Cohen Steven A, Kunicki Zachary J, Drohan Megan M, Greaney Mary L
University of Rhode Island, Kingston, USA.
Warren Alpert Medical School of Brown University, Providence, RI, USA.
Gerontol Geriatr Med. 2021 Feb 26;7:2333721421999279. doi: 10.1177/2333721421999279. eCollection 2021 Jan-Dec.
This study explored self-reported changes in caregiving intensity (CI) and caregiver burden (CB) among informal caregivers due to the COVID-19 pandemic overall and by gender. Informal caregivers for someone age 50+ completed a survey via Amazon's MTurk in June 2020. Participants reported changes in CI and CB due to COVID-19 and provided demographic information. Multinomial logistic regression models assessed changes in CI and CB attributed to the COVID-19 pandemic overall and by gender. The sample ( = 835) was 68.5% male and had an average age of 34 years ( 9.8); 55.7% had increased CI, and 53.1% had increased CB attributed to the pandemic. Increased CB due to COVID-19 was associated with increased CI (OR 5.67, 95% CI 3.92-8.00). Male caregivers with decreased CI due to COVID-19 were nearly seven times as likely as those with no change in CI to have reduced CB due to COVID-19 (OR 6.91, 95% CI 3.29-14.52). Women with decreased CI due to COVID-19 were over eight times as likely to have reduced CB due to COVID (OR 8.30, 95% CI 2.66-25.91). Results indicate that many caregivers experienced increases in CI and CB since the start of the COVID-19 pandemic, and that these changes are complex and vary by gender.
本研究探讨了新冠疫情期间非正式照料者自我报告的照料强度（CI）和照料者负担（CB）的变化情况，以及按性别划分的变化情况。50岁及以上人群的非正式照料者于2020年6月通过亚马逊的土耳其机器人平台完成了一项调查。参与者报告了因新冠疫情导致的CI和CB变化，并提供了人口统计学信息。多项逻辑回归模型评估了总体以及按性别划分的、归因于新冠疫情的CI和CB变化。样本（n = 835）中男性占68.5%，平均年龄为34岁（标准差9.8）；55.7%的照料强度增加，53.1%的照料者负担增加归因于疫情。因新冠疫情导致的照料者负担增加与照料强度增加相关（比值比5.67，95%置信区间3.92 - 8.00）。因新冠疫情照料强度降低的男性照料者因新冠疫情照料者负担减轻的可能性几乎是照料强度无变化者的七倍（比值比6.91，95%置信区间3.29 - 14.52）。因新冠疫情照料强度降低的女性因新冠疫情照料者负担减轻的可能性超过八倍（比值比8.30，95%置信区间2.66 - 25.91）。结果表明，自新冠疫情开始以来，许多照料者的照料强度和照料者负担都有所增加，而且这些变化很复杂，因性别而异。
