Department of Health Policy and Management, Bloomberg School of Public Health; Roger C. Lipitz Center for Integrated Health Care; and Hopkins Economics of Alzheimer's Disease and Services Center, Johns Hopkins University, Baltimore, MD, USA.
Department of Medical Ethics and Health Policy, Perelman School of Medicine; Leonard Davis Institute; Division of Pulmonary, Allergy, and Critical Care, Department of Medicine; and Palliative and Advanced Illness Research Center, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Demography. 2024 Jun 1;61(3):829-847. doi: 10.1215/00703370-11383976.
A growing proportion of individuals adopt family caregiving roles. Family caregivers are the primary providers of long-term care in the United States yet limited federal policy supports exist, despite the known negative impacts of caregiving. There is also limited information about the prevalence of youth/young adult caregivers and the impacts of caregiving at formative ages in the United States. Our objective is to estimate the prevalence of youth caregivers and examine the association of caregiving with educational investments. We use the American Time Use Survey (2013-2019) to identify and describe youth caregivers (aged 15-18) and young adult caregivers (aged 19-22) and compare them with non-caregiving peers. We estimate that there are approximately 1,623,000 youth caregivers and 1,986,000 young adult caregivers, corresponding to 9.2% and 12.7% of these age groups, respectively. However, there is a wide range in the estimated prevalence per year, from approximately 364,000 to 2.8 million youth caregivers and from 353,000 to 2.2 million young adult caregivers, depending on caregiver definition. Unlike adult caregivers, we find that young men and women were nearly equally likely to provide care. We also find that non-White individuals are disproportionately represented as youth caregivers. Compared with non-caregiving peers, both youth and young adult caregivers are less likely to be enrolled in school and, among those enrolled in school, spend significantly less time on educational activities. Considering the association of caregiving among youth/young adults and education, policies supporting youth and young adult caregivers are critical.
越来越多的人承担起家庭护理的角色。在美国,家庭护理人员是长期护理的主要提供者,但联邦政策的支持有限,尽管人们已经认识到护理的负面影响。关于美国青年/年轻成年护理人员的普遍程度以及在形成期护理的影响,信息也有限。我们的目标是估计青年护理人员的比例,并研究护理与教育投资之间的关系。我们使用美国时间使用调查(2013-2019 年)来识别和描述青年护理人员(15-18 岁)和年轻成年护理人员(19-22 岁),并将他们与非护理同龄人进行比较。我们估计,大约有 1623000 名青年护理人员和 1986000 名年轻成年护理人员,分别占这些年龄段的 9.2%和 12.7%。然而,每年的估计患病率差异很大,从大约 364000 到 280 万青年护理人员,以及从 353000 到 220 万年轻成年护理人员不等,具体取决于护理人员的定义。与成年护理人员不同,我们发现年轻男性和女性提供护理的可能性几乎相同。我们还发现,非白人在青年护理人员中所占比例不成比例。与非护理同龄人相比,青年和年轻成年护理人员上学的可能性较小,在上学的人中,用于教育活动的时间也显著减少。考虑到青年/年轻成年护理人员与教育之间的关系,支持青年和年轻成年护理人员的政策至关重要。