COVID-19-Related Changes in Assistance Networks for U.S. Older Adults With and Without Dementia.
COVID-19-Related Changes in Assistance Networks for U.S. Older Adults With and Without Dementia.
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DOI：
10.1093/geronb/gbac089
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发表时间：
2023-03-13
影响因子：
6.2
通讯作者：
Freedman, Vicki A.
中科院分区：
文献类型：
--
作者：
Brown, Monique J.;Wang, Haowei;Lin, I-Fen;Gan, Daniel;Oyeyemi, Deborah;Manning, Mark;Freedman, Vicki A.
大流行前的研究表明，老年人的援助网络随着时间的推移而增长，对于痴呆症患者来说，援助网络更大。我们研究了老年人的援助网络如何应对2019年冠状病毒病（COVID-19）大流行的发生，以及这些变化是否与痴呆症患者和非痴呆症患者不同。我们使用了三轮国家健康和老龄化趋势研究。我们估计了多项逻辑回归模型，以测试COVID-19（2019-2020）期间援助网络的变化（定义为扩张，收缩和适应）是否与COVID-19（2018-2019）之前的变化不同。我们还估计了普通最小二乘回归模型，以测试在COVID-19之前和期间协助一个（专家）与多个（通才）领域的助手数量的差异。对于这两组结果，我们调查了患有和没有痴呆症的人与流行病相关的变化是否不同。在所有活动领域中，与COVID-19之前相比，COVID-19期间适应的援助网络比例更大（相对风险比= 1.19，p <0.05）。没有痴呆症的人发生网络收缩。为痴呆症患者和非痴呆症患者提供交通援助，为痴呆症患者提供行动/自我护理援助。2019冠状病毒病期间，通才助手的平均数量有所下降（β =-0.09，p <0.001）。在大流行早期，老年人援助网络通过替代助手、通过订约减少痴呆症患者接受更亲密任务的暴露以及通过减少交通援助来进行调整。未来的研究应探讨这些变化对老年人福祉及其援助网络的影响。
Prepandemic research suggests assistance networks for older adults grow over time and are larger for those living with dementia. We examined how assistance networks of older adults changed in response to the onset of the coronavirus disease 2019 (COVID-19) pandemic and whether these changes differed for those with and without dementia. We used 3 rounds of the National Health and Aging Trends Study. We estimated multinomial logistic regression models to test whether changes in assistance networks during COVID-19 (2019–2020)―defined as expansion, contraction, and adaptation―differed from changes prior to COVID-19 (2018–2019). We also estimated ordinary least squares regression models to test differences in the numbers of helpers assisting with one (specialist) versus multiple (generalist) domains before and during COVID-19. For both sets of outcomes, we investigated whether pandemic-related changes differed for those with and without dementia. Over all activity domains, a greater proportion of assistance networks adapted during COVID-19 compared to the pre-COVID-19 period (relative risk ratio = 1.19, p < .05). Contractions in networks occurred for those without dementia. Transportation assistance contracted for those with and without dementia, and mobility/self-care assistance contracted for those with dementia. The average number of generalist helpers decreased during COVID-19 (β = −0.09, p < .001). Early in the pandemic, assistance networks of older adults adapted by substituting helpers, by contracting to reduce exposures with more intimate tasks for recipients with dementia, and by reducing transportation assistance. Future research should explore the impact of such changes on the well-being of older adults and their assistance networks.
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DOI：
10.1177/15333175211008768
发表时间：
2021-01
期刊：
American journal of Alzheimer's disease and other dementias
影响因子：
--
作者：
Hwang Y;Connell LM;Rajpara AR;Hodgson NA
通讯作者：
Hodgson NA
DOI：
10.1093/geronb/gbz065
发表时间：
2020-09-01
影响因子：
6.2
作者：
Spillman, Brenda C.;Freedman, Vicki A.;Wolff, Jennifer L.
通讯作者：
Wolff, Jennifer L.
影响因子：
6.3
作者：
Riffin, Catherine;Van Ness, Peter H.;Fried, Terri
通讯作者：
Fried, Terri
影响因子：
5.7
作者：
Sheehan, Orla C.;Haley, William E.;Roth, David L.
通讯作者：
Roth, David L.
影响因子：
5
作者：
MESSERI, P;SILVERSTEIN, M;LITWAK, E
通讯作者：
LITWAK, E