1 University of Minnesota, Minneapolis, USA.
J Aging Health. 2019 Oct;31(9):1652-1670. doi: 10.1177/0898264318786569. Epub 2018 Jul 6.
The objective of this study was to assess rural-urban differences in caregiver use of and preferences for support services. Using the 2015 Caregiving in the U.S. survey data ( = 1,389), we analyzed rural-urban differences by caregiver residence in use of and preferences for support services. We analyzed bivariate differences in service use and preferences, as well as in sociodemographic and caregiving relationship characteristics. We also assessed the correlates of service use using stratified ordered logistic regression models. Approximately one third of all caregivers had used no supportive services, with few differences in service use and preference by location. For caregivers in both locations, having more financial strain was associated with greater use of services. This article identifies broad needs for caregiver support across all geographic locations. Targeted efforts should be made to ensure access to supportive services accounting for unique barriers by geography.
本研究旨在评估城乡之间看护者使用和偏好支持服务的差异。利用 2015 年“美国看护状况调查”数据(n=1389),我们根据看护者的居住地点分析了使用和偏好支持服务方面的城乡差异。我们分析了服务使用和偏好、社会人口学和照护关系特征方面的差异,还使用分层有序逻辑回归模型评估了服务使用的相关因素。大约三分之一的所有看护者都没有使用任何支持性服务,不同地点之间的服务使用和偏好差异很小。对于两个地点的看护者来说,经济压力越大,使用服务的可能性就越大。本文确定了所有地理区域看护者支持的广泛需求。应根据地理位置的独特障碍,有针对性地努力确保获得支持服务。