Socioeconomic and demographic factors modify observed relationship between caregiving intensity and three dimensions of quality of life in informal adult children caregivers.
Socioeconomic and demographic factors modify observed relationship between caregiving intensity and three dimensions of quality of life in informal adult children caregivers.
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DOI：
10.1186/s12955-018-0996-6
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发表时间：
2018-08-29
影响因子：
3.6
通讯作者：
Cohen SA
中科院分区：
文献类型：
--
作者：
Cook SK;Snellings L;Cohen SA
非正式照护强度和照顾者健康之间的关系已经确立，尽管研究表明，这种关系可能会因照顾者的人口统计而异。这项探索性研究的目的是评估照看强度与生活质量结果的三个维度之间的关系，并确定照顾者的社会人口统计学特征如何改变非正式成年儿童照顾者之间这种关系的性质。利用2011年全国护理研究，对为年迈的父母提供护理的照顾者(n= 1014)的护理强度和生活质量之间的关联进行了研究。使用护理活动的顺序综合测量，包括日常生活活动(ADL)和日常生活工具活动(IADL)、每月工作时间和照顾时间，按种族/民族、性别、年龄和家庭收入分层，采用Logistic回归方法对照顾者的照看强度进行建模。计算优势比和相应的95%可信区间。照顾强度和生活质量之间的关联因种族/民族、性别、年龄和家庭年收入而有很大不同。白人照顾者在提供高强度护理时显著更有可能经历负面情绪负担(ADL：1.92，小时：3.23)。黑人照顾者更有可能体验到积极的照顾者情绪(ADL：2.68，小时：2.60)，以及年轻的照顾者(小时：8.49)。老年照顾者在提供高ADL、IADL和每月护理小时数时，更有可能经历社会负担。这些调查结果证明了护理的复杂性和多面性，并强调有必要针对非正规护理人员群体的具体健康需求制定办法。
The relationship between informal caregiving intensity and caregiver health is well-established, though research suggests this may vary by caregiver demographics. The aim of this exploratory study is to assess the association between caregiving intensity and three dimensions of quality of life outcomes, and determine how caregiver sociodemographics change the nature of this relationship among informal adult children caregivers. Using the 2011 National Study of Caregiving, associations between caregiving intensity and quality of life were examined in caregivers providing care to an aging parent (n = 1014). Logistic regression was used to model caregiver quality of life on caregiving intensity using an ordinal composite measure of caregiving activities, including Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), hours per month, and length of caregiving, stratified by race/ethnicity, gender, age, and family income. Odds ratios and corresponding 95% confidence intervals were calculated. Associations between caregiving intensity and quality of life varied substantially by race/ethnicity, gender, age, and annual family income. White caregivers were significantly more likely to experience negative emotional burden when providing high intensity care (ADL: 1.92, Hours: 3.23). Black caregivers were more likely to experience positive emotions of caregiving (ADL: 2.68, Hours: 2.60) as well as younger caregivers (Hours: 8.49). Older caregivers were more likely to experience social burden when providing high ADL, IADL, and monthly hours of care. These findings demonstrate the complex and multi-dimensional nature of caregiving, and emphasize the need to develop approaches that are tailored to the specific health needs of subpopulations of informal caregivers.
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影响因子：
12.7
作者：
Cannuscio, CC;Jones, C;Rimm, E
通讯作者：
Rimm, E
影响因子：
3.8
作者：
Kim, Heejung;Chang, Mido;Kim, Sunha
通讯作者：
Kim, Sunha
DOI：
10.1080/10911359.2012.646840
发表时间：
2012-01-01
影响因子：
1.6
作者：
Lee, Youjung;Smith, Laura
通讯作者：
Smith, Laura
影响因子：
5.4
作者：
Jacobs, Josephine C.;Laporte, Audrey;Coyte, Peter C.
通讯作者：
Coyte, Peter C.
影响因子：
4.1
作者：
Oldenkamp, Marloes;Hagedoorn, Mariet;Smidt, Nynke
通讯作者：
Smidt, Nynke