COMMUNITY EPIDEMIOLOGIC STUDY OF CAREGIVING AND HEALTH

护理和健康的社区流行病学研究

• 批准号: 6053966
• 负责人: LIESI E HEBERT
• 金额: $ 42.14万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6053966
• 关键词: African American; aging; angers; anxiety; behavioral /social science research tag; caregivers; caucasian American; clinical research; depression; health behavior; human old age (65+); human subject; income; longitudinal human study; mental health epidemiology; person with disability; racial /ethnic difference; religion; social support network

This is a revision of an application which was not funded. A population-based longitudinal study of the physical and psychological health effects of caregiving among African American and white community residents over age 65 is proposed to test the following hypotheses: 1) Caregivers will experience greater declines in physical health than non-caregivers as measured by: a. self-reported physical disability and health status; b. direct tests of physical performance; and c. self-reported health behaviors; 2) Caregivers will experience greater declines in psychological heal5th (depressive symptoms, anxiety, anger) and smaller increases in six measures of positive well-being than non-caregivers; 3) Negative consequences of caregiving will be modified both by characteristics of the care recipient and by the resources available to the caregiver: a. Negative consequences will increase with the severity of the care recipient's cognitive, physical, and behavioral problems and with greater duration and time spent providing care; b. Negative consequences will decrease with greater caregiver income and social support; 4) African American caregivers will experience fewer negative consequences than white caregivers, which will be explained by more positive appraisals of caregiving and greater religiosity. The study design permits observation of the full range of caregiving activities, consequences and mitigating factors in a population representative group of caregivers. The study will distinguish between health changes occurring in this age group due to other causes and those due to caregiving because caregivers will be compared to a truly representative group of non-caregivers selected from the same community cohort. Observations for some will begin before start of caregiving and extend after its end. The study will use standardized measures and will build on data already collected in conjunction with a group which has been successful in achieving high rates of follow-up participation in biracial community studies. Results will quantify the caregiving exposures that lead to health consequences. Factors found to minimize negative health effects will provide potential interventions to minimize stress and maintain the health of older caregivers, and thereby minimize the social and economic impacts of caregiving.

这是一个没有得到资助的应用程序的修订。一 以人群为基础的身心健康纵向研究 非洲裔美国人和白色社区居民之间的影响， 年龄65岁，建议测试以下假设：1）照顾者将 身体健康状况的下降幅度大于非护理人员， 通过：a.自我报告的身体残疾和健康状况; B.直接测试 物理性能;以及c.自我报告的健康行为; 2）照顾者将 经历心理健康的更大下降5（抑郁症状， 焦虑，愤怒）和六项积极幸福感指标的小幅增加 3）照顾者的负面后果将得到改善 根据护理接受者的特征和可用于 护理者：a.消极后果将随着事件的严重程度而增加。 护理接受者的认知，身体和行为问题， 持续时间和提供护理所花费的时间; B.负面影响将减少 有更多的照顾者收入和社会支持; 4）非洲裔美国人 看护者将比白色看护者经历更少的负面后果， 这将通过更多的积极评价来解释， 虔诚研究设计允许观察全范围的 人口中的自杀活动、后果和缓解因素 照顾者的代表性群体。这项研究将区分健康 由于其他原因和由于以下原因在该年龄组发生的变化： 因为照顾者将被比作一个真正有代表性的群体 从同一个社区群体中选出的非看护者。观测 有些会在开始前开始，在结束后延长。研究 将使用标准化的措施，并将建立在已经收集的数据， 与一个成功地实现了高比率的群体合作， 后续参与双胞胎社区研究。结果将量化 导致健康后果的过度暴露。发现的因素 最大限度地减少负面健康影响将提供潜在的干预措施， 最大限度地减少压力，保持老年护理人员的健康，从而 最大限度地减少生物多样性对社会和经济的影响。