Can culture help explain the physical health effects of caregiving over time among African American caregivers?
Can culture help explain the physical health effects of caregiving over time among African American caregivers?
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DOI：
10.1093/geronb/59.3.s138
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发表时间：
2004-05-01
影响因子：
6.2
通讯作者：
Williams, SW
中科院分区：
文献类型：
--
作者：
Dilworth-Anderson, P;Goodwin, PY;Williams, SW
目标。本研究的目的是纵向研究 107 名非裔美国护理人员的健康结果，这些护理人员为其老年受抚养家庭成员提供护理，并确定文化在预测健康结果中的作用。方法。以 Pearlin 及其同事 (1990) 的压力和应对模型为指导，通过分层多元回归分析，分析了背景特征和压力源的直接影响以及资源（包括文化）对两种看护者健康结果（即社会心理健康和身体功能）的直接影响和中介影响。与其他研究类似，我们发现第一波护理人员背景特征、压力源和资源的组合对第三波非裔美国护理人员的健康结果有直接影响。与之前没有测量文化的研究不同，我们发现文化信仰和价值观确实有助于解释非裔美国护理人员的健康结果。具体来说，护理的文化理由、基线心理社会健康和护理掌握程度预测了第三波心理社会健康。第 1 波的看护者教育、发病数量和身体机能与第 3 波的身体机能相关。讨论。这项研究的结果对未来的研究具有影响，特别是在非裔美国护理人员的文化信仰和价值观方面。
Objectives. The purposes of this study were to longitudinally examine the health outcomes of 107 African American caregivers who provided care to their elderly dependent family members and to determine the role of culture in predicting health outcomes.Methods. With use of the stress and coping model of Pearlin and colleagues (1990) as a guide, the direct effects of background characteristics and stressors and the direct and mediating effects of resources (including culture) on two caregiver health outcomes (i.e., psychosocial health and physical functioning) were analyzed with hierarchical multiple regression analyses.Results. Similar to other studies, we found that combinations of caregiver background characteristics, stressors, and resources at wave I had direct effects on African American caregivers' health outcomes at wave 3. Unlike previous studies, where culture was not measured, we found that cultural beliefs and values did help to explain health outcomes for African American caregivers. Specifically, culture justifications for caregiving, baseline psychosocial health, and caregiving mastery predicted wave 3 psychosocial health. Caregiver education, number of morbidities, and physical functioning at wave 1 were associated with physical functioning at wave 3.Discussion. The findings from this study have implications for future studies, particularly in regard to cultural beliefs and values among African American caregivers.