BLACK RURAL AND URBAN CAREGIVERS--MENTAL HEALTH/FUNCTION

农村和城市黑人看护者——心理健康/功能

• 批准号: 6372248
• 负责人: LETHA A CHADIHA
• 金额: $ 17.77万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-01 至 2002-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6372248
• 关键词: African American; Medicare /Medicaid; attitude; behavioral /social science research tag; caregivers; clinical research; coping; culture; female; functional ability; geriatric nursing; health care quality; health care service utilization; health services research tag; human subject; interview; questionnaires; role; rural area; urban area; women's health

African-American women caregivers are vulnerable to poor mental health and social functioning due to their minority status and the high levels of care they provide to disabled elders. Moreover, African-American women provide such care in the context of less formal service. Research and theory suggest that rural and urban African-American women caregivers differ in their mental health, social functioning, and service use; however, virtually no systematic research has addressed these issues. This study will assess the mental health and social functioning of rural and urban African-American women who provide unpaid care to an elder (65 years and older) and will identify factors related to their service use. Using a cross-sectional research design and random sample of elders, this study will yield data on 300 rural and 300 urban African-American women caregivers living in the St. Louis metropolitan and southeastern Missouri Bootheel area. Three years of funding are requested to address four specific aims: (1) To assess and compare caregivers' mental health and functioning; (2) To identify type and quality of caregivers' formal and informal service use; (3) To determine caregiver and care recipient factors associated with caregivers' mental health and social functioning; and (4) To determine caregiver and care recipient factors associated with caregivers' service use. Data will be obtained through personal interviews. Trained African-American female interviewers will screen elders by telephone for caregiver referrals and conduct face-to-face interviews through a structured questionnaire in their home. Data analysis and interpretation will be guided by a stress and coping framework with elements of a life course perspective model. Study results will guide development of policy, programs and services promoting African-American women caregivers' mental health, social functioning, and service use.

非裔美国女性照顾者由于其少数群体地位以及她们向残疾老年人提供的高水平护理，很容易受到心理健康和社会功能不良的影响。此外，非裔美国妇女在非正式服务的背景下提供这种照顾。研究和理论表明，农村和城市的非裔美国女性照顾者在心理健康、社会功能和服务使用方面存在差异；然而，几乎没有系统的研究来解决这些问题。这项研究将评估为老年人(65岁及以上)提供无偿护理的农村和城市非裔美国妇女的心理健康和社会功能，并将确定与其服务使用相关的因素。这项研究使用横断面研究设计和老年人的随机抽样，将产生居住在圣路易斯大都市和密苏里州东南部Bootheel地区的300名农村和300名城市非裔美国女性照顾者的数据。要求提供三年的资金，以解决四个具体目标：(1)评估和比较照顾者的心理健康和功能；(2)确定照顾者正式和非正式服务使用的类型和质量；(3)确定与照顾者的心理健康和社会功能有关的照顾者和照顾者因素；(4)确定与照顾者的服务使用有关的照顾者和照顾者因素。数据将通过个人面谈获得。受过培训的非裔美国女性面试者将通过电话筛选老年人的照顾者转介，并在他们的家中通过结构化问卷进行面对面的面谈。数据分析和解释将以压力和应对框架为指导，并以生命过程透视模型的要素为指导。研究结果将指导促进非裔美国女性照顾者的心理健康、社会功能和服务使用的政策、计划和服务的发展。