학술논문
Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.
Document Type
Academic Journal
Author
Mehdipanah R; School of Public Health, University of Michigan, Ann Arbor, MI, USA.; Briceño EM; Department of Physical Medicine & Rehabilitation, University of Michigan Medical School, Ann Arbor, MI, USA.; Malvitz M; Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.; Chang W; University of Michigan Institute for Social Research, Ann Arbor, MI, USA.; Lewandowski-Romps L; University of Michigan Institute for Social Research, Ann Arbor, MI, USA.; Heeringa SG; University of Michigan Institute for Social Research, Ann Arbor, MI, USA.; Levine DA; Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.; Zahuranec DB; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.; Langa KM; University of Michigan Institute for Social Research, Ann Arbor, MI, USA.; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.; Veterans Affairs Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA.; Gonzales XF; Department of Life Sciences, Texas A&M University-Corpus Christi, Corpus Christi, TX, USA.; Garcia N; Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.; Morgenstern LB; School of Public Health, University of Michigan, Ann Arbor, MI, USA.; Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
Source
Publisher: Sage Publications Country of Publication: United States NLM ID: 8912686 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6887 (Electronic) Linking ISSN: 08982643 NLM ISO Abbreviation: J Aging Health
Subject
Language
English
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.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.