COMMUNITY EPIDEMIOLOGIC STUDY OF CAREGIVING AND HEALTH

这是一个没有资金支持的应用程序的修订版。一个 以人群为基础的身心健康纵向研究 非裔美国人和白人社区居民的照看效果 65岁的人被建议检验以下假设：1)照顾者将 根据测量，身体健康比非照顾者下降更多 由：a.自报身体残疾和健康状况；b.直接测试 身体表现；以及C.自我报告的健康行为；2)照顾者将 经历更大的心理健康下降5(抑郁症状， 焦虑、愤怒)和积极幸福感六项指标的较小增长 3)照看的负面后果将被修正 既根据护理对象的特点，也根据可用于 照顾者：a.负面后果会随着疾病的严重程度而增加 护理对象的认知、身体和行为问题，并有更多 提供护理的持续时间和时间；b.负面后果将减少 照顾者有更多的收入和社会支持；4)非裔美国人 照顾者将比白人照顾者经历更少的负面后果， 这将被对照看的更积极的评价和更大的 虔诚。研究设计允许观察所有范围的 护理活动、后果和缓解因素在人群中的研究 具有代表性的照顾者群体。这项研究将区分健康和 这一年龄段因其他原因和因以下原因发生的变化 照顾，因为照顾者将被比作一个真正具有代表性的群体 从同一社区队列中挑选的非照顾者。观察到的 有些将在照料开始之前开始，并在照料结束后延长。这项研究 将使用标准化的衡量标准，并将基于已在 与一个成功地实现了高比率的 后续参与混血社区研究。结果将量化 导致健康后果的看护暴露。发现的因素 将负面健康影响降至最低将提供潜在的干预措施 最大限度地减少压力，保持老年照顾者的健康，从而 将照料的社会和经济影响降至最低。

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.