From Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL (MR), Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI (SJF), Department of Family Medicine and Institute for Healthcare Policy and Innovation, University of Michigan Ann Arbor, MI (TC).
J Am Board Fam Med. 2022 Jul-Aug;35(4):814-820. doi: 10.3122/jabfm.2022.04.210540.
Youth are increasingly upholding significant caregiving responsibilities. These caregiving responsibilities can have emotional, educational, and professional impacts on youth and young adults. And yet, policies and resources focus on adult caregivers and are limited in supporting young caregivers. The purpose of this study was to describe the different types of support that youth identify as being important to prepare to take care of an adult relative.
We conducted an open-ended, text-message based poll of youth ages 14 to 24 in August 2020. We conducted a content analysis to categorize and describe the different types of support respondents identified in their responses. We compared types of support identified by age-group, gender identity, and prior caregiving experience.
Most respondents (42.2%) identified education (eg, skills training) as being an important resource. Other types of support reported included financial support (eg, assistive programs), workplace policies (eg, paid leave), mental health support, and professional support.
Policy makers should extend existing policies (eg, Family and Medical Leave Act) to include and consider the circumstances of youth and young adults. Policies enabling young caregivers to actively participate in their adult relative's health care visits could be critical to preparing youth for the skills required and the physical and emotional demands associated with caregiving. Coordinated efforts between health and education systems could support youth in learning information about caregiving, medical decision making, and medical tasks.
年轻人越来越多地承担重要的照顾责任。这些照顾责任会对年轻人和青年造成情感、教育和职业方面的影响。然而,政策和资源侧重于成年照顾者,在支持年轻照顾者方面有限。本研究的目的是描述年轻人认为对准备照顾成年亲属很重要的不同类型的支持。
我们于 2020 年 8 月对 14 至 24 岁的年轻人进行了开放式、基于短信的民意调查。我们进行了内容分析,对受访者在回复中确定的不同类型的支持进行分类和描述。我们比较了不同年龄组、性别认同和之前照顾经验的受访者所确定的支持类型。
大多数受访者(42.2%)认为教育(例如技能培训)是一项重要资源。其他类型的支持包括经济支持(例如辅助项目)、工作场所政策(例如带薪休假)、心理健康支持和专业支持。
政策制定者应扩大现有政策(例如《家庭医疗休假法》)的范围,将年轻人和青年的情况纳入考虑。使年轻的照顾者能够积极参与其成年亲属的医疗保健访问的政策,对于培养年轻人的技能和应对照顾带来的身体和情感需求可能至关重要。卫生和教育系统之间的协调努力可以支持年轻人学习有关照顾、医疗决策和医疗任务的信息。