Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: results of caregiver-study of osteoporotic fractures.
Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: results of caregiver-study of osteoporotic fractures.
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DOI：
10.1111/j.1532-5415.2010.02808.x
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发表时间：
2010-05
影响因子：
6.3
通讯作者：
Study of Osteoporotic Fractures
中科院分区：
文献类型：
--
作者：
Fredman L;Cauley JA;Hochberg M;Ensrud KE;Doros G;Study of Osteoporotic Fractures
关于生育对死亡率影响的研究结果不一致，而且没有一项研究调整了感知压力。本研究调查了照顾者地位和高压力对老年妇女8年以上死亡风险的单独和联合影响。在美国四个社区进行的前瞻性队列研究从1999 - 2001年（基线）到2007年12月31日。在家进行面试。来自骨质疏松性骨折护理者研究（护理者-SOF）的375名护理者和694名非护理者参与者参加了基线护理者-SOF访谈。照顾者状态基于SOF受访者自我报告为有障碍的亲戚或朋友进行≥ 1次工具性或基本ADL。压力的两种测量方法：感知压力量表和与工作任务相关的压力。全因死亡率为结局。照顾者比非照顾者压力更大; 19.7%的照顾者和27.4%的非照顾者死亡。照料者的死亡率低于非照料者（校正的风险比，HR = 0.74，95%置信区间，0.56 - 0.89）。在随访的前三年，与低压力的受访者相比，高压力的受访者的死亡风险增加（调整后的HR = 1.81，1.16 - 2.82），但在以后的几年里没有。同样，与低压力的非照顾者相比，高压力的照顾者和非照顾者的死亡风险增加。然而，低压力照顾者的死亡率显着低于非照顾者，无论是感知压力或与工作相关的压力进行测量（调整后的HR = 0.67和0.57）。在比较配偶照顾者和已婚非照顾者的分析中也观察到类似的结果。压力的短期影响，而不是压力本身，可能会增加老年照顾者健康下降的风险。
Studies of the effects of caregiving on mortality have inconsistent results, and none have adjusted for perceived stress. This study investigated the separate and combined effects of caregiver status and high stress on mortality risk over 8 years among elderly women. Prospective cohort study conducted in four U.S. communities followed from 1999–2001 (baseline) to December 31, 2007. Home-based interviews. 375 caregiver and 694 non-caregiver participants from the Caregiver-Study of Osteoporotic Fractures (Caregiver-SOF) who participated in the baseline Caregiver-SOF interview. Caregiver status was based on SOF respondents’ self-report of performing ≥1 instrumental or basic ADLs for a relative or friend with impairments. Two measures of stress: Perceived Stress Scale, and stress related to caregiving tasks. All-cause mortality was the outcome. Caregivers were more stressed than non-caregivers; 19.7% of caregivers and 27.4% of non-caregivers died. Mortality was lower in caregivers than non-caregivers (adjusted hazards ratio, HR = 0.74, 95% confidence interval, 0.56–0.89). High-stress respondents had increased mortality risk compared to low-stress respondents over the first three years of followup (adjusted HR = 1.81, 1.16–2.82), but not in later years. Likewise, high-stress caregivers and non-caregivers had elevated mortality risk compared to low-stress non-caregivers. Low-stress caregivers, however, had significantly lower mortality than did non-caregivers, whether perceived stress or caregiving-related stress was measured (adjusted HRs = 0.67 and 0.57). Similar results were observed in analyses comparing spouse caregivers to married non-caregivers. Short-term effects of stress, not caregiving per se, may increase the risk of health decline in older caregivers.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
120.7
作者：
CUMMINGS, SR;BLACK, DM;VOGT, TM
通讯作者：
VOGT, TM
影响因子：
120.7
作者：
Schulz, R;Beach, SR
通讯作者：
Beach, SR
DOI：
10.1093/geronb/62.1.p28
发表时间：
2007-01-01
影响因子：
6.2
作者：
Gruenewald, Tara L.;Karlamangla, Arun S.;Seeman, Teresa E.
通讯作者：
Seeman, Teresa E.
影响因子：
12.7
作者：
McCann, JJ;Hebert, LE;Evans, DA
通讯作者：
Evans, DA