Faculty of Health and Community Studies, School of Social Work, MacEwan University, Edmonton, Alberta, Canada.
Department of Gerontology, Gerontology Research Centre, Simon Fraser University, Vancouver, British Columbia, Canada.
J Gerontol B Psychol Sci Soc Sci. 2023 Aug 2;78(8):1423-1434. doi: 10.1093/geronb/gbad075.
Older adults (65 years and older) are increasingly providing care for their spouses, family members, and nonkin others (e.g., friends and neighbors). However, available knowledge of older caregivers is limited to spousal caregivers and their psychological outcomes. Other caregiver role types or social outcomes among older caregivers are less well studied. Thus, this study examines the social participation and social support among older caregivers by comparing 3 types of older caregivers, including spousal caregivers, nonspouse family caregivers, and nonkin caregivers.
Participants for this study were drawn from the Baseline and Follow-up 1 data from the Canadian Longitudinal Study on Aging. A total of 3,789 older adults became caregivers during the 2 data collection time points. Linear mixed models were applied to examine the change of social participation and social support among the three caregiver role types over the course of survey.
The study finds that after transitioning into the caregiving role, spousal caregivers, and nonkin caregivers experienced a decline in social participation, and spousal caregivers also received less social support over time. When comparing the 3 caregiver role types, spousal caregivers reported the greatest decline in social participation and social support.
This study adds to the relatively limited knowledge of older caregivers by presenting the changes in social participation and social support after transitioning into 3 types of caregiver roles. The results indicate the need to provide support for caregivers, particularly spousal and nonkin caregivers, to help them maintain social relationships and networks for participation and support.
老年人(65 岁及以上)越来越多地照顾他们的配偶、家庭成员和非亲属(例如朋友和邻居)。然而,关于老年照顾者的现有知识仅限于配偶照顾者及其心理结果。其他照顾者角色类型或老年照顾者的社会结果研究较少。因此,本研究通过比较 3 种老年照顾者(配偶照顾者、非配偶家庭成员照顾者和非亲属照顾者),考察了老年照顾者的社会参与和社会支持。
本研究的参与者来自加拿大老龄化纵向研究的基线和随访 1 数据。共有 3789 名老年人在两次数据收集期间成为照顾者。线性混合模型用于检查这三种照顾者角色类型在调查过程中的社会参与和社会支持的变化。
研究发现,在过渡到照顾者角色后,配偶照顾者和非亲属照顾者的社会参与度下降,配偶照顾者的社会支持也随时间减少。在比较这 3 种照顾者角色类型时,配偶照顾者报告的社会参与和社会支持下降最大。
本研究通过展示 3 种照顾者角色转变后的社会参与和社会支持的变化,增加了对老年照顾者的相对有限的知识。研究结果表明,需要为照顾者提供支持,特别是配偶和非亲属照顾者,以帮助他们维持社会关系和网络以获得参与和支持。