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A journey without maps-Understanding the costs of caring for dependent older people in Nigeria, China, Mexico and Peru.
Mayston, Rosie; Lloyd-Sherlock, Peter; Gallardo, Sara; Wang, Hong; Huang, Yueqin; Montes de Oca, Veronica; Ezeah, Peter; Guerra, Mariella; Sosa, Ana Luisa; Liu, Zhaourui; Uwakwe, Richard; Guerchet, Maëlenn M; Prince, Martin.
Afiliação
  • Mayston R; Health Service and Population Research Department, King's College London (Institute of Psychiatry, Psychology and Neuroscience), London, United Kingdom.
  • Lloyd-Sherlock P; School of International Development, University of East Anglia, Norwich, United Kingdom.
  • Gallardo S; Instituto de la Memoria y Desordenes Relacionados, La Molina, Lima, Peru.
  • Wang H; Peking University, Institute of Mental Health, Beijing, China.
  • Huang Y; Peking University, Institute of Mental Health, Beijing, China.
  • Montes de Oca V; National Institute of Neurology and Neurosurgery of Mexico, Autonomous National University of Mexico, Delegacion Tlalpan, Mexico City, Mexico.
  • Ezeah P; Department of Sociology/Anthropology, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
  • Guerra M; Instituto de la Memoria y Desordenes Relacionados, La Molina, Lima, Peru.
  • Sosa AL; National Institute of Neurology and Neurosurgery of Mexico, Autonomous National University of Mexico, Delegacion Tlalpan, Mexico City, Mexico.
  • Liu Z; Peking University, Institute of Mental Health, Beijing, China.
  • Uwakwe R; Department of Sociology/Anthropology, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
  • Guerchet MM; Health Service and Population Research Department, King's College London (Institute of Psychiatry, Psychology and Neuroscience), London, United Kingdom.
  • Prince M; Health Service and Population Research Department, King's College London (Institute of Psychiatry, Psychology and Neuroscience), London, United Kingdom.
PLoS One ; 12(8): e0182360, 2017.
Article em En | MEDLINE | ID: mdl-28787029
PURPOSE OF THE STUDY: Populations in Latin America, Asia and sub-Saharan Africa are rapidly ageing. The extent to which traditional systems of family support and security can manage the care of increased numbers of older people with chronic health problems is unclear. Our aim was to explore the social and economic effects of caring for an older dependent person, including insight into pathways to economic vulnerability. DESIGN & METHODS: We carried out a series of household case studies across urban and rural sites in Peru, Mexico, China and Nigeria (n = 24), as part of a cross-sectional study, nested within the 10/66 Dementia Research Group cohort. Case studies consisted of in-depth narrative style interviews (n = 60) with multiple family members, including the older dependent person. RESULTS: Governments were largely uninvolved in the care and support of older dependent people, leaving families to negotiate a 'journey without maps'. Women were de facto caregivers but the traditional role of female relative as caregiver was beginning to be contested. Household composition was flexible and responsive to changing needs of multiple generations but family finances were stretched. IMPLICATIONS: Governments are lagging behind sociodemographic and social change. There is an urgent need for policy frameworks to support and supplement inputs from families. These should include community-based and residential care services, disability benefits and carers allowances. Further enhancement of health insurance schemes and scale-up of social pensions are an important component of bolstering the security of dependent older people and supporting their continued social and economic participation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Custos e Análise de Custo Tipo de estudo: Health_economic_evaluation / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality Limite: Aged / Female / Humans / Male País/Região como assunto: Africa / America do sul / Asia / Mexico / Peru Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Reino Unido País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Custos e Análise de Custo Tipo de estudo: Health_economic_evaluation / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality Limite: Aged / Female / Humans / Male País/Região como assunto: Africa / America do sul / Asia / Mexico / Peru Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Reino Unido País de publicação: Estados Unidos