Rural-urban differences in unpaid caregivers of adults

Rural-urban differences in unpaid caregivers of adults
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DOI:
10.22605/rrh4351
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发表时间:
2017-01-01
影响因子:
2.1
通讯作者:
Bennett, Kevin
Bennett, Kevin
中科院分区:
医学4区
文献类型:
--
作者:
Crouch, Elizabeth;Probst, Janice C.;Bennett, Kevin

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简介:美国成年人无偿照顾者特征的城乡差异进行了探索。方法:使用“美国2015年的照顾”,由全国护理联盟和美国退休人员协会进行的调查,对农村照顾者进行了全国性的检查(n=1352)。结果:农村照顾者报告较低的社会经济地位比城市照顾者(衡量收入,教育和就业),这表明照顾者的压力更大的可能性。在调整年龄,种族,教育程度和报告的照顾者负担的多变量分析中,居住地与照顾者自我报告的健康状况相关,但与身体,经济或情绪困扰无关。农村照顾者报告较差的公平健康的几率显着低于城市同行(调整后的比值比0.57,95%置信区间,0.360.91)。结论:这些研究结果可能表明不同的文化价值观在农村和城市受访者,而不是更好的健康在农村照顾者。了解农村照料者的特点可能有助于决策者有针对性地采取干预措施。
Introduction: Rural-urban differences in the characteristics of unpaid caregivers of adults in the USA were explored.Methods: Using 'Caregiving in the U.S. 2015', a survey fielded by the National Alliance for Caregiving and AARP, a national examination of rural caregivers (n=1352) is presented.Results: Rural caregivers reported lower socioeconomic status than urban caregivers (measured by income, education, and employment), suggesting greater likelihood of caregiver strain. In multivariable analysis adjusting for age, race, educational attainment, and reported caregiver burden, residence was associated with self-reported health status of the caregiver but not with physical, financial or emotional distress. The odds of rural caregivers reporting poor to fair health were significantly lower than their urban counterparts (adjusted odds ratio 0.57; 95% confidence interval, 0.360.91).Conclusions: These findings may indicate differing cultural values in rural and urban respondents, rather than better health among rural caregivers. Understanding the characteristics of rural caregivers may help policymakers target interventions.