Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-02-22 DOI:10.1177/08982643241235970

Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern

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Abstract

Objectives: This study examines the associations of ethnicity, caregiver burden, familism, and physical and mental health among Mexican Americans (MAs) and non-Hispanic Whites (NHWs).

Methods: We recruited adults 65+ years with possible cognitive impairment (using the Montreal Cognitive Assessment score<26), and their caregivers living in Nueces County, Texas. We used weighted path analysis to test effects of ethnicity, familism, and caregiver burden on caregiver's mental and physical health.

Results: 516 caregivers and care-receivers participated. MA caregivers were younger, more likely female, and less educated compared to NHWs. Increased caregiver burden was associated with worse mental (B = -0.53; p < .001) and physical health (B = -0.15; p = .002). Familism was associated with lower burden (B = -0.14; p = .001). MA caregivers had stronger familism scores (B = 0.49; p < .001).

Discussion: Increased burden is associated with worse caregiver mental and physical health. MA caregivers had stronger familism resulting in better health. Findings can contribute to early identification, intervention, and coordination of services to help reduce caregiver burden.

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探索照顾者健康之路：照顾者的负担、家庭主义和种族的作用。

研究目的本研究探讨了墨西哥裔美国人（MAs）和非西班牙裔白人（NHWs）的种族、照顾者负担、家庭主义以及身心健康之间的关联：我们招募了 65 岁以上可能存在认知障碍的成年人（使用蒙特利尔认知评估评分）：结果：516 名照顾者和接受照顾者参加了此次活动。与白种人相比，马萨诸塞州的护理者更年轻、更可能是女性、受教育程度更低。照顾者负担的增加与精神（B = -0.53；p < .001）和身体（B = -0.15；p = .002）健康状况的恶化有关。家庭主义与较低的负担相关（B = -0.14; p = .001）。马萨诸塞州护理人员的家庭主义得分更高（B = 0.49; p < .001）：讨论：负担加重与护理人员的身心健康状况恶化有关。马萨诸塞州的照顾者具有更强的家庭观念，因此健康状况更好。研究结果有助于早期识别、干预和协调服务，以帮助减轻照顾者的负担。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.