Is use of formal community services by older women related to changes in their informal care arrangements?

被引:5
作者
McKenzie, Samantha J. [1 ]
Lucke, Jayne C. [2 ]
Hockey, Richard L. [1 ]
Dobson, Annette J. [1 ]
Tooth, Leigh R. [1 ]
机构
[1] Univ Queensland, Sch Populat Hlth, Herston, Qld 4006, Australia
[2] Univ Queensland, UQ Ctr Clin Res, Herston, Qld 4006, Australia
关键词
older carers; use of community support services; changes; Australia; living arrangements; changes in caring role; QUALITY-OF-LIFE; LONG-TERM-CARE; HOME-CARE; HEALTH-SERVICES; CAREGIVERS; DEMENTIA; PEOPLE; TRANSITIONS; ADULTS; WIDOWHOOD;
D O I
10.1017/S0144686X12000992
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
This paper examines how the relationships between the factors (predisposing, enabling and illness) of the 1973 Andersen framework and service use are influenced by changes in the caring role in older women of the 1921-26 cohort of the Australian Longitudinal Study on Women's Health. Outcome variables were the use of three formal community support services: (a) nursing or community health services, (b) home-making services and (c) home maintenance services. Predictor variables were survey wave and the following carer characteristics: level of education, country of birth, age, area of residence, ability to manage on income, need for care, sleep difficulty and changes in caring role. Carer changes were a significant predictor of formal service use. Their inclusion did not attenuate the relationship between the Andersen framework factors and service use, but instead provided a more complete representation of carers' situations. Women were more likely to have used support services if they had changed into or out of co-resident caring or continued to provide co-resident care for a frail, ill or disabled person, needed care themselves, and reported sleep difficulties compared with women who did not provide care. These findings are important because they indicate that support services are particularly relevant to women who are changing their caring role and who are themselves in need of care.
引用
收藏
页码:310 / 329
页数:20
相关论文
共 48 条
  • [31] McConaghy Ronelle, 2005, Nurs Health Sci, V7, P81, DOI 10.1111/j.1442-2018.2005.00213.x
  • [32] Which carers of family members at the end of life need more support from health services and why?
    McNamara, Beverley
    Rosenwax, Lorna
    [J]. SOCIAL SCIENCE & MEDICINE, 2010, 70 (07) : 1035 - 1041
  • [33] Reconsidering the term 'carer': a critique of the universal adoption of the term 'carer'
    Molyneaux, Victoria
    Butchard, Sarah
    Simpson, Jane
    Murray, Craig
    [J]. AGEING & SOCIETY, 2011, 31 : 422 - 437
  • [34] Rural families caring for a relative with dementia: barriers to use of formal services
    Morgan, DG
    Semchuk, KM
    Stewart, NJ
    D'Arcy, C
    [J]. SOCIAL SCIENCE & MEDICINE, 2002, 55 (07) : 1129 - 1142
  • [35] Akaike's information criterion in generalized estimating equations
    Pan, W
    [J]. BIOMETRICS, 2001, 57 (01) : 120 - 125
  • [36] Relying on informal care in the new century? Informal care for elderly people in England to 2031
    Pickard, L
    Wittenberg, R
    Comas-Herrera, A
    Davies, B
    Darton, R
    [J]. AGEING & SOCIETY, 2000, 20 : 745 - 772
  • [37] Differences between caregivers and noncaregivers in psychological health and physical health:: A meta-analysis
    Pinquart, M
    Sörensen, S
    [J]. PSYCHOLOGY AND AGING, 2003, 18 (02) : 250 - 267
  • [38] Caregiver Support Service Needs for Patients With Mild Cognitive Impairment and Alzheimer Disease
    Ryan, Kelly A.
    Weldon, Annie
    Huby, Nicole M.
    Persad, Carol
    Bhaumik, Arijit K.
    Heidebrink, Judith L.
    Barbas, Nancy
    Staffend, Nancy
    Franti, Lindsay
    Giordani, Bruno
    [J]. ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2010, 24 (02) : 171 - 176
  • [39] Racial and ethnic variations in caregiver service use
    Scharlach, Andrew E.
    Giunta, Nancy
    Chow, Julian Chun-Chung
    Lehning, Amanda
    [J]. JOURNAL OF AGING AND HEALTH, 2008, 20 (03) : 326 - 346
  • [40] The dynamics of caregiving: Transitions during a three-year prospective study
    Seltzer, MM
    Li, LW
    [J]. GERONTOLOGIST, 2000, 40 (02) : 165 - 178