Ramchand Rajeev, Dalton Sarah, Dubowitz Tamara, Hyde Kelly, Malika Nipher, Morral Andrew R, Ohana Elie, Parks Vanessa, Schell Terry L, Swabe Gretchen, Trail Thomas E, Williams Kayla M
Rand Health Q. 2024 Dec 10;12(1):7. eCollection 2024 Dec.
The authors produced new estimates of the number of adults caregiving in the United States today; investigated how those caring for wounded, ill, and injured service members and veterans compare with those caring for civilians and with non-caregivers; and share insights on the potential consequences of caregiving on caregiversapos health, their economic security, and their families' well-being. They also propose recommendations to strengthen caregiver support. The information in this study is derived from two sources. RAND researchers administered the 2023 RAND Caregiving Survey. The final analytic sample size was 2,946 respondents, including 513 military and veteran caregivers, and, for comparison, 1,205 civilian caregivers and 1,228 non-caregivers. RAND researchers also administered the 2022 RAND Veterans Survey, a survey of 1,100 veterans residing in the United States. There are 14.3 million military and veteran caregivers, representing 5.5 percent of the U.S. adult population. There are an additional 91.3 million civilian caregivers (35.0 percent of U.S. adults) caring for wounded, ill, or injured civilian adults. Across all caregivers, most (78 to 81 percent) spend between one and 30 hours per week providing care. Under 10 percent spend less than one hour per week, and 11 to 16 percent spend 31 hours or more per week caregiving. The estimated aggregate economic value generated by military/veteran caregiving activities, which are largely uncompensated, ranges from $119 billion to $485 billion per year. Military/veteran caregivers incur an estimated $8,583 in annual out-of-pocket costs associated with their caregiving responsibilities. Military/veteran caregivers forgo an estimated $4,522 in annual household income.
作者们对如今美国成年护理人员的数量进行了新的估算；调查了照顾受伤、患病和负伤的军人及退伍军人的护理人员与照顾平民的护理人员以及非护理人员相比情况如何；并分享了有关护理对护理人员健康、经济安全及其家庭福祉的潜在影响的见解。他们还提出了加强护理人员支持的建议。本研究中的信息来自两个来源。兰德公司的研究人员进行了2023年兰德护理调查。最终分析样本量为2946名受访者，其中包括513名军事和退伍军人护理人员，作为比较，还有1205名平民护理人员和1228名非护理人员。兰德公司的研究人员还进行了2022年兰德退伍军人调查，对居住在美国的1100名退伍军人进行了调查。有1430万军事和退伍军人护理人员，占美国成年人口的5.5%。还有另外9130万平民护理人员（占美国成年人的35.0%）照顾受伤、患病或负伤的成年平民。在所有护理人员中，大多数（78%至81%）每周花费1至30小时提供护理。不到10%的人每周花费不到1小时，11%至16%的人每周花费31小时或更多时间进行护理。军事/退伍军人护理活动产生的估计总经济价值（大部分未得到补偿）每年在1190亿美元至4850亿美元之间。军事/退伍军人护理人员估计每年因护理责任产生8583美元的自付费用。军事/退伍军人护理人员估计每年放弃4522美元的家庭收入。
