Assessing Social Inequalities in Older Family Caregivers' Frailty Conditions, Comorbidity, and Cognitive Functioning: A Cross-sectional Study.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI:10.1177/23337214231214082

Roosa-Maria Savela, Tarja Välimäki, Outi Kiljunen, Irma Nykänen, Sohvi Koponen, Anna Liisa Suominen, Ursula Schwab

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Abstract

We aimed to assess the social inequalities in older family caregivers' frailty conditions, comorbidity, and cognitive functioning. A cross-sectional study was conducted. Study participants were recruited in 2019 in Finland. First, cognitive functioning was assessed with a Mini-Mental State Examination, comorbidity with the modified Functional Comorbidity Index, and frailty conditions were evaluated using the abbreviated Comprehensive Geriatric Assessment. Study participants were also interviewed on socioeconomic factors. The social inequalities in these health outcomes were assessed using the Independent Samples t-test, Pearson Chi-square test, and Binary Logistic Regression Analysis. Family caregivers' (n = 125) mean age was 74, and 73% had frailty conditions. Family caregivers' social inequalities in frailty conditions were linked to their older age and the lowest caregiving cash benefit. Family caregivers' low educational attainment was also the main factor predicting their minor cognitive impairment. Family caregivers' social determinants of health should be fully assessed in their health assessment, policies, and programs to ensure healthy aging for both family caregivers and care recipients in the future.

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评估老年家庭照顾者的虚弱状况、合并症和认知功能的社会不平等：一项横断面研究。

我们旨在评估老年家庭照顾者的虚弱状况、合并症和认知功能方面的社会不平等。我们开展了一项横断面研究。研究参与者于 2019 年在芬兰招募。首先，用 "小型精神状态检查"（Mini-Mental State Examination）评估认知功能，用 "改良功能并发症指数"（Modified Functional Comorbidity Index）评估并发症，用 "老年病综合评估"（Comprehensive Geriatric Assessment）缩略版评估虚弱状况。研究参与者还接受了有关社会经济因素的访谈。使用独立样本 t 检验、皮尔森卡方检验和二元逻辑回归分析评估了这些健康结果中的社会不平等现象。家庭照顾者（n = 125）的平均年龄为 74 岁，73% 的照顾者患有虚弱症。家庭照顾者在虚弱状况方面的社会不平等与他们的高龄和最低的照顾现金福利有关。家庭照顾者受教育程度低也是预测其轻微认知障碍的主要因素。家庭照顾者的健康社会决定因素应在其健康评估、政策和计划中得到充分评估，以确保家庭照顾者和照顾对象在未来都能健康地步入老年。

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来源期刊

Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology

CiteScore

2.90

自引率

3.70%

发文量

119

审稿时长

12 weeks

期刊介绍： Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.