베이비붐세대의 이중부양부담이 노후준비도에 미치는 영향

조지민(Jo, Jimin),김문근(Kim, Moon Geun) 경북대학교 사회과학연구원 2021 사회과학 담론과 정책 Vol.14 No.2

본 연구는 베이비붐세대의 이중부양부담이 노후준비도에 어떠한 영향을 미치는지 분석하고, 1차 베이비붐세대와 2차 베이이붐세대 사이에 유의미한 차이가 있는지 비교분석하는데 목적이 있다. 본 연구의 자료수집은 전국에서 자녀와 부모를 동시에 부양하는 1955년부터 1974년 사이에 태어난 베이비붐세대를 대상으로 이루어졌으며, 전문조사업체를 통하여 배포 및 수집된 설문지 총 340부를 분석에 사용하였다. 자료분석은 SPSS 25를 활용하여 평균비교분석과 다중회귀분석을 실시하였다. 분석결과 베이비붐세대의 부모부양부담과 자녀부양부담은 각각 노후준비도에 부정적 영향을 미치는 것으로 나타났으며, 특히 자녀부양부담이 부모부양부담보다 노후준비도에 더욱 부정적 영향이 있는 것으로 나타났다. 하지만 부모부양부담과 자녀부양부담의 상호작용효과 검정 결과 이중부양부담은 노후준비도에 유의한 영향을 미치지 않는 것으로 나타났다. 세대 간 비교분석 결과 1차 베이비붐세대는 부모부양부담이 노후준비도에 부정적 영향을 미치는데 반해 2차 베이비붐세대는 자녀부양부담이 노후준비도에 부정적 영향을 끼치는 것으로 나타나 두 집단 사이에 유의한 차이가 있었다. 또한 부양부담 외에 1차 베이비붐세대는 소득수준, 본인의 경제활동, 부모돌봄 제공이, 2차 베이비붐세대는 배우자의 경제활동이 노후준비도에 유의미한 영향을 주는 것으로 나타났다. 이러한 연구결과에 근거해 이중부양부담의 조작적 정의에 관한 심층적 논의를 제안하였고, 베이비붐세대의 노후준비를 향상시키기 위해 1차 베이비붐세대의 부모부양부담을 완화하며, 2차 베이비붐 세대의 자녀부양부담을 완화할 수 있는 차별화된 정책적 개입을 제안하였다. The purpose of this study is to test the effects of double care burden of baby boomers on their preparation for old age. But also the study aims to test the differences in the effects of double care burden on the preparation for old age by generation(first and second baby boomers). For this purpose the authors analysed 340 questionnaires that were completed by baby boomers who were sampled by research company from all around the country. To answer research question this study used mean difference test and multiple regression analysis of SPSS 25. The results are as below. Firstly, parent care burden and children care burden have negative effects on preparation for old age. And child care burden has more negative effects on preparation for old age than parents care burden. But the interaction effect analysis does not support double care burden’s effects on the preparation for old age. Secondly, there are generational differences in the effects of the double care burdens on the preparation for old age. For the first baby boomers parents care burden has negative effects on the preparation for old age, on the other hand for the second baby boomers the child care burden has negative effects. Lastly, income, economic activity of themselves and spouses have positive effects. Based on these results the authors suggested theoretical discussion on how to operationalize double care burden and policies for supports for parents care burden for first baby boomers and supports for child care burden for second baby boomers.

Association between caregiving activities and care burden among caregivers of people with dementia

박은주 한국정보전자통신기술학회 2018 한국정보전자통신기술학회논문지 Vol.11 No.4

The purpose of this study was to examine the difference in the association between caregiver's activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer’s Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.

Association between caregiving activities and care burden among caregivers of people with dementia

Park, Eun-Ju Korea Information Electronic Communication Technol 2018 한국정보전자통신기술학회논문지 Vol.11 No.4

The purpose of this study was to examine the difference in the association between caregiver's activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer's Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.

