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首页> 外文期刊>Journal of cross-cultural gerontology >Long-Term Care Needs in the Context of Poverty and Population Aging: the Case of Older Persons in Myanmar
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Long-Term Care Needs in the Context of Poverty and Population Aging: the Case of Older Persons in Myanmar

机译：在贫困和人口老龄化背景下的长期护理需要：缅甸老年人的情况

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Myanmar is one of the poorest and least healthy countries in Southeast Asia. As elsewhere in the region, population aging is occurring. Yet the government welfare and health systems have done little to address the long-term care (LTC) needs of the increasing number of older persons thus leaving families to cope on their own. Our study, based on the 2012 Myanmar Aging Survey, documents the LTC needs of persons aged 60 and older and how they are met within the context of the family. Nearly 40% of persons in their early 60s and 90% of those 80 and older reported at least one physical difficulty. Spouses and children constitute the mainstay of the financial and instrumental support of elderly including those with LTC needs. Nearly two-thirds of older persons reported receiving assistance with daily living activities. More than three quarters coreside with children, a living arrangement that in turn is strongly associated with receiving regular assistance in daily living. Daughters represent almost half and spouses, primarily wives, one-fourth of primary caregivers. Unmet need for care as well as inadequate care decline almost linearly with increased household wealth. Thus elderly in the poorest households are most likely to experience gaps in LTC. Given mounting concerns regarding health disparities among Myanmar’s population, this pattern of inequality clearly needs to be recognized and addressed. This needs attention now rather than later given that reduced family size and increased migration pose additional challenges for family caregiving of frail elderly in the coming decades.
机译：缅甸是东南亚最贫穷，最不健康的国家之一。与该地区的其他地方一样，人口老龄化正在发生。然而，政府福利和卫生系统已经很少努力解决越来越多的老年人的长期护理（LTC）需要，因此将家庭留给自己应对。我们的研究基于2012年缅甸老龄化调查，文件于60岁及以上的人员的LTC需求以及如何在家庭的背景下满足它们。近40％的人在60年代初期和90％岁月的90％报告报告至少一个身体难度。配偶和儿童构成了老年人的金融和工具支持的主要支撑，包括LTC需求。近三分之二的老年人报告了每日生活的援助。三个四分之三的核心区与儿童，一种生活安排，反过来与在日常生活中接受定期援助强烈关联。女儿代表近几半和配偶，主要是妻子，初级护理人员的四分之一。未满足的护理，以及差不多的家庭财富几乎线性的护理需求。因此，最贫穷的家庭的老人最有可能在LTC遇到差距。鉴于缅甸人口卫生差距的持续担忧，这种不平等模式明确需要得到认可和解决。这现在需要注意，而不是稍后认为，在未来几十年中，减少了家庭规模和增加的迁移对Frail老年人的家庭照顾的额外挑战。

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