Social determinants of health, psychological distress, and caregiver burden among informal cancer caregivers of cancer survivors during treatment.
Social determinants of health, psychological distress, and caregiver burden among informal cancer caregivers of cancer survivors during treatment.
复制标题
癌症幸存者在治疗期间的非正式癌症护理人员的健康、心理困扰和护理负担的社会决定因素。
DOI：
10.1080/07347332.2023.2248486
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发表时间：
2023
影响因子：
2.1
通讯作者：
Sikorskii,Alla
中科院分区：
文献类型：
--
作者：
Badger,Terry;Segrin,Chris;Crane,Tracy;Morrill,Kristin;Sikorskii,Alla
本研究比较了三个种族/种族群体的非正式癌症照顾者的健康和社会因素的心理困扰和carefulburn.MethodsThis研究的预测健康的社会决定因素是一个连续的多分配随机试验（SMART）的基线数据的二次分析测试症状管理干预与幸存者幸存者二人组。照顾者完成了健康的社会决定因素（SDoH），功能限制，心理困扰和照顾者负担的基线措施。西班牙裔，非西班牙裔白色，和非西班牙裔其他种族的照顾者进行了比较这些变量。SDoH和照顾者的负担和心理困扰之间的关联的多变量测试进行了结构方程模型与照顾者的负担和心理困扰作为潜变量。ResultsHispanic照顾者报告显着较高的照顾者的负担，特别是财务，家庭和时间表。照顾者的负担显着预测的收入几乎没有或不满足需求，是女性，社会孤立，已婚，西班牙裔，并有不良的身体功能。照顾者的心理困扰的显着预测：是女性，被社会孤立，并有不良的身体functions.ConclusionHispanic照顾者的经验与照顾者负担的重大挑战，特别是如果他们是女性，社会孤立，并有不良的身体功能。评估这些SDoH对于护理人员的健康非常重要，以便在分娩期间提供支持性护理。
ObjectiveThis study compared three ethnic/racial groups of informal cancer caregivers on social determinants of health and tested social determinants of health as predictors of psychological distress and caregiver burden.MethodsThis study was a secondary analysis of baseline data of a sequential multiple assignment randomized trial (SMART) testing symptom management interventions with caregiver-survivor dyads. Caregivers completed baseline measures of social determinants of health (SDoH), functional limitations, psychological distress, and caregiver burden. Hispanic, non-Hispanic White, and non-Hispanic other races caregivers were compared on these variables. Multivariate tests of associations between SDoH and caregiver burden and psychological distress were conducted in structural equation modeling with caregiver burden and psychological distress as latent variables.ResultsHispanic caregivers reported significantly higher caregiver burden, specifically for finances, family, and schedules. Caregiver burden was significantly predicted by having income barely or not meeting needs, being female, socially isolated, married, Hispanic, and having poor physical functioning. Significant predictors of caregivers’ psychological distress: being female, being socially isolated, and having poor physical functioning.ConclusionHispanic caregivers experience significant challenges associated with caregiver burden, especially if they are female, socially isolated, and have poor physical functioning. Assessment of these SDoH is important in caregiver health to provide supportive care during caregiving.Clinical Trial Registration NumberNCT03743415 www.clinicaltrials.gov.