Impact of Caregiving During Emerging Adulthood on Frequent Mental Distress, Smoking, and Drinking Behaviors: United States, 2015-2017
Impact of Caregiving During Emerging Adulthood on Frequent Mental Distress, Smoking, and Drinking Behaviors: United States, 2015-2017
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DOI：
10.2105/ajph.2020.305894
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发表时间：
2020-12-01
影响因子：
12.7
通讯作者：
Littman, Alyson J.
中科院分区：
文献类型：
--
作者：
Grenard, Deborah L.;Valencia, Esteban J.;Littman, Alyson J.
目标。研究18至25岁的美国新成年人群中护理心理或行为健康结果之间的关系。研究样本包括2015 - 2017年行为风险因素监测系统看护模块的新兴成人受访者。暴露者为照顾者（n = 3087）、期待照顾者（n = 2303）和非照顾者（n = 12216）。预期照顾者被定义为目前不提供照顾，但预计在未来两年内这样做的人。结果包括频繁的精神困扰（FMD）、饮酒（酗酒或重度饮酒）和当前吸烟（吸烟或使用电子烟）。我们使用稳健泊松回归计算校正患病率（APRs）和相应的95%置信区间（CIs）。我们根据收入调整了所有模型。照护者与准照护者（APR = 1.67; 95% CI = 1.28, 2.17）和非照护者（APR = 1.50; 95% CI = 1.23, 1.82）相比，手足口病的患病率相似。与非护理人员相比，护理人员目前吸烟的患病率更高（APR = 1.44; 95% CI = 1.21, 1.71）。在新生成人中，提供护理与较差的心理健康有关。当我们将护理人员与准护理人员进行比较时，观察FMD的点估计值更高，这表明对照组之间的互换性存在差异。公共卫生影响。这项研究强调了在护理研究中纳入新成人的重要性。
Objectives. To examine associations between caregiving mental or behavioral health outcomes among emerging US adults, defined as persons aged 18 to 25 years.Methods. The study sample included emerging adult respondents to the 20152017 Behavioral Risk Factor Surveillance System's caregiving module. Exposures were caregiver (n = 3087), expectant caregiver (n = 2303), and noncaregiver (n = 12 216) status. Expectant caregivers were defined as persons not currently providing care but anticipating doing so within the next 2 years. Outcomes included frequent mental distress (FMD), drinking (binge or heavy), and current smoking (cigarette or e-cigarette use). We used robust Poisson regression to calculate adjusted prevalence ratios (APRs) and corresponding 95% confidence intervals (CIs). We adjusted all models for income.Results. Caregivers had a similar prevalence of FMD when compared with both expectant caregivers (APR = 1.67; 95% CI = 1.28, 2.17) and noncaregivers (APR = 1.50; 95% CI = 1.23, 1.82). Caregivers had a higher prevalence of current cigarette smoking compared with noncaregivers (APR = 1.44; 95% CI = 1.21, 1.71).Conclusions. Among emerging adults, providing care is associated with poorer mental health. Point estimates looking at FMD were higher when we compared caregivers with expectant caregivers, suggesting a difference in exchangeability between comparison groups.Public Health Implications. This study highlights the importance of including emerging adults in caregiving research.