Cross-national differences in the prevalence and correlates of burden among older family caregivers in the World Health Organization World Mental Health (WMH) Surveys

被引：46

作者：

Shahly, V. ^{[1
]}

Chatterji, S. ^{[2
]}

Gruber, M. J. ^{[1
]}

Al-Hamzawi, A. ^{[3
]}

Alonso, J. ^{[4
,5
]}

Andrade, L. H. ^{[6
]}

Angermeyer, M. C. ^{[7
]}

Bruffaerts, R. ^{[8
]}

Bunting, B. ^{[9
]}

Caldas-de-Almeida, J. M. ^{[10
,11
]}

de Girolamo, G. ^{[12
]}

de Jonge, P. ^{[13
]}

Florescu, S. ^{[14
]}

Gureje, O. ^{[15
]}

Haro, J. M. ^{[16
]}

Hinkov, H. R. ^{[17
]}

Hu, C. ^{[18
,19
]}

Karam, E. G. ^{[20
]}

Lepine, J. -P. ^{[21
]}

Levinson, D. ^{[22
]}

Medina-Mora, M. E. ^{[23
]}

Posada-Villa, J. ^{[24
]}

Sampson, N. A. ^{[1
]}

Trivedi, J. K. ^{[25
]}

Viana, M. C. ^{[26
]}

Kessler, R. C. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[2] World Hlth Org, Geneva, Switzerland

[3] Al Qadisia Univ, Coll Med, Diwania Teaching Hosp, Diwania, Iraq

[4] Hosp del Mar, Res Inst, IMIM, Hlth Serv Res Unit, Barcelona, Spain

[5] CIBERESP, Barcelona, Spain

[6] Sect Psychiat Epidemiol, Sao Paulo, Brazil

[7] Ctr Publ Mental Hlth, Gosing Am Wagram, Australia

[8] Katholieke Univ Leuven, Univ Psychiat Ctr, Louvain, Belgium

[9] Univ Ulster, Coleraine BT52 1SA, Londonderry, North Ireland

[10] Univ Nova Lisboa, Fac Ciencias Med, Chron Dis Res Ctr CEDOC, P-1200 Lisbon, Portugal

[11] Univ Nova Lisboa, Fac Ciencias Med, Dept Mental Hlth, P-1200 Lisbon, Portugal

[12] IRCCS Ctr San Giovanni Dio Fatebenefratelli, Brescia, Italy

[13] Univ Groningen, Univ Med Ctr Groningen, NL-9713 AV Groningen, Netherlands

[14] Natl Sch Publ Hlth Management & Profess Dev, Bucharest, Romania

[15] Univ Ibadan, Coll Med, Dept Psychiat, Ibadan, Nigeria

[16] CIBERSAM, Barcelona, Spain

[17] Natl Ctr Publ Hlth Protect, Sofia, Bulgaria

[18] Shenzhen Inst Mental Hlth, Shenzhen, Peoples R China

[19] Shenzhen Kangning Hosp, Shenzhen, Peoples R China

[20] St George Hosp Univ Med Ctr, IDRAAC, Beirut, Lebanon

[21] Univ Paris Diderot & Paris Descartes Paris, Hop Lariboisiere Fernand Widal, AP HP, CNRS UMR 7157,INSERM U 705, Paris, France

[22] Minist Hlth, Mental Hlth Serv, Jerusalem, Israel

[23] Inst Nacl Psiquiatria Ramon de La Fuente Muniz, Mexico City, DF, Mexico

[24] Inst Colombiano Sistema Nervioso, Bogota, Colombia

[25] CSM Med Univ, Dept Psychiat, Lucknow, Uttar Pradesh, India

[26] Univ Fed Espirito Santo, Dept Social Med, Vitoria, Brazil

来源：

PSYCHOLOGICAL MEDICINE | 2013年 / 43卷 / 04期

基金：

巴西圣保罗研究基金会;

关键词：

Caregivers; cross-national studies; epidemiology; family burden; mental health; INFORMAL CAREGIVERS; ALZHEIMERS-DISEASE; PHYSICAL HEALTH; GENDER-DIFFERENCES; INCOME COUNTRIES; RISK-FACTOR; DEMENTIA; CARE; AMERICAN; SUPPORT;

D O I：

10.1017/S0033291712001468

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background. Current trends in population aging affect both recipients and providers of informal family caregiving, as the pool of family caregivers is shrinking while demand is increasing. Epidemiological research has not yet examined the implications of these trends for burdens experienced by aging family caregivers. Method. Cross-sectional community surveys in 20 countries asked 13 892 respondents aged 50+ years about the objective (time, financial) and subjective (distress, embarrassment) burdens they experience in providing care to first-degree relatives with 12 broadly defined serious physical and mental conditions. Differential burden was examined by country income category, kinship status and type of condition. Results. Among the 26.9-42.5% respondents in high-, upper-middle-, and low-/lower-middle-income countries reporting serious relative health conditions, 35.7-42.5% reported burden. Of those, 25.2-29.0% spent time and 13.5-19.4% money, while 24.4-30.6% felt distress and 6.4-21.7% embarrassment. Mean caregiving hours per week in those giving any time were 16.6-23.6 (169.9-205.8 h/week per 100 people aged 50+ years). Burden in low-/lower-middle-income countries was 2- to 3-fold higher than in higher-income countries, with any financial burden averaging 14.3% of median family income in high-, 17.7% in upper-middle-, and 39.8% in low-/lower-middle-income countries. Higher burden was reported by women than men and for conditions of spouses and children than parents or siblings. Conclusions. Uncompensated family caregiving is an important societal asset that offsets rising formal healthcare costs. However, the substantial burdens experienced by aging caregivers across multiple family health conditions and geographic regions threaten the continued integrity of their caregiving capacity. Initiatives supporting older family caregivers are consequently needed, especially in low-/lower-middle-income countries.

引用

页码：865 / 879

页数：15

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