Association between chronic illnesses in older adults and caregiver burden: a cross sectional study in the United States.

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-07-01 Epub Date: 2025-02-24 DOI:10.1080/13607863.2025.2468891

Yeajin Ham, Yeonju Jin, Ickpyo Hong, Ji-Hyuk Park

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Abstract

Objectives: Caregiver burden is a growing social issue with an increase in the number of older adults with chronic illnesses. We analyzed the association between chronic illnesses among older adults and caregiver burden in financial, emotional, and physical domains, adjusting for caregiver and older adult characteristics.

Method: We used secondary data from the 2022 National Health and Aging Trends Study and the 2022 National Study of Caregiving. Logistic regression analyses was used to assess associations between nine illnesses and each caregiver burden in 1,419 participants.

Results: Dementia was significantly associated with caregiver burden related to emotional difficulty (odds ratio [OR] = 2.04; 95% confidence interval [CI], 1.34-3.09) and physical difficulty (OR = 1.67, 95% CI, 1.01-2.78), but not financial difficulty. Furthermore, relationship with older adults, positive and negative self-esteem, the number of assistive activities of caregivers, and gender and physical capacity of older adults were significantly associated with caregiver burden.

Conclusion: These findings clarify the definition of caregiver burden and provide integrated results on caregiver burden in chronic illnesses and the characteristics of caregivers and older adults.

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老年人慢性疾病与照顾者负担之间的关系：美国的一项横断面研究。

目的：照顾者负担是一个日益严重的社会问题，随着老年慢性病患者数量的增加。我们分析了老年人慢性疾病与照顾者在经济、情感和身体方面的负担之间的关系，并根据照顾者和老年人的特征进行了调整。方法：采用来自2022年全国健康与老龄化趋势研究和2022年全国护理研究的辅助数据。使用逻辑回归分析评估1,419名参与者的9种疾病与每个照顾者负担之间的关系。结果：痴呆与情绪困难相关的照顾者负担显著相关(优势比[OR] = 2.04；95%可信区间[CI]， 1.34-3.09)和身体困难（OR = 1.67, 95% CI, 1.01-2.78），但没有经济困难。此外，老年人与老年人的关系、积极自尊和消极自尊、照顾者的辅助活动次数、老年人的性别和身体能力与照顾者负担显著相关。结论：这些研究结果澄清了照顾者负担的定义，并提供了慢性病照顾者负担以及照顾者和老年人特征的综合结果。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.