Rural-urban differences in informal caregiving and health-related quality of life
Rural-urban differences in informal caregiving and health-related quality of life
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DOI：
10.1111/jrh.12581
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发表时间：
2021-05-06
影响因子：
4.9
通讯作者：
Greaney, Mary L.
中科院分区：
文献类型：
--
作者：
Cohen, Steven A.;Ahmed, Neelam;Greaney, Mary L.
目标：城乡健康差距在老年人中普遍存在。美国农村地区的老年人口比例过高，获得服务的机会减少，因此更依赖于家人和朋友的照顾。然而，人们对全国4 000多万非正规护理人员的城乡差距知之甚少。迫切需要了解城乡差异如何影响生活体验和健康相关的生活质量。本研究的目的是评估城乡差异的非正式的护理状态，护理强度（护理小时/周和提供的护理类型），和照顾者HRQoL.Methods：数据提取自2018年行为危险因素监测系统。衡量城乡地位的主要标准是“大都市地位”。使用广义线性模型，控制混杂因素和解释复杂sample.Results：农村受访者比城市受访者更有可能是照顾者（OR = 1.17，95%CI：1.02-1.34），检查了农村-城市状态和照顾强度和HRQoL的城乡差异之间的关联。在调整混杂因素后，农村照顾者比城市照顾者更有可能每周提供20小时或更多的照顾（OR 1.38，95%CI：1.07-1.77），尽管健康和HRQoL的结果有些混杂。结果表明，农村老年人比城市老年人提供更多的照顾，这可能对照顾者的健康，幸福，和生活质量。这些结果可以为旨在改善照顾者健康的政策提供信息，并促进现有政策，计划和干预措施的翻译和调整，以满足农村照顾者的需求。
Objectives: Rural-urban health disparities are pervasive among older adults. Rural US locations have a disproportionately high population of older adults, have reduced access to services, and are therefore more reliant on family and friends for care. However, little is known about rural-urban disparities among the 40+ million informal caregivers nationwide. There is a critical need to understand how rural-urban disparities impact caregiving experiences and health-related quality of life (HRQoL). The objectives of this study were to assess rural-urban differences in informal caregiving status, caregiving intensity (caregiving hours/week and types of care provided), and caregiver HRQoL.Methods: Data were abstracted from the 2018 Behavioral Risk Factor Surveillance System. The primary measure of rural-urban status was "metropolitan status." Associations between rural-urban status and caregiving and rural-urban differences in caregiving intensity and HRQoL were examined using generalized linear models, controlling for confounding and accounting for complex sampling.Results: Rural respondents were more likely to be caregivers than urban respondents (OR = 1.17, 95% CI: 1.02-1.34). After adjustment for confounders, rural caregivers were more likely than urban caregivers to provide 20 or more hours of caregiving per week (OR 1.38, 95% CI: 1.07-1.77), although the findings for health and HRQoL were somewhat mixed.Conclusion: Results indicate that rural older adults offer more care than urban counterparts, which may have implications for caregiver health, well-being, and quality of life. These results can inform policies designed to improve caregiver health, and facilitate the translation and adaptation of existing policies, programs, and interventions to address rural caregivers' needs.