Association between caregiving activities and care burden among caregivers of people with dementia

Eun-Ju Park 한국정보전자통신기술학회 2018 한국정보전자통신기술학회논문지 Vol.11 No.4

The purpose of this study was to examine the difference in the association between caregiver"s activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer’s Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.

발달장애인 자녀를 둔 부모의 돌봄부담감 및 관련 변인 연구 : 양부모 가구 자녀의 생애주기에 따른 차이를 중심으로

김고은(Go-eun Kim),김소영(So-young Kim),김영란(Young-ran Kim) 한국여성정책연구원 2015 여성연구 Vol.88 No.-

As parents having children with developmental disabilities are high demand in care support, which requires parents’lifelong commitment over the course of their lifetime, a study on factors influencing the care burden according to children’s life cycle is especially needed. Different kinds of care burden should be notified such as physical, emotional, social, financial burdens according to the stages of children’s life cycle. The purpose of this study is to investigate differences in the level of parents’burden of care, and to explore the factors that affect the burden of care throughout different stages of children’s life cycle. The results of study are as follows. According to analysis of variance result, the physical and financial burdens were the highest among parents with children in their childhood. However, the emotional and social burdens did not seem to be statistically significant. It means that physical and financial burdens were decreased as children grow older, but the emotional and social burdens kept in similar level. The sense of emotional and social burden to parents of children with developmental disabilities in child care was quite stable, regardless of the children’s life cycle. According to the factor analysis of the physical burden of caregiving by each stage of children’s life cycle, in their childhood, the degree of disability, the condition of physical health, conflict between spouse were statistically significant. In children’s adolescence, the degree of disability, care hours, the condition of physical health, conflict between spouse were statistically significant. Only for parents having children in their adolescence, care hours was a significant factor. According to the factor analysis of the emotional burden of caregiving by each stage of children’s life cycle, in their childhood, the level of depression, conflict between spouse were statistically significant. In children’s adolescence, the degree of disability, parents’age, the level of depression conflict between spouse were statistically significant. According to the factor analysis of the social burden of caregiving by each stage of children’s life cycle, in their childhood, the degree of disability, the positive sense of child care, the condition of physical health, conflict between spouse were statistically significant. In children’s adolescence, the degree of disability, conflict between spouse were statistically significant. According to the factor analysis of the social burden of caregiving by each stage of children’s life cycle, in their childhood, household income, care hours, the condition of physical