Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.
Edward R. Roybal Institute on Aging, University of Southern California, Los Angeles, California, USA.
Gerontologist. 2022 May 26;62(5):650-661. doi: 10.1093/geront/gnab146.
Caregivers may be at different risks of various types of burdens by virtue of their gender and racial/ethnic status. This article explores the differences in caregiving burdens across the intersectionality of race and gender.
Using Round 5 (conducted in 2015) and Round 7 (conducted in 2017) of National Study of Caregiving and National Health and Aging Trends Study data, the study examined differences in caregiver burdens across and within different gender and racial/ethnic groups, within the realms of financial, emotional, and physical burdens. The sample consisted of 1,206 caregivers who provided services to Medicare beneficiaries. Logistic regressions were performed to assess the 3 types of burdens each subgroup was experiencing.
Results indicated that within the intersectionality framework, compared to White female caregivers, Black male caregivers were 3.3 times (95% confidence interval [CI] 1.77-6.22) more likely to experience financial burden, and Black female caregivers were 54% less likely to experience physical burden. Surprisingly, compared to White female caregivers, all the other groups were 37% (95% CI 0.41-0.95) to 71% (95% CI 0.15-0.56) less likely to have emotional burden.
The findings highlighted that Black male caregivers are experiencing financial burden and White female caregivers are experiencing emotional burden disproportionately. To develop effective interventions and programs for dementia caregivers, a special focus should be put on monitoring the differences in the types of burdens that the above-mentioned population subgroups experience.
由于性别和种族/民族地位的不同，护理人员可能面临不同类型的负担。本文探讨了种族和性别交叉点上的护理负担差异。
利用国家护理研究和国家健康老龄化趋势研究的第 5 轮（2015 年进行）和第 7 轮（2017 年进行）的数据，本研究考察了不同性别和种族/族裔群体之间以及内部在经济、情感和身体负担方面的护理负担差异。样本包括为医疗保险受益人提供服务的 1206 名护理人员。使用逻辑回归来评估每个亚组正在经历的 3 种负担类型。
结果表明，在交叉点框架内，与白人女性护理人员相比，黑人男性护理人员在经济负担方面的可能性是其 3.3 倍（95%置信区间 [CI] 1.77-6.22），而黑人女性护理人员在身体负担方面的可能性则低 54%。令人惊讶的是，与白人女性护理人员相比，所有其他群体在情感负担方面的可能性低 37%（95%CI 0.41-0.95）至 71%（95%CI 0.15-0.56）。
研究结果表明，黑人男性护理人员正在经历经济负担，而白人女性护理人员则正在经历情感负担。为了为痴呆症护理人员制定有效的干预和计划，应特别关注监测上述人群亚组所经历的负担类型的差异。
