The Disproportionate Impact Of Dementia On Family And Unpaid Caregiving To Older Adults
The Disproportionate Impact Of Dementia On Family And Unpaid Caregiving To Older Adults
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DOI：
10.1377/hlthaff.2015.0536
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发表时间：
2015-10-01
期刊：
影响因子：
9.7
通讯作者：
Wolff, Jennifer L.
中科院分区：
文献类型：
--
作者：
Kasper, Judith D.;Freedman, Vicki A.;Wolff, Jennifer L.
美国65岁及以上老年痴呆症患者的数量相当可观，预计还会增加，这引起了人们对家庭成员和其他无偿照顾者的需求的担忧。我们使用了2011年国家健康和老龄化趋势研究及其配套研究的数据，国家护理研究，以调查痴呆症在痴呆症中的作用。我们发现，在非机构化老年人的家庭和无偿照顾者中，三分之一的照顾者和他们提供的41%的帮助时间，帮助痴呆症患者，他们占老年非机构化成年人的10%。在接受帮助的老年人中，绝大多数在社区和养老院以外的住宿护理环境中依赖家庭或无偿护理人员（分别超过90%和80%），无论他们的痴呆状态如何。然而，对于社区环境中患有痴呆症的老年人，以及来自配偶或女儿或与护理对象一起生活的护理人员的护理最为密集。
The number of US adults ages sixty-five and older who are living with dementia is substantial and expected to grow, raising concerns about the demands that will be placed on family members and other unpaid caregivers. We used data from the 2011 National Health and Aging Trends Study and its companion study, the National Study of Caregiving, to investigate the role of dementia in caregiving. We found that among family and unpaid caregivers to older noninstitutionalized adults, one-third of caregivers, and 41 percent of the hours of help they provide, help people with dementia, who account for about 10 percent of older noninstitutionalized adults. Among older adults who receive help, the vast majority in both community and residential care settings other than nursing homes rely on family or unpaid caregivers (more than 90 percent and more than 80 percent, respectively), regardless of their dementia status. Caregiving is most intense, however, to older adults with dementia in community settings and from caregivers who are spouses or daughters or who live with the care recipient.