Lerner Center for Public Health Promotion, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, New York, USA.
Aging Studies Institute, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, New York, USA.
J Gerontol B Psychol Sci Soc Sci. 2023 Mar 13;78(Suppl 1):S4-S14. doi: 10.1093/geronb/gbac153.
This study examines how nativity, dementia classification, and age of migration (AOM) of older foreign-born (FB) adults are associated with caregiver psychological well-being and care burden.
We used linked data from Round 1 and Round 5 of the National Health and Aging Trends Study and Round 5 of the National Study of Caregiving for a sample of nondementia caregivers (n = 941), dementia caregivers (n = 533), and matched care recipients. Ordinary least squares regression models were estimated, adjusting for caregiver characteristics.
Relative to nondementia caregivers, dementia caregivers were more likely to provide care for an older FB adult (8.69% vs. 26.70%), reported more assistance with caregiving activities, worse quality of relationship with care recipients, and higher care burden than nondementia caregivers. In adjusted models, interactions of nativity status × dementia and AOM × dementia revealed that overall, caregivers of older FB adults with dementia who migrated in late life (50+) reported lower psychological well-being than those caring for older FB older adults who migrated at (20-49 years) and (0-19 years). Moderating effects of AOM on the link between dementia caregiving and care burden were not observed.
Age of migration of older FB adults with probable dementia may have unique effects on the caregiver's psychological well-being. Our results underscore the importance of considering sociocultural factors of FB adults beyond nativity and the need for research to develop culturally appropriate interventions to enhance psychological well-being and reduce the care burden among dementia caregivers.
本研究考察了老年移民（FB）成年人的原籍国、痴呆症分类和移民年龄（AOM）如何与其照顾者的心理健康和照顾负担相关。
我们使用了国家健康老龄化趋势研究的第 1 轮和第 5 轮以及国家照顾者研究的第 5 轮的链接数据，对无痴呆症照顾者（n=941）、痴呆症照顾者（n=533）和匹配的照顾对象进行了样本分析。使用普通最小二乘法回归模型进行估计，调整了照顾者的特征。
与无痴呆症照顾者相比，痴呆症照顾者更有可能照顾老年 FB 成年人（8.69%比 26.70%），报告了更多的照顾活动协助，与照顾对象的关系质量更差，照顾负担更重。在调整后的模型中，原籍国状况×痴呆症和 AOM×痴呆症的交互作用表明，总体而言，老年 FB 成年痴呆症患者中晚年（50 岁以上）移民的照顾者心理健康状况比移民（20-49 岁）和（0-19 岁）的照顾者差。未观察到 AOM 对痴呆症照顾与照顾负担之间联系的调节作用。
老年 FB 成年痴呆症患者的移民年龄可能对照顾者的心理健康产生独特的影响。我们的研究结果强调了考虑 FB 成年人除原籍国以外的社会文化因素的重要性，以及需要研究制定文化上适当的干预措施，以增强痴呆症照顾者的心理健康并减轻其照顾负担。
