Informal Care Networks in the Context of Multimorbidity: Size, Composition, and Associations With Recipient Psychological Well-Being

被引:31
作者
Andersson, Matthew A. [1 ]
Monin, Joan K. [2 ]
机构
[1] Baylor Univ, One Bear Pl,POB 97326, Waco, TX 76798 USA
[2] Yale Univ, New Haven, CT USA
关键词
caregiving; epidemiology; social networks; mental health; MULTIPLE CHRONIC CONDITIONS; OLDER-ADULTS; DEPRESSIVE SYMPTOMS; FAMILY CAREGIVERS; MENTAL-HEALTH; LIFE-COURSE; SUPPORT; STRESS; DISABILITY; CANCER;
D O I
10.1177/0898264316687623
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
Objective: We evaluate how the size and composition of care networks change with increasing morbidity count (i.e., multimorbidity) and how larger care networks relate to recipient psychological well-being. Method: Using the National Health and Aging Trends study (NHATS; N = 7,026), we conduct multivariate regressions to analyze size and compositional differences in care networks by morbidity count and recipient gender, and to examine differences in recipient psychological well-being linked to care network size. Results: Women report larger and more diverse care networks than men. These gender differences strengthen with increasing morbidity count. Larger care networks are associated with diminished psychological well-being among care recipients, especially as morbidity increases. Discussion: These findings reveal how increasing morbidity translates differently to care network size and diversity for men and women. They also suggest that having multiple caregivers may undermine the psychological well-being of care recipients who face complex health challenges.
引用
收藏
页码:641 / 664
页数:24
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