RAND Corporation, Santa Monica, California, USA.
Gerontologist. 2021 Nov 15;61(8):1221-1230. doi: 10.1093/geront/gnab013.
There are nearly 18 million family caregivers in the United States assisting an older adult in need of help. Identifying the caregivers in greatest need of support requires an understanding of the current social support networks available to family caregivers and whether specific groups of caregivers are at risk of having an insufficient support network.
We collected personal network data from a nationally representative sample of 66 family caregivers to persons with dementia (PWDs) in the United States aged 18 and older, including information on network members' support to the caregiver and help to the care recipient.
We found four common caregiving network types: large networks with many helpers; large networks primarily supporting caregivers; small, dense networks supporting both caregivers and care recipient; and small networks providing little help to either caregiver or care recipient. Gender, income, and geographic proximity of caregiver to the care recipient were significantly associated with caregiver network type.
This study suggests that there are different types of care and support networks available to caregivers to PWDs, and that the size and structure of networks vary considerably among demographic groups. As the population ages, a better understanding of the supports available to caregivers will be crucial for ensuring that caregivers are adequately supported, and caregiving needs of families are met.
美国有近 1800 万家庭护理人员在帮助有需要的老年人。要确定最需要支持的护理人员,需要了解目前家庭护理人员可获得的社会支持网络,以及特定群体的护理人员是否存在支持网络不足的风险。
我们从美国年龄在 18 岁及以上的、为痴呆症患者(PWDs)提供护理的 66 名家庭护理人员中收集了个人网络数据,包括网络成员对护理人员的支持和对护理接受者的帮助信息。
我们发现了四种常见的护理人员网络类型:有许多帮手的大型网络;主要支持护理人员的大型网络;同时支持护理人员和护理接受者的小型密集网络;以及对护理人员或护理接受者都没有提供多少帮助的小型网络。护理人员与护理接受者的性别、收入和地理接近度与护理人员网络类型显著相关。
本研究表明,为痴呆症患者提供的护理和支持网络有不同的类型,并且网络的规模和结构在不同的人群中差异很大。随着人口老龄化,更好地了解护理人员可获得的支持将是确保护理人员得到充分支持以及满足家庭护理需求的关键。