Rural disparities in use of family and formal caregiving for older adults with disabilities.
Rural disparities in use of family and formal caregiving for older adults with disabilities.
复制标题
农村地区在利用家庭和正式护理为残疾老年人提供服务方面存在差异。
DOI：
10.1111/jgs.18376
复制
发表时间：
2023
影响因子：
6.3
通讯作者：
Coe,NormaB
中科院分区：
文献类型：
--
作者：
Miller,KatherineEM;Ornstein,KatherineA;Coe,NormaB
BackgroundAs federal and state policies rebalance long‐term care from institutional settings to home‐ and community‐based settings, reliance on formal (paid) and family (unpaid) caregivers for support at home nationally has increased in recent years. Yet, it is unknown if use of formal and family care varies by rurality.MethodsUsing the Health and Retirement Study, we describe patterns in receipt of combinations of formal and family home care and self‐reported expectation of nursing home use by rurality among community‐dwelling adults aged 65+ with functional limitations from 2004 to 2016.ResultsOlder adults residing in rural areas are more likely to receive any family care than those in urban areas. From 2004 to 2016, a higher proportion of older adults in rural areas receive care from family caregivers exclusively while a lower proportion receive care from formal caregivers exclusively. When examining older adults in urban areas, we find the opposite — a higher proportion of urban adults rely exclusively on formal care and a lower proportion rely exclusively on family care in 2016 compared to 2004.ConclusionWe find that national estimates of sources of caregiving and their changes over time mask significant heterogeneity in uptake by rurality. Understanding how older adults in rural areas are, or are not, receiving home‐based care compared to their urban peers and how these patterns are changing over time is the first step to informing supports for family and formal caregivers.
