Cook Sarah K, Cohen Steven A
J Gerontol Nurs. 2018 Sep 1;44(9):15-20. doi: 10.3928/00989134-20180808-05.
The objective of the current study was to assess socioeconomic and demographic disparities in caregiving intensity among informal caregivers. Using a randomized, nationally representative sample of 1,014 adult child informal caregivers from Medicare enrollment databases, the associations between informal caregiving intensity and age, race/ethnicity, and income were examined using binary and ordinal logistic regression. Caregiving intensity varied by demographics. Activities of daily living (ADL) caregiving was highest among Black, non-Hispanic caregivers. Instrumental ADL caregiving and number of hours spent caregiving was highest in female and non-White caregivers. Although the overall association between caregiving intensity and income was not significant, when stratified by race/ethnicity, this association was positive for White caregivers and negative for non-White caregivers. Health care providers frequently interact with informal caregivers and should be aware of trends in caregiving and the needs and supports available to ameliorate caregiver burden. To protect caregivers, policies and programs should be designed to promote well-being and mitigate the potential harms of caregiving to health. [Journal of Gerontological Nursing, 44(9), 15-20.].
本研究的目的是评估非正式照料者在照料强度方面的社会经济和人口统计学差异。利用医疗保险参保数据库中1014名成年子女非正式照料者的随机全国代表性样本,通过二元和有序逻辑回归分析了非正式照料强度与年龄、种族/族裔和收入之间的关联。照料强度因人口统计学特征而异。在黑人非西班牙裔照料者中,日常生活活动(ADL)照料比例最高。在女性和非白人照料者中,工具性ADL照料及照料时长最多。虽然照料强度与收入之间的总体关联不显著,但按种族/族裔分层时,这种关联在白人照料者中为正,在非白人照料者中为负。医疗保健提供者经常与非正式照料者互动,应了解照料趋势以及可用于减轻照料者负担的需求和支持。为保护照料者,应制定政策和项目以促进其福祉,并减轻照料对健康造成的潜在危害。[《老年护理杂志》,44(9),15 - 20。]