Department of Health Policy and Management (Fabius), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Clin Gerontol. 2023 Jan-Feb;46(1):91-100. doi: 10.1080/07317115.2022.2099776. Epub 2022 Jul 13.
We examine associations between use of paid help and caregiving-related experiences (emotional, financial, and physical difficulty) of Black family and unpaid caregivers of older adults.
We examine a sample of N = 572 non-Hispanic Black caregivers of community-dwelling older adults receiving help with daily activities from the 2015 National Health and Aging Trends Study (NHATS) and National Study of Caregiving (NSOC). Guided by Pearlin's Stress Process Model, logistic regression models examine associations between assisting with finding paid help and caregiver experiences.
Black caregivers who helped care recipients find paid help more often had a college degree or higher, were helping older adults who received assistance with three or more self-care/mobility activities or who were living in poverty and were not receiving help with caregiving from family and friends. In fully-adjusted models, assisting with finding paid help was associated with emotional (AOR 1.92, 95% CI 1.27, 2.92 < .01) and physical (AOR 2.16, 95% CI 1.04, 4.51; = .04) difficulty.
Greater efforts are needed to support Black family and unpaid caregivers who are caring for older adults using paid help.
Future interventions that target Black caregivers of older adults using paid help could be useful for improving caregiving experiences.
我们研究了有偿帮助的使用与黑人家庭和无薪照顾者照顾老年人相关的经历（情感、经济和身体困难）之间的关系。
我们检查了 2015 年国家健康与老龄化趋势研究（NHATS）和国家照顾研究（NSOC）中接受日常活动帮助的社区居住的老年成年人的非西班牙裔黑人照顾者样本（N=572）。在 Pearlin 的压力过程模型的指导下，逻辑回归模型研究了协助寻找有偿帮助与照顾者经历之间的关系。
帮助照顾者寻找有偿帮助的黑人照顾者更有可能拥有大学学历或更高学历，他们正在帮助接受三个或更多自我护理/移动活动帮助的老年人，或者生活在贫困中，没有得到家人和朋友的照顾帮助。在完全调整的模型中，协助寻找有偿帮助与情感（AOR 1.92，95%CI 1.27，2.92 <.01）和身体（AOR 2.16，95%CI 1.04，4.51； = 0.04）困难有关。
需要进一步努力支持使用有偿帮助照顾老年人的黑人家庭和无薪照顾者。
针对使用有偿帮助照顾老年人的黑人照顾者的未来干预措施可能有助于改善照顾者的经历。
