Åkerman Sarah, Nyqvist Fredrica, Nygård Mikael
Social Policy, Faculty of Education and Welfare Studies, Åbo Akademi University, 65100 Vaasa, Finland.
Nurs Rep. 2023 Feb 27;13(1):365-377. doi: 10.3390/nursrep13010034.
Inspired by the caregiver stress process model emphasising the role of resources for caregiving outcomes, the aim of this study was to investigate the prevalence of subjective caregiver burden (SCB) and its associations with individual social, economic, and political resources among older spousal caregivers in a Nordic regional setting. Cross-sectional survey data collected in 2016 in the Bothnia region of Finland and Sweden were used, where 674 spousal caregivers were identified and included in the analyses. The descriptive results showed that about half of the respondents experienced SCB. SCB was more common among Finnish-speaking caregivers. Results from the multivariate logistic regression analysis showed that none of the assessed political resources were significantly associated with SCB when controlling for other variables. Experiencing financial strain was associated with SCB, while personal income was not. Frequent contact with family members was statistically significantly associated with SCB. Future research could use longitudinal data to determine causal relationships, and when data allow, test the full caregiver stress process model to investigate the role of mediating factors in different comparative settings. Accumulated evidence on risk factors for negative outcomes of informal caregiving can contribute to effective screening tools for identifying and supporting vulnerable caregivers, which is becoming increasingly important with the ageing population.
受强调资源对照护结果作用的照护者压力过程模型启发,本研究旨在调查北欧地区老年配偶照护者主观照护负担(SCB)的患病率及其与个体社会、经济和政治资源的关联。使用了2016年在芬兰和瑞典博特尼亚地区收集的横断面调查数据,其中674名配偶照护者被识别并纳入分析。描述性结果显示,约一半的受访者经历了SCB。SCB在说芬兰语的照护者中更为常见。多变量逻辑回归分析结果表明,在控制其他变量时,所评估的政治资源均与SCB无显著关联。经历经济压力与SCB相关,而个人收入则不然。与家庭成员频繁接触在统计学上与SCB显著相关。未来的研究可以使用纵向数据来确定因果关系,并在数据允许时,测试完整的照护者压力过程模型,以研究中介因素在不同比较环境中的作用。关于非正式照护负面结果风险因素的累积证据有助于开发有效的筛查工具,以识别和支持脆弱的照护者,随着人口老龄化,这一点变得越来越重要。