Informal Care Receiving Among Older Adults: The Role of Multimorbidity and Intersectional Social Position

被引:0
作者
Liu, Ruotong [1 ]
Nagel, Corey L. [2 ]
Chen, Siting [3 ]
Allore, Heather G. [4 ,5 ]
Quinones, Ana R. [1 ,3 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Family Med, Portland, OR 97239 USA
[2] Univ Arkansas Med Sci, Coll Nursing, Little Rock, AR USA
[3] OHSU PSU Sch Publ Hlth, Portland, OR 97201 USA
[4] Yale Univ, Dept Internal Med, New Haven, CT USA
[5] Yale Univ, Dept Biostat, New Haven, CT USA
基金
美国国家卫生研究院;
关键词
Caregiving; Multimorbidity; Cognitive impairment; FUNDAMENTAL CAUSES; SEX-DIFFERENCES; HEALTH; DISABILITY; GENDER; FAMILY; DETERMINANTS; COMBINATIONS; ASSOCIATIONS; DISPARITIES;
D O I
10.1093/geront/gnaf071
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Background and Objectives Older adults with distinct multimorbidity combinations may require varying intensities of informal care and these needs may vary in important ways by race/ethnicity and sex. This study aims to examine informal care-receiving characteristics among older adults with varying multimorbidity patterns and race/ethnicity-sex characteristics.Research Design and Methods A total of 4,875 participants from the National Health and Aging Trends Study were included. Five clinically informed multimorbidity categories (no condition(s), somatic-only, depression without cognitive impairment, cognitive impairment without depression, both depression, and cognitive impairment) and 6 intersectional groups (non-Hispanic White female, non-Hispanic White male, non-Hispanic Black female, non-Hispanic Black male, Hispanic female, and Hispanic male) were assessed. Negative binomial regression was applied to explore the associations among multimorbidity groups, race/ethnicity and sex combinations, and informal care-receiving characteristics.Results Compared with the somatic-only multimorbidity group, individuals with no condition(s) received assistance with fewer ADL/IADL activities, whereas the cognitive impairment multimorbidity group received assistance with more ADL/IADL activities. Across race/ethnicity-sex groups, non-Hispanic White and Black males received assistance with fewer ADL/IADL activities, and no statistical significance was found for non-Hispanic Black females or Hispanics compared with non-Hispanic White female counterparts. Sensitivity analysis examining assistance with only ADL activities revealed the same pattern.Discussion and Implications The study highlighted the complexities of informal care-receiving characteristics among older adults, particularly among those with cognitive difficulties, and the ways in which race/ethnicity and sex are associated with care-receiving patterns. The findings highlight a need for person- and family-centered interventions sensitive to the diverse needs of care-recipients and caregivers.
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页数:11
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