Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults
Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults
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DOI：
10.2105/ajph.94.10.1800
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发表时间：
2004-10-01
影响因子：
12.7
通讯作者：
Evans, DA
中科院分区：
文献类型：
--
作者：
McCann, JJ;Hebert, LE;Evans, DA
目标。我们试图确定开始和结束护理的预测因素。在基线和3年随访中，我们采访了4245名65岁及以上的社区居民（黑人61.4%，白人38.4%，其他0.20%）。我们使用逻辑回归来检验基线非照护者开始照护和基线照护者继续照护的预测因子。在控制了人口统计变量后，身体健康的人更有可能成为照顾者并继续照顾。心理健康状况对开始照顾的影响不大，但心理健康状况的下降与继续照顾有关。保持身体健康和功能对老年人开始和继续照护的能力至关重要。比较目前照顾者与非照顾者的健康状况的研究可能大大低估了照顾对健康的影响。
Objectives. We sought to identify predictors of beginning and ending caregiving.Methods. At baseline and 3-year follow-up, we interviewed 4245 community residents (61.4% Black, 38.4% White, 0.20% other) aged 65 years or older. We used logistic regression to test predictors of beginning caregiving among baseline noncaregivers and of continuing caregiving among baseline caregivers.Results. After control for demographic variables, physically healthier individuals were significantly more likely to become caregivers and to continue caregiving. Mental health had little influence on beginning caregiving, but declining mental heath was associated with continuing caregiving.Conclusions. Maintenance of physical health and function is essential to the ability of older adults to begin and to continue caregiving. Studies that compare the health of current caregivers with that of noncaregivers may substantially underestimate the impact of caregiving on health.