Wolff Jennifer L, Cornman Jennifer C, Freedman Vicki A
Jennifer L. Wolff (
Jennifer C. Cornman, Jennifer C. Cornman Consulting, Columbus, Ohio.
Health Aff (Millwood). 2025 Feb;44(2):187-195. doi: 10.1377/hlthaff.2024.00978.
The evolving composition and experiences of the family caregiver workforce have profound ramifications for public policy but are not well understood. Drawing on the linked National Health and Aging Trends Study and National Study of Caregiving, we found that the numbers of family caregivers providing help to older adults increased by nearly six million between 2011 and 2022, rising from 18.2 million to 24.1 million. Among older adults receiving care, network size was stable, at about two caregivers per older adult at both points in time. However, in 2022, family caregivers were assisting older adults who were younger, more likely to be male and better educated, and less likely to have dementia. We found few changes in competing work and child care responsibilities, weekly care hours, and caregiving-related difficulty. A smaller number of family caregivers were assisting fewer older adults with dementia, but in this group, co-residence increased by 25 percent, average care hours increased by 50 percent, and employment decreased. For family caregivers as a whole, challenges persist, and for those assisting people with dementia, tailored surveillance and effective support programs are needed.
家庭护理人员队伍不断变化的构成和经历对公共政策有着深远影响,但目前尚未得到充分理解。利用相关联的《国家健康与老龄化趋势研究》和《国家护理研究》,我们发现,2011年至2022年间,为老年人提供帮助的家庭护理人员数量增加了近600万,从1820万增至2410万。在接受护理的老年人中,护理人员网络规模保持稳定,两个时间点均为每位老年人约有两名护理人员。然而,2022年,家庭护理人员所照料的老年人年龄更小、男性比例更高、受教育程度更好,患痴呆症的可能性更低。我们发现,在竞争工作和育儿责任、每周护理时长以及护理相关困难方面几乎没有变化。协助患有痴呆症老年人的家庭护理人员数量减少,照料的老年人数量也减少,但在这一群体中,共同居住的比例增加了25%,平均护理时长增加了50%,就业人数减少。对于整个家庭护理人员群体而言,挑战依然存在,对于那些照料患有痴呆症患者的护理人员来说,需要有针对性的监测和有效的支持项目。