Mausbach Brent T, Coon David W, Depp Colin, Rabinowitz Yaron G, Wilson-Arias Esther, Kraemer Helena C, Thompson Larry W, Lane Geoffrey, Gallagher-Thompson Dolores
Older Adult and Family Center, Stanford University School of Medicine and Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
J Am Geriatr Soc. 2004 Jul;52(7):1077-84. doi: 10.1111/j.1532-5415.2004.52306.x.
To compare rates of institutionalization of dementia patients cared for by Latina and Caucasian female caregivers and to explore which caregiver and care-recipient characteristics predicted institutionalization.
Longitudinal.
San Francisco Bay area, California.
Two hundred sixty-four female caregivers of dementia patients (154 Caucasian women, 110 Latinas) who participated in an intervention project designed to reduce caregiver stress and may represent a sample that is more stressed and motivated than a general sample of caregivers.
Number of days between baseline interview and institutionalization was recorded over an 18-month period. Kaplan-Meier survival analysis with the log rank statistic was used to test for ethnic differences in time to institutionalization. Cox regression analyses were conducted to determine whether care-recipient or caregiver characteristics (e.g., care-recipient age and memory and behavior problems; caregiver depression, years of education, income, and views of the caregiving role) significantly interacted with ethnicity to explain time to institutionalization.
Latinas delayed institutionalization significantly longer than their Caucasian counterparts; care-recipient characteristics or caregiver demographics did not explain these results, although Latinas who identified greater benefits or more-positive aspects of the caregiving process at baseline were less likely to institutionalize their loved one than those who reported fewer benefits of caregiving. Less-acculturated Latinas were significantly more likely to identify positive aspects of caregiving than more-acculturated Latinas.
Latina dementia caregivers delay institutionalization significantly longer than female Caucasian caregivers. In addition, Latino cultural values and positive views of the caregiving role are important factors that may significantly influence their decision to institutionalize loved ones with dementia.
比较由拉丁裔和白人女性照料者照顾的痴呆症患者的机构收容率，并探究哪些照料者和受照料者特征可预测机构收容情况。
纵向研究。
加利福尼亚州旧金山湾区。
264名痴呆症患者的女性照料者（154名白人女性，110名拉丁裔），她们参与了一项旨在减轻照料者压力的干预项目，可能代表了一个比一般照料者样本压力更大且积极性更高的样本。
在18个月的时间里记录基线访谈与机构收容之间的天数。使用带有对数秩统计量的Kaplan-Meier生存分析来检验机构收容时间上的种族差异。进行Cox回归分析，以确定受照料者或照料者特征（例如，受照料者年龄、记忆和行为问题；照料者抑郁、教育年限、收入以及对照料角色的看法）是否与种族显著相互作用，以解释机构收容时间。
拉丁裔比白人显著延迟了机构收容时间；受照料者特征或照料者人口统计学特征无法解释这些结果，不过在基线时认为照料过程有更多益处或更积极方面的拉丁裔，比那些报告照料益处较少的人将亲人送入机构的可能性更小。文化适应程度较低的拉丁裔比文化适应程度较高的拉丁裔更有可能认识到照料的积极方面。
拉丁裔痴呆症照料者比白人女性照料者显著延迟了机构收容时间。此外，拉丁裔文化价值观和对照料角色的积极看法是可能显著影响她们将患有痴呆症的亲人送入机构的决定的重要因素。
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