响研究已经十分丰富，然而，基于中国情境，相较于家庭照料，探究社会照料对失能老人心理健康影响的研究相对较少。本文基于2018年中国老年健康影响因素跟踪调查（CLHLS）数据，探究社会照料尤其是机构照料对失能老人抑郁的影响。实证结果显示，相较于家庭照料，接受机构照料的失能老人抑郁程度更高。异质性分析结果表明，相较于男性、无存活子女和非农业户籍的失能老人，接受机构照料会显著提高女性、有存活子女和农业户籍失能老人的抑郁水平。拓展分析表明，社区照料在降低失能老人抑郁水平方面的效果最好，其次是子女照料和配偶照料，接受机构照料的失能老人抑郁水平最高；如果照料者在照料过程中能够提供贴心的服务、失能老人照料需求得到满足以及接受合适的照料方式，就能够调节社会照料对失能老人抑郁的影响。

Abstract: Research on the impact of family caregiving on caregivers' mental health has been extensive. However, in the context of China, compared to family caregiving, studies exploring the impact of social caregiving on the mental health of disabled elderly are relatively scarce. Based on data from the 2018 China Longitudinal Healthy Longevity Survey (CLHLS), this paper investigates the effect of social caregiving, especially institutional caregiving, on depression among disabled elderly. The empirical results show that, compared with family caregiving, disabled elderly receiving institutional care exhibit higher levels of depression. Heterogeneity analysis indicates that, compared to males, disabled elderly without surviving children, and those with non-agricultural hukou, institutional caregiving significantly increases depression levels among females, those with surviving children, and those with agricultural hukou. Further analysis reveals that community caregiving is most effective in reducing depression levels among disabled elderly, followed by caregiving from children and spouses, while disabled elderly receiving institutional care have the highest depression levels. If caregivers can provide considerate services, meet the caregiving needs of disabled elderly, and adopt appropriate caregiving methods, the impact of social caregiving on depression among disabled elderly can be moderated.

• 来自： 薛晴予
• 分类： 社会学
• 稿件状态： 已投稿期刊
• 引用： PSSXiv:202504.02471 (或此版本 PSSXiv:202504.02471V1)
  DOI:10.12451/202504.02471
  CSTR:32012.36.PSSXiv.202504.02471
• 推荐引用方式： 杨华磊,薛晴予,李双双,方格格.社会照料对失能老人抑郁的影响研究.哲学社会科学预印本平台:https://zsyyb.cn/abs/202504.02471.[PSSXiv:202504.02471V1] (点此复制)