1 School of Aging Studies, University of South Florida, Tampa, FL, USA.
J Aging Health. 2019 Jul;31(6):925-946. doi: 10.1177/0898264317743611. Epub 2017 Nov 23.
To examine differences between White and African American caregivers in strain, health, and service use in a population-based sample of informal caregivers for older adults. We also assessed whether relationship type (parent, other family, friend) and dementia care status (yes or no) were moderators of any racial differences. We examined 887 informal caregivers via covariate-adjusted 3 × 2 × 2 factorial ANOVAs. After covariate adjustment, there were few significant racial differences in caregiving strain, health, and service use. Dementia caregivers reported greater strain, and there were three-way interactions among relationship type, dementia care status, and race for physical strain and emotional stress. Previous findings suggesting substantial racial differences in caregiver strain, which have primarily come from convenience samples that combined care relationship types, were not replicated. Racial and ethnic differences in caregiving may be context-specific. Historical changes in caregiving should be examined in future research.
为了在老年人非正规护理者的基于人群的样本中,研究白人和非裔美国护理者在压力、健康和服务使用方面的差异。我们还评估了关系类型(父母、其他家庭成员、朋友)和痴呆护理状况(是或否)是否是任何种族差异的调节因素。我们通过协变量调整的 3×2×2 因子 ANOVA 检查了 887 名非正规护理者。在协变量调整后,在照顾压力、健康和服务使用方面,种族差异很小。痴呆症护理者报告的压力更大,并且在关系类型、痴呆症护理状况和种族之间存在三种相互作用,涉及身体紧张和情绪压力。先前的研究表明,在照顾者压力方面存在实质性的种族差异,这些差异主要来自于将护理关系类型结合在一起的便利样本,这一结果并未得到复制。照顾方面的种族和民族差异可能具有特定的背景。未来的研究应该检查照顾方面的历史变化。