Caregiving for Foreign-Born Older Adults With Dementia.
Caregiving for Foreign-Born Older Adults With Dementia.
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照顾外国出生的患有痴呆症的老年人。
DOI：
10.1093/geronb/gbac153
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Ajrouch,KristineJ
中科院分区：
文献类型：
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作者：
Garcia,MarcA;Diminich,EricaD;Lu,Peiyi;Arévalo,SandraP;Sayed,Linda;Abdelrahim,Randa;Ajrouch,KristineJ
ObjectivesThis study examined how nativity，dementia classification，and age of migration（AOM）of older foreign born（FB）adults are associated with carefulness psychological well-being and care burden.MethodsWe used linked data from Round 1 and Round 5 of the National Health and Aging Trends Study and Round 5 of the National Study of Caregiving for a sample of nondementia carefulers（n= 941），痴呆照顾者（n= 533），和匹配的照顾者。普通最小二乘回归模型估计，调整照顾者的characteristics.ResultsRelative非痴呆照顾者，痴呆照顾者更有可能提供照顾的老年FB成人（8.69%比26.70%），报告更多的援助与活动，更差的质量与照顾对象的关系，更高的照顾负担比nondementia照顾者。在调整后的模型中，出生状态×痴呆和AOM ×痴呆的相互作用表明，总体而言，晚年（50岁以上）迁移的老年痴呆症FB成年人的照顾者报告的心理健康状况低于那些照顾老年FB老年人的人，他们在（20-49岁）和（0-19岁）迁移。AOM的调节作用之间的联系，老年痴呆症的发病率和护理burden没有observed.DiscussionAge的老年FB成年人可能患有痴呆症的迁移可能有独特的影响照顾者的心理健康。我们的研究结果强调了考虑FB成人出生后的社会文化因素的重要性，以及研究开发文化上适当的干预措施以增强心理健康和减轻痴呆症照顾者的护理负担的必要性。
ObjectivesThis study examines how nativity, dementia classification, and age of migration (AOM) of older foreign-born (FB) adults are associated with caregiver psychological well-being and care burden.MethodsWe used linked data from Round 1 and Round 5 of the National Health and Aging Trends Study and Round 5 of the National Study of Caregiving for a sample of nondementia caregivers (n= 941), dementia caregivers (n= 533), and matched care recipients. Ordinary least squares regression models were estimated, adjusting for caregiver characteristics.ResultsRelative to nondementia caregivers, dementia caregivers were more likely to provide care for an older FB adult (8.69% vs. 26.70%), reported more assistance with caregiving activities, worse quality of relationship with care recipients, and higher care burden than nondementia caregivers. In adjusted models, interactions of nativity status × dementia and AOM × dementia revealed that overall, caregivers of older FB adults with dementia who migrated in late life (50+) reported lower psychological well-being than those caring for older FB older adults who migrated at (20–49 years) and (0–19 years). Moderating effects of AOM on the link between dementia caregiving and care burden were not observed.DiscussionAge of migration of older FB adults with probable dementia may have unique effects on the caregiver’s psychological well-being. Our results underscore the importance of considering sociocultural factors of FB adults beyond nativity and the need for research to develop culturally appropriate interventions to enhance psychological well-being and reduce the care burden among dementia caregivers.