Division of Geriatrics & Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
J Am Med Dir Assoc. 2022 Oct;23(10):1621-1626.e1. doi: 10.1016/j.jamda.2022.07.006. Epub 2022 Aug 13.
To determine the prevalence and predictors of willingness to consider becoming a paid home care worker.
Cross-sectional telephone-based survey study.
800 adult residents of New York State participating in the 2020 Empire State Poll, an annual survey conducted in English and Spanish using random-digit dialing.
Willingness to consider working as a paid home care worker was analyzed as the main outcome. Survey questions also involved demographics and unpaid caregiving experience. We used multinomial logistic regression to examine associations between participant characteristics and willingness to be a paid caregiver.
Participants had a mean age of 47.7 years (95% CI 45.4-50.0). Demographic information included 51.1% female gender, 65.4% White race, 13.4% Black race, 6.4% Asian or Pacific Islander, 14.8% another race, 19.1% Hispanic/Latino ethnicity, and 43.0% household income below $50,000 per year. A weighted 25.4% of participants would consider becoming a paid home care worker. In an adjusted model, willingness to be a paid home care worker was associated with younger age [odds ratio (OR) 0.98, 95% CI 0.96-1.00, P = .032], female gender (OR 2.46, 95% CI 1.35-4.46, P = .003), Black or other race (OR 2.40, 95% CI 1.11-5.17, P = .026, and OR 3.13, 95% CI 1.30-7.54, P = .011, respectively), Hispanic ethnicity (OR 2.26, 95% CI 1.06-4.81, P = .035), household income below $50,000 per year (OR 2.00, 95% CI 1.03-3.88, P = .040), and having provided unpaid family caregiving (OR 2.08, 95% CI 1.15-3.76, P = .016).
A quarter of New Yorkers would consider working as a paid home care worker. Willingness to consider this occupation was associated with the demographic characteristics disproportionately represented in the current home care workforce. Improved working conditions and compensation could help attract and retain home care workers, thereby addressing the rising need for home care in the United States.
确定愿意考虑成为有偿家庭护理员的比例和相关预测因素。
横断面基于电话的调查研究。
800 名纽约州成年居民参加了 2020 年帝国州民意调查，这是一项使用随机数字拨号进行的年度英语和西班牙语调查。
将愿意考虑成为有偿家庭护理员作为主要结果进行分析。调查问题还涉及人口统计学和无偿护理经验。我们使用多项逻辑回归来检验参与者特征与成为有偿护理员意愿之间的关联。
参与者的平均年龄为 47.7 岁（95%置信区间 45.4-50.0）。人口统计学信息包括 51.1%为女性，65.4%为白人，13.4%为黑人，6.4%为亚洲或太平洋岛民，14.8%为其他种族，19.1%为西班牙裔/拉丁裔，43.0%的家庭收入低于每年 50,000 美元。加权后有 25.4%的参与者愿意成为有偿家庭护理员。在调整后的模型中，成为有偿家庭护理员的意愿与年龄较小（比值比[OR]0.98，95%置信区间 0.96-1.00，P =.032）、女性（OR 2.46，95%置信区间 1.35-4.46，P =.003）、黑人或其他种族（OR 2.40，95%置信区间 1.11-5.17，P =.026，OR 3.13，95%置信区间 1.30-7.54，P =.011）、西班牙裔（OR 2.26，95%置信区间 1.06-4.81，P =.035）、家庭收入低于每年 50,000 美元（OR 2.00，95%置信区间 1.03-3.88，P =.040）和提供无偿家庭护理（OR 2.08，95%置信区间 1.15-3.76，P =.016）有关。
四分之一的纽约人愿意成为有偿家庭护理员。愿意考虑从事这一职业与当前家庭护理劳动力中比例不成比例的人口统计学特征有关。改善工作条件和薪酬可能有助于吸引和留住家庭护理人员，从而满足美国对家庭护理不断增长的需求。
