Public Health Service Zaanstreek-Waterland, Zaanstad, The Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Health Soc Care Community. 2020 Sep;28(5):1578-1589. doi: 10.1111/hsc.12982. Epub 2020 Mar 23.
Due to the ageing population and the rising prevalence of chronic diseases, it is expected that the demand on informal caregivers will increase. Many informal caregivers experience burden, which can have negative consequences for their own health and that of the care recipient. To prevent caregiver burden, it is important to investigate factors associated with this burden. We aimed to identify factors associated with caregiver burden in adult informal caregivers. Among a sample of adult informal caregivers (n = 1,100) of the Dutch region of Zaanstreek-Waterland, perceived caregiver burden, demographic factors, caregiving situation, health-related factors and socio-financial factors were measured as part of the national Health Survey in 2016. Using univariate and multivariate logistic regression analysis, for which a backward selection method was applied, associations with caregiver burden were studied. In the multivariate model, time spent providing informal care was significantly associated with perceived caregiver burden, with an odds ratio (OR) [95% confidence interval] of 7.52 [3.93-14.39] for those spending >16 hr compared to 1-2 hr on informal care. Also providing care to their child(ren) (OR: 2.55 [1.51-4.31]), poor perceived health (OR: 1.80 [1.20-2.68]) and loneliness of the caregiver (OR: 2.05 [1.41-2.99]) were significantly associated with caregiver burden. To possibly prevent and reduce informal caregiver burden, factors associated with such burden should be intervened on. As such, special attention should be paid to caregivers who provide many hours of care or provide care to their child(ren), as well as those who have a poor perceived health themselves and/or experience feelings of loneliness.
由于人口老龄化和慢性病患病率的上升，预计对非正式照顾者的需求将会增加。许多非正式照顾者承受着负担，这可能对他们自己和照顾对象的健康产生负面影响。为了防止照顾者负担，重要的是要调查与这种负担相关的因素。我们的目的是确定与成年非正式照顾者负担相关的因素。在 2016 年进行的全国健康调查中，在荷兰赞斯特雷克-沃特兰地区的 1100 名成年非正式照顾者样本中，测量了照顾者负担、人口统计学因素、照顾情况、与健康相关的因素和社会经济因素。使用单变量和多变量逻辑回归分析，应用向后选择方法，研究了与照顾者负担相关的因素。在多变量模型中，提供非正式照顾的时间与感知到的照顾者负担显著相关，与每天花费 1-2 小时提供非正式照顾的人相比，每天花费 >16 小时的人感知到的照顾者负担的比值比（OR）[95%置信区间]为 7.52 [3.93-14.39]。同样，照顾自己的孩子（OR：2.55 [1.51-4.31]）、感知健康状况不佳（OR：1.80 [1.20-2.68]）和照顾者孤独感（OR：2.05 [1.41-2.99]）也与照顾者负担显著相关。为了可能预防和减轻非正式照顾者的负担，应该对与这种负担相关的因素进行干预。因此，应该特别关注那些提供大量照顾时间或照顾自己孩子的照顾者，以及那些自己感知健康状况不佳和/或感到孤独的照顾者。
