Trend in Respite Use by Race Among Caregivers for People Living with Dementia.

Trend in Respite Use by Race Among Caregivers for People Living with Dementia.
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痴呆症患者护理人员按种族划分的暂托服务使用趋势。

DOI:
10.1093/gerona/glae036
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发表时间:
2024
期刊:
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子:
--
通讯作者:
Li,Yue
Li,Yue
中科院分区:
--
文献类型:
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作者:
Kim,Yeunkyung;Kim,Jihye;Kim,Hyunjee;Park,Sungchul;Li,Yue

文献摘要

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BackgroundRespite care provides short-term relief for caregivers. Despite efforts to promote respite use among Black caregivers, little is known if disparities in respite use between Black and White dementia caregivers have decreased over time. We examined a trend nationally to see if more recent efforts may have helped reduce disparities in respite use.MethodsWe used a repeated cross-sectional design, with the data from 2015, 2017, and 2021 of the National Health and Aging Trends Study and National Study of Caregiving. Our study sample included 764 (in 2015), 839 (in 2017), and 521 (in 2021) non-Hispanic White and Black caregivers who provided care to older adults living with dementia, representing weighted 5 157 569 (2015), 5 877 997 (2017), and 4 712 144 (2021) dementia caregivers nationally. We conducted logistic regression models to assess the differences in respite use between White and Black caregivers over time.ResultsIn 2015, Black dementia caregivers had a respite care use rate 11.6 percentage points (95% CI: −16.9 to −6.4) lower than that of White dementia caregivers. However, both in 2017 and 2021, the difference in the use of respite was not statistically significant, leading to a reduced or no gap in respite use between White and Black dementia caregivers. However, respite use remained low in both groups.ConclusionsAlthough the gap in respite use between Black and White dementia caregivers had been gradually narrowed over time, more efforts are needed to encourage more respite use among both groups through targeted efforts to address factors that hinder respite use.