health, conflict between spouse were statistically significant. In children’s adolescence, the condition of physical health, conflict between spouse were statistically significant. Based on these results, the implications are as follows. First, the factor analysis of four different burden models was not statistically significant for only parents having children with developmental disabilities in their adulthood. It means that according to children’s life cycle, the factor influencing the care burdens are different, so it is necessary to develop a variety of different the support services. Second, the degree of disability was statistically significant both in children’s childhood and adolescence, and in physical, emotional, social burdens. It means the degree of disability is significant factor for parents having children with developmental disabilities. Third, conflict between spouse on the family level was statistically significant both in children’s childhood and adolescence, and in physical, emotional, social, financial burdens. It means the relationship with the spouse for parents having children with developmental disabilities. Fourth, it is significantly founded that the social support was not significant factor in four burdens. 발달장애인 자녀를 둔 부모의 돌봄부담감 및 관련 변인에 대해 자녀 생애 주기를 중심으로 살펴보는 연구는 발달장애 자녀에 대한 돌봄이 자녀가 성인이 되어도 지속되며, 부모의 전 생애에 걸쳐 수행되는 노동이라는 점에서 필요하다. 특히 자녀 생애주기에 따라 돌봄부담감의 내용이 달라진다는 점에서 하위영역(신체적 부담, 정서적 부담, 사회적 부담, 경제적 부담)별 차이에 주목할 필요가 있다. 본 연구의 목적은 발달장애 자녀의 생애주기(아동기, 청소년, 성인기)에 따라 부모의 돌봄부담감 수준 차이를 알아보고, 돌봄부담감 하위영역에 미치는 영향 요인을 탐색하는데 있다. 자녀의 생애주기에 따라 돌봄부담감 차이에 대한 분산분석 결과, 신체적 부담과 경제적 부담 영역에서 아동기 자녀를 둔 부모의 부담감 정도가 가장 높았다. 그러나 정서적 부담과 사회적 부담은 자녀의 생애주기에 따른 차이가 통계적으로 유의미하지 않았다. 자녀의 생애주기가 성인기로 전환될수록 부담정도가 줄어드는 신체적 부담과 경제적 부담과 달리, 정서적 부담과 사회적 부담은 자녀가 성인기로 전환되어도 동일한 수준을 보이고 있다. 결국 발달장애인 자녀를 둔 부모는 자녀의 생애주기에 무관하게 정서적 부담과 사회적 부담을 지속적으로 느끼고 있다는 현실을 드러내주는 결과라고 하겠다. 자녀의 생애주기(아동기, 청소년기, 성인기)에 따라 돌봄부담감 하위영역(신체적 부담, 정서적 부담, 사회적 부담, 경제적 부담)에 대한 영향요인은 회귀분석을 통해 알아보았다. 생애주기에 따른 신체적 부담 영향요인 분석 결과, 아동기는 장애등급, 신체적 건강상태, 배우자와의 갈등이, 청소년기에는 장애등급, 돌봄시간, 신체적 건강상태, 배우자와의 갈등이 유의미하였다. 특히 돌봄시간은 청소년기에 유의미하고 아동기에는 관계가 없어 차이를 보인다. 청소년기 자녀를 둔 부모는 돌봄시간이 길수록 신체적 부담이 커지지만, 아동기는 돌봄시간이 늘어나도 신체적 부담 정도와 관계가 없다는 것을 의미한다. 정서적 부담에 대한 유의미한 요인은 아동기는 우울정도, 배우자와의 갈등이며, 청소년기는 장애등급, 부모연령, 우울정도, 배우자와의 갈등이다. 비교하면 장애등급은 아동기의 경우에는 유의미하지 않지만 청소년기에는 유의미한 요인이 된다는 점, 부모의 연령이 아동기와 달리 청소년기 자녀의 부모에게 유의미하게 영향을 준다는 점 등에서 차이가 있다. 사회적 부담은 아동기의 경우, 장애등급, 자녀 돌봄의 긍정감, 신체적 건강 상태, 배우자와의 갈등이, 청소년기의 경우 장애등급, 배우자와의 갈등이 영향을 주는 요인이다. 아동기와 청소년기 자녀를 둔 부모의 사회적 부담 요인 차이를 보면, 아동기에는 개인적 요인 중 자녀 돌봄의 긍정감과 신체적 건강상태가 영향을 끼치지만, 청소년기에는 개인적 요인과 관계가 없다는 점에서 다르다. 경제적 부담은 아동기 자녀 부모에게는 가구소득, 돌봄시간, 신체적 건강상태, 배우자와의 갈등이, 청소년기 자녀 부모는 신체적 건강상태와 배우자와의 갈등 요인의 영향이 유의미하였다. 분석 결과를 종합하면 첫째, 성인기 자녀를 둔 부모에 대한 돌봄부담감에 대한 회귀분석은 4개 영역 모두 모델이 유의미하지 않아 아동기와 청소년기와 다른 양상을 보임이 확인된다. 결과적으로 자녀의 생애주기에 따라, 돌봄 부담감의 영역에 따라 영향요인에 차이가 있으며 각각에 대응하는 지원이 필요함을 시사한다. 둘째, 장애등급이 아동기와 청소년기 모두, 다수 영역에서 유의미한 요인으로 나타났다. 장애 자녀를 둔 부모의 돌봄부담감에 장애등급이 중요한 요인임을 드러내주는 결과이다. 셋째, 가족지원 요인 가운데 배우자와의 갈등이 아동기와 청소년기 모두, 돌봄 부담감 4개 영역 모두에서 유의미한 요인이다. 이는 장애 자녀 부모에게 배우자와의 관계가 중요하다는 것을 의미한다. 마지막으로 사회적 지원 요인이 돌봄부담감 4개 영역 모두 유의미한 영향요인이 되지 못하고 있다는 점이 본 연구의 중요한 결과이다.

