COVID-19-Related Changes in Assistance Networks for US Older Adults With and Without Dementia

被引:9
作者
Brown, Monique J. [1 ,2 ,3 ,4 ,11 ]
Wang, Haowei [5 ]
Lin, I-Fen [6 ]
Gan, Daniel [7 ]
Oyeyemi, Deborah [8 ]
Manning, Mark [9 ]
Freedman, Vicki A. [10 ]
机构
[1] Univ South Carolina, Arnold Sch Publ Hlth, Dept Epidemiol & Biostat, Columbia, SC USA
[2] Univ South Carolina, South Carolina SmartState Ctr Healthcare Qual, Arnold Sch Publ Hlth, Columbia, SC USA
[3] Univ South Carolina, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth, Columbia, SC USA
[4] Univ South Carolina, Arnold Sch Publ Hlth, Off Study Aging, Columbia, SC USA
[5] Penn State Univ, Populat Res Inst, University Pk, PA USA
[6] Bowling Green State Univ, Dept Sociol, Bowling Green, OH USA
[7] Simon Fraser Univ, Gerontol Res Ctr, Burnaby, BC, Canada
[8] Yale Sch Med, Dept Internal Med, New Haven, CT USA
[9] Oakland Univ, Dept Psychol, Rochester, MI USA
[10] Univ Michigan, Inst Social Res, Ann Arbor, MI USA
[11] Univ South Carolina, South Carolina SmartState Ctr Healthcare Qual, Rural & Minor Hlth Res Ctr, Arnold Sch Publ Hlth,Dept Epidemiol & Biostat, 915 Greene St,Discovery I,435C, Columbia, SC 29208 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2023年 / 78卷
基金
美国国家卫生研究院;
关键词
Caregiving; COVID-19; Dementia; Network changes; FAMILY;
D O I
10.1093/geronb/gbac089
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives Prepandemic research suggests assistance networks for older adults grow over time and are larger for those living with dementia. We examined how assistance networks of older adults changed in response to the onset of the coronavirus disease 2019 (COVID-19) pandemic and whether these changes differed for those with and without dementia. Methods We used 3 rounds of the National Health and Aging Trends Study. We estimated multinomial logistic regression models to test whether changes in assistance networks during COVID-19 (2019-2020)?defined as expansion, contraction, and adaptation?differed from changes prior to COVID-19 (2018-2019). We also estimated ordinary least squares regression models to test differences in the numbers of helpers assisting with one (specialist) versus multiple (generalist) domains before and during COVID-19. For both sets of outcomes, we investigated whether pandemic-related changes differed for those with and without dementia. Results Over all activity domains, a greater proportion of assistance networks adapted during COVID-19 compared to the pre-COVID-19 period (relative risk ratio = 1.19, p < .05). Contractions in networks occurred for those without dementia. Transportation assistance contracted for those with and without dementia, and mobility/self-care assistance contracted for those with dementia. The average number of generalist helpers decreased during COVID-19 (beta = -0.09, p < .001). Discussion Early in the pandemic, assistance networks of older adults adapted by substituting helpers, by contracting to reduce exposures with more intimate tasks for recipients with dementia, and by reducing transportation assistance. Future research should explore the impact of such changes on the well-being of older adults and their assistance networks.
引用
收藏
页码:S81 / S90
页数:10
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