Health Risk and Intervention of Long-term Care Givers: Realist Review in Realist Perspective
Title
Health Risk and Intervention of Long-term Care Givers: Realist Review in Realist Perspective
Author(s)
김재원
; 송은솔
; 김창엽
Keyword
요양보호사
; 맥락모형
; 사회적 맥락
; 건강형평성
; LTC (Long-term Care) Giver
; Contextual Model
; Social Context
; Health Inequality
Publication Year
2016-06-30
Publisher
Korea Institute for Health and Social Affairs
Citation
Health and Social Welfare Review Vol.36 No.2, pp.421-453
Abstract
The paper explores fundamental causes of the LTC (long-term care) givers’ health risks and interventions to reduce adverse health outcomes. A realist review based on contextual model connecting from social determinants of health to health outcomes is conducted with 128 relevant articles systematically selected. Literatures show that LTC givers are exposed to multiple health risks: overwhelming load of work, sexual harassment, and job stress. In comparison, it is rarely available for them to have power to control work situation or resources to deal with health risks. These imbalances, excessive exposure to health risk vs. limited access to resources, are often caused by social stratification. These results reveal that social stratification (social context) has to be dealt with properly to reduce health risks of LTC givers.