암환자 배우자의 돌봄 부담에 영향을 미치는 요인에 관한 연구

이인정 ( In Jeong Lee ),한인영 ( In Young Han ) 한국가족사회복지학회 2010 한국가족복지학 Vol.30 No.-

Improvement in cancer survival rates has meant that people are living with the disease longer and receiving successive treatment. The care needs of persons with cancer often lead to family members assuming primary care responsibilities. The increasing reliance on partner to provide practical and emotional support has generated research into care burden. However, little empirical evidence exists investigating partners`care burden of patients with cancer in Korea. Thus, this study assessed the level of the care-burden of partners care to patients with cancer, also it examined the association between four contextual variables (socio-demographic, disease-related functional, psychological and environmental context) and the care burden of providing cares to spouse with cancer. For the purpose of this research, 197 partners of patients with cancer completed questionnaires that measured care-giving burden (Care-giver Reaction Assessment-Korean Version; CRA-K), self-esteem and social support. Results indicated female means on overall care burden were significantly higher than those of male. A positive relationship was found between care burden and ECOG of patients. In a hierarchical regression model, gender, ECOG of patients and social support were found to impact care burden of partners. The results of this study are discussed in term of their implications for clinical interventions to reduce care burden among partners of patients with cancer. The suggestions for future research are discussed also.

저소득층 치매노인 가족의 부양부담과 서비스 욕구에 관한 연구

최연옥(Yeon Ok Choi) 대한노인정신의학회 2005 노인정신의학 Vol.9 No.2

The poverty families, who take care of the demented elderly, can suffer from the deficiency of social services for dementia and the condition and nature the families have. Therefore, This study examines the burden of the poverty caring for the demented elderly. This study focused on the three points : the level of care burden of the families, who take care of the demented elderly ; the needs of welfare services ; the differences of care burden and service demand on trait of the families and the demented elderly. In order to achieve them, the 250 families, who take care of the demented elderly at home, were sampled and the primary caregivers of family member interviewed. Then, the statistics of the 226 people were analyzed by SPSSWIN. The major findings of the study were as follows : First, the level of the care burden the families of the demented elderly have, participated in this research, is higher than ‘a little yes’. In a type of the care burden, the social & personal restriction is higher than the other types, including physical restriction, economical restriction, and reciprocal restriction. Second, some families had used service and had a low satisfaction, because of no various and adequate services. It shows that the services for the demented elderly and their families is not enough to use, that the services is not various for the families having many problem related the demented elderly. Third, there are many services needed by the families caring for the demented elderly : residential care facilities for the demented elderly ; day care service center ; short-term care services ; family counseling service ; services at home ; nursing services at home ; night care services ; family meeting. Fourth, the most difficult thing of caring is the economic burden of the families. The families are willing to take care of the demented elderly at home, if the government supports economically them and serves proper services to them. Finally, the lower income of the families is, the more time of caring the demented elderly in a day is, the lower vital functions of the demented elderly are, and the lower level of academic achievement, the higher level of care burden of the families is. According to the result, the level of the care burden can be affected by the family’s economic capacity, the vital function of the demented elderly, and the existence of service for the demented elderly. For the elderly welfare especially, the demented elderly and their poverty families, three opinions may be suggested. First, the service programs based on community should be developed to reduce the burdens-economic, psychological, medical burden, etc. - of the poverty families caring for the demented elderly. These programs may include preventive service, education programs of dementia, diagnosis services, family counseling, and medical service. Second, the national government and the local government must try to make policies to solve the temporary problems of the family having the demented elderly.

