Financial and Health Barriers and Caregiving-Related Difficulties Among Rural and Urban Caregivers.
Financial and Health Barriers and Caregiving-Related Difficulties Among Rural and Urban Caregivers.
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DOI：
10.1111/jrh.12273
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
McGuire LC
中科院分区：
文献类型：
--
作者：
Bouldin ED;Shaull L;Andresen EM;Edwards VJ;McGuire LC
评估在农村照料者中，经济或健康方面的障碍是否更为普遍，以及农村照料者是否比城市照料者经历了更多与照料有关的困难。我们使用了来自2011-2013年行为风险因素监测系统的10个州的7，436名受访者的数据。如果受访者报告因长期疾病或残疾而向家庭成员或朋友提供护理，则将其归类为护理人员。如果受访者居住在大都市统计区（MSA）之外，我们将他们归类为居住在农村地区。我们将财务障碍定义为家庭年收入<25，000美元，或者在过去一年中由于费用原因无法在需要时看医生。我们将健康障碍定义为具有多种慢性健康状况、残疾或自我评定的健康状况一般或较差。农村照顾者比城市照顾者更经常有经济障碍（38.1%对31.0%，p=0.0001），但健康障碍的患病率相似（43.3%对40.6%，p=0.18）。在对人口差异进行调整后，农村照顾者的财务障碍仍然更为普遍。在未校正和校正的模型中，农村照顾者比城市照顾者更不可能报告生育造成任何困难（校正的患病率[PR]=0.90; p<0.001）。非正规护理人员，特别是农村地区的非正规护理人员，面临财政障碍。与城市照料者相比，农村照料者报告与照料有关的困难的可能性较小。农村照顾者的应对策略或技能，在确定非正式的支持可以解释这种差异，但需要更多的研究来探讨这一假设。
To assess whether financial or health-related barriers were more common among rural caregivers and whether rural caregivers experienced more caregiving-related difficulties than their urban peers. We used data from 7,436 respondents to the Caregiver Module in 10 states from the 2011-2013 Behavioral Risk Factor Surveillance System. Respondents were classified as caregivers if they reported providing care to a family member or friend because of a long-term illness or disability. We classified respondents as living in a rural area if they lived outside of a Metropolitan Statistical Area (MSA). We defined a financial barrier as having an annual household income <$25,000 or not being able see a doctor when needed in the past year because of cost. We defined a health barrier as having multiple chronic health conditions, a disability, or fair or poor self-rated health. Rural caregivers more frequently had financial barriers than urban caregivers (38.1% versus 31.0%, p=0.0001), but the prevalence of health barriers was similar (43.3% versus 40.6%, p=0.18). After adjusting for demographic differences, financial barriers remained more common among rural caregivers. Rural caregivers were less likely than their urban peers to report that caregiving created any difficulty in both unadjusted and adjusted models (adjusted prevalence ratio [PR]=0.90; p<0.001). Informal caregivers, particularly in rural areas, face financial barriers. Rural caregivers were less likely than urban caregivers to report caregiving-related difficulties. Rural caregivers’ coping strategies or skills in identifying informal supports may explain this difference, but additional research is needed to explore this hypothesis.
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DOI：
10.1111/j.1748-0361.2010.00340.x
发表时间：
2011
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Bigbee JL;Musil C;Kenski D
通讯作者：
Kenski D
影响因子：
3.2
作者：
Davis, Linda Lindsey;Chestnutt, Deborah;Gilliss, Catherine L.
通讯作者：
Gilliss, Catherine L.
影响因子：
4.2
作者：
del-Pino-Casado, Rafael;Perez-Cruz, Margarita;Frias-Osuna, Antonio
通讯作者：
Frias-Osuna, Antonio
影响因子：
4.9
作者：
Kumar, V;Acanfora, M;Kalache, A
通讯作者：
Kalache, A
影响因子：
3
作者：
O'Connell, Megan E.;Germaine, Nicole;Morgan, Debra G.
通讯作者：
Morgan, Debra G.