Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA.
Disabil Health J. 2011 Oct;4(4):229-37. doi: 10.1016/j.dhjo.2011.08.001.
Given the unpaid nature of the work, informal caregiving can create a financial burden for caregivers. Little has been done to identify specific predictors of experiencing financial burden. This study investigated demographic and health factors comparing caregivers who reported having or not having financial burden.
Data are derived from adult caregivers (N = 3,317) as part of the 2007 Behavioral Risk Factor Surveillance System in Hawaii, Kansas, and Washington. The adjusted odds ratios for reporting a financial burden were estimated for demographic and other risk factors.
Caregivers who reported a financial burden were younger, had lower incomes, were more likely to be current smokers, have had a stroke, and rate their health as fair or poor compared to caregivers who did not report a financial burden. Caregivers who were younger (ages 18-34), resided with care recipients, spent 20-39 hours per week providing care, and reported having a disability were at a statistically significantly higher odds of reporting a financial burden.
CONCLUSIONS/IMPLICATIONS: Given the current economic difficulties faced by many Americans, further insights into the perceived financial burdens experienced by informal caregivers as well as linkages to policy and programs designed to support caregivers are critical for public health professionals to address the expanding needs in states and communities.
由于工作是无偿的,非正式护理可能会给护理人员带来经济负担。很少有人致力于确定经历经济负担的具体预测因素。本研究通过比较有或没有经济负担的护理人员,调查了人口统计学和健康因素。
数据来自夏威夷、堪萨斯和华盛顿 2007 年行为风险因素监测系统的成年护理人员(N=3317)。针对人口统计学和其他风险因素,对报告经济负担的调整后优势比进行了估计。
与没有报告经济负担的护理人员相比,报告经济负担的护理人员更年轻,收入更低,更有可能是当前吸烟者,曾中风,并且自评健康状况为一般或较差。与没有报告经济负担的护理人员相比,年龄在 18-34 岁之间、与护理对象同住、每周提供 20-39 小时护理以及报告有残疾的护理人员报告经济负担的可能性更高。
结论/意义:鉴于许多美国人当前面临的经济困难,进一步了解非正式护理人员所感受到的经济负担,以及将其与旨在支持护理人员的政策和计划联系起来,对于公共卫生专业人员来说至关重要,这有助于满足各州和社区不断扩大的需求。