가족돌봄자의 돌봄부담 유형화에 관한 연구: 노인장기요양보험 재가급여 수급자 가족을 중심으로

김민수,이용호,송지은 한국보건사회연구원 2024 保健社會硏究 Vol.44 No.1

The purpose of this study is to classify latent groups according to the level of care burden on family caregivers and to identify factors affecting this burden, with the aim of suggesting ways to alleviate the care burden of families of home care recipients. We used data from the 2022 Long-Term Care Survey and employed latent profile analysis and the multinomial logit regression method. Two important outcomes emerged from our analysis. First, family caregivers of home care recipients were categorized into ‘high burden’, ‘medium burden’, ‘low-medium burden’, and ‘low burden’ groups. Second, it was confirmed that various factors affect the classification of the care burden depending on the characteristics of the recipients and family caregivers. Based on the main analysis results, this study suggested that there is a need to strengthen support services for family care providers and recognize leave benefits when using the family care leave system to alleviate the burden of care in the daily lives of family care providers.

치매 환자 요양보호사의 부양부담에 미치는 요인

이상법,권오대 대한신경과학회 2015 대한신경과학회지 Vol.33 No.3

Background: The importance of care workers in providing care to patients with dementia is increasing. The burden that care workers experience impacts the health of the patients as well as that of the workers themselves. This study examined the burden experienced by care workers looking after patients with dementia, with the aim of determining the factors associated with the severity of the caregiver burden. Methods: Care workers providing care to patients with dementia were recruited from nine medical care centers in the metropolitan city of Daegu and Gyeongsanbuk-do province. Two hundred and twenty participants were included. During face-to-face interviews with a psychologist, they completed the Burden Interview, Life Satisfaction Index, Beck Depression Inventory, and Beck Anxiety Inventory, and their health status and the severity of dementia in their patients were evaluated. The burden experienced by care workers and the factors affecting it were assessed using statistical analyses. Results: The care workers had a mean score in the Burden Interview of 28. A multiple linear regression analysis revealed that scores for the Life Satisfaction Index and the Beck Anxiety Inventory, as well as the health status and education level of caregivers were associated with the severity of caregiver burden (p<0.05). Conclusions: This study found that the burden of the included Korean care workers ranged from mild to moderate. In addition, their health status, education level, and scores for the Life Satisfaction Index and the Beck Anxiety Inventory were closely related to the burden they experienced in caring for patients with dementia.

노인장기요양보험제도 이용자 가족의 가족관계만족이 부양부담에 미치는 영향 -재가서비스 이용자가족을 중심으로

김영태,조당호 한국노인복지학회 2012 노인복지연구 Vol.0 No.56

노인장기요양보험제도하에서 등급신청을 한 사람들은 치매나 중풍, 노인성질환 등이 일정부분 진행되어 일상생활수행능력 등의 제한을 가진 사람들이다. 그러므로 이들을 돌보는 부양자는 상당한 수준의 부양부담에 노출이 되어 있다. 많은 연구에서는 가족의 지지가 부양부담을 줄인다고 하고 있다. 본 연구에서는 이들 가족관계가 부양부담에 어떠한 영향을 미치는 지를 알아보았다. 이를 위해 수도권에 위치하고 있는 노인재가복지센터 및 장기요양기관을 방문하여 이용자 가족들을 대상으로 임의조사를 실시하였다. 조사를 위해 설문지 구성은 가족관계는 부부 간의 관계와 자녀와의 관계로 나누었으며, 부양부담은 정신적부양부담과 신체적 부양부담으로 나누었다. 분석 결과, 정신적 부양부담에는 자녀와의 관계와 요양비용이 영향을 미쳤으며, 신체적 부양부담에는 자녀와의 관계, 요양비용과 응답자 성별(여성)이 영향을 미쳤다. 또한 부양부담에는 자녀와의 관계, 요양비용, 응답자 성별(여성)이 영향을 미쳤다. Usually, the people who apply for long term care insurance experience the limitation of ADL due to following chronic diseases such as dementia, stroke and etc. Therefore, care providers for the old feel significant burden without any other external support. As for detailed method, questions were seperately given to ask husband and wife, parents and children relation in terms of family relation. And questions related to care providing burden were divided into two categories, mental and physical burden. From the analysing outcome, the two factors of parents and children relation and care expenses apparently affect mental care giving burden while respondent's gender (female) additionally does physical care giving burden including the former two factors. Further, there were three factors having effect on care giving burden such as family relation, care giving expenses and participant's gender (female).