학술논문

Gender and socio-economic inequalities in health and living conditions among co-resident informal caregivers: a nationwide survey in Spain.
Document Type
Article
Source
Journal of Advanced Nursing (John Wiley & Sons, Inc.). Mar2017, Vol. 73 Issue 3, p700-715. 16p.
Subject
*SURVEYS
*CAREGIVERS
*CHI-squared test
*CONCEPTUAL structures
*CONFIDENCE intervals
*MENTAL depression
*DEVELOPMENTAL disabilities
*FISHER exact test
*RESEARCH methodology
*PEOPLE with disabilities
*POISSON distribution
*RESEARCH funding
*STATISTICAL sampling
*SEX distribution
*SOCIAL classes
*SOCIAL skills
*EMPIRICAL research
*QUANTITATIVE research
*SECONDARY analysis
*SOCIAL support
*SOCIOECONOMIC factors
*HEALTH equity
*BURDEN of care
*CROSS-sectional method
*DESCRIPTIVE statistics
*ODDS ratio
Language
ISSN
0309-2402
Abstract
Aims To explore the associations between social determinants, caregiver's network support, burden of care and their consequences in health and living conditions of informal caregivers. Background The socio-demographic trends regarding population ageing and changes in family models trigger an increased demand for care. Design Cross-sectional study based on the 2008 edition of the National Disability, Independence and Dependency Situations Survey ( DIDSS-2008) conducted by the National Statistics Institute in Spain. Methods Analyses focused on persons identified as primary caregivers who co-reside with the dependent person. The associations between social determinants of caregivers, burden of care, support network and problems attributed to informal care (impaired health, depression, professional, economic and personal issues) were estimated by fitting robust Poisson regression models. Analyses were conducted separately for women and men. Results The study sample included 6923 caregivers, 73% of women and 27% of men. Gender and socio-economic inequalities were found in assumption of responsibilities and burden of caring for dependents, which tend to fall more on women and persons of lower socio-economic level, who in turn have less access to formal support. These aspects translate into a higher prevalence of health, professional, economic and personal problems. Conclusions The study highlights gender and socio-economic inequalities in informal caregiving and its negative consequences. These findings may be useful in the design of policies and support programmes targeting the most affected groups of informal caregivers. [ABSTRACT FROM AUTHOR]