Neighborhood Characteristics and the Mental Health of Caregivers Cohabiting with Care Recipients Diagnosed with Alzheimer's Disease.
Neighborhood Characteristics and the Mental Health of Caregivers Cohabiting with Care Recipients Diagnosed with Alzheimer's Disease.
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DOI：
10.3390/ijerph18030913
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发表时间：
2021-01-21
影响因子：
--
通讯作者：
Lohman MC
中科院分区：
文献类型：
--
作者：
Alhasan DM;Hirsch JA;Jackson CL;Miller MC;Cai B;Lohman MC
虽然研究记录了照顾者和受照顾者因素对照顾者健康的影响，但解决社区环境的潜在影响很重要。本研究估计了与患有严重或非严重神经精神症状（如攻击性/焦虑）的阿尔茨海默病护理者同居的照顾者的社区特征与心理健康之间的横断面关联。我们获得了2010年从南卡罗莱纳阿尔茨海默病登记处收集的护理人员和护理接受者（n = 212）的数据。邻里指标（居住地1英里内）来自美国社区调查和城乡通勤区域代码。我们将社区家庭收入中位数分为“低”（< 31,000美元）、“中”（31,000 - 40,758美元）和“高”（40,758美元）三个等级，并将农村分为“大城市”、“小城市”和“农村”。我们使用负二项回归来估计照顾者心理健康的患病率（pr）和95%置信区间（ci）。平均年龄为58±10.3岁，85%为女性，55%为非西班牙裔黑人。在与患有严重NPS的接受者同居的照顾者中，生活在低收入社区（PR = 1.61 (95% CI = 1.26-2.04)）和中等收入社区（PR = 1.45 (95% CI = 1.17-1.78)）的照顾者在调整后比高收入社区经历了更高的痛苦。这些结果表明，邻里特征可能会放大照顾者所经历的其他社会压力源。
While studies have documented the influence of caregiver and care recipient factors on caregiver health, it is important to address the potential impact of neighborhood contexts. This study estimated the cross-sectional associations between neighborhood characteristics and mental health among caregivers cohabiting with Alzheimer’s disease care recipients that were experiencing severe or non-severe neuropsychiatric symptoms (NPSs) (e.g., aggression/anxiety). We obtained data collected in 2010 on caregivers and care recipients (n = 212) from a subset of South Carolina’s Alzheimer’s Disease Registry. Neighborhood measures (within 1 mile of the residence) came from the American Community Survey and the Rural-Urban Commuting Area Code. We categorized the neighborhood median household income into tertiles, namely, “low” (<$31,000), “medium” ($31,000–40,758), and “high” (>$40,758), and rurality as “large urban,” “small urban,” and “rural.” We used negative binomial regression to estimate the prevalence ratios (PRs) and 95% confidence intervals (CIs) for caregiver mental health using neighborhood characteristics. The mean age was 58 ± 10.3 years, 85% were women, and 55% were non-Hispanic Black. Among the caregivers cohabiting with a recipient experiencing severe NPS, higher distress was experienced by caregivers living in low- (PR = 1.61 (95% CI = 1.26–2.04)) and medium- (PR = 1.45 (95% CI = 1.17–1.78)) vs. high-income neighborhoods after an adjustment. These results suggest that neighborhood characteristics may amplify other social stressors experienced by caregivers.
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影响因子：
3.8
作者：
Kim, Heejung;Chang, Mido;Kim, Sunha
通讯作者：
Kim, Sunha
影响因子：
14
作者：
通讯作者：
--
影响因子：
2.1
作者：
Crouch, Elizabeth;Probst, Janice C.;Bennett, Kevin
通讯作者：
Bennett, Kevin
DOI：
10.1111/jrh.12273
发表时间：
2018-06
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：
Bouldin ED;Shaull L;Andresen EM;Edwards VJ;McGuire LC
通讯作者：
McGuire LC
影响因子：
5.5
作者：
Besser LM;McDonald NC;Song Y;Kukull WA;Rodriguez DA
通讯作者：
Rodriguez DA