Unpaid Caregiver Characteristics Associated With Retirement From the Labor Force: A Matched Case-Control Study Using CLSA Data.

IF 3.8 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Derek R Manis, Wenshan Li, Reiko Okamoto, Stacey Fisher, Colleen Webber, Vanessa Taler, Douglas G Manuel, Amy T Hsu
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Abstract

Objective: To examine the caregiving factors, sociodemographic characteristics, and self-reported health of caregivers who retired from the labor force to provide full-time, unpaid care to their care recipient.

Design: Matched case-control study.

Setting and participants: Caregiver respondents from the Canadian Longitudinal Study on Aging baseline (2011-2015), follow-up 1 (2015-2018), and follow-up 2 (2018-2021) cycles. Caregiver respondents who indicated that they retired from the labor force to provide full-time care were matched 1:1 without replacement to caregiver respondents who did not retire to provide full-time care on birth year (±1 year), sex assigned at birth, and region of Canada.

Methods: Caregiving-related variables (eg, type of care and intensity, care recipient's sex, relationship to the caregiver, co-residence status), sociodemographic variables (eg, income, immigration, race, sexual orientation, marital status), and self-reported health were examined. Conditional logistic regression was used to model adjusted associations with being a caregiver who retired from the labor force to provide full-time care.

Results: There were 336 caregivers who retired to provide full-time care and were matched to 336 caregivers who did not retire to provide full-time care (mean age 70 years, 73% female; N = 672). Factors related to caregiving burden and type were strongly associated with retirement from the labor force to provide full-time care, whereas caregivers' self-reported physical and mental health and household income were not associated with the decision to retire.

Conclusions and implications: Caregivers' decisions to retire from the labor force were mostly driven by their care recipients' care needs. These findings may suggest the need for flexible workplace policies that accommodate varied caregiving responsibilities to support caregivers. Increasing access to congregate residential and respite care may be another strategy that could reduce caregiver burden and retirement from the labor force.

与劳动力退休相关的无薪照顾者特征:使用里昂证券数据的匹配病例对照研究。
目的:探讨从劳动力中退休的照顾者的照顾因素、社会人口学特征和自我报告的健康状况。设计:配对病例对照研究。背景和参与者:来自加拿大老龄化纵向研究基线(2011-2015)、随访1(2015-2018)和随访2(2018-2021)周期的护理人员受访者。表示从劳动力中退休以提供全职护理的护理人员受访者与未在出生年份(±1年)、出生时性别和加拿大地区退休以提供全职护理的护理人员受访者进行1:1匹配,没有替代。方法:检查与照顾相关的变量(如照顾类型和强度、受照顾者的性别、与照顾者的关系、同居状况)、社会人口统计变量(如收入、移民、种族、性取向、婚姻状况)和自我报告的健康状况。使用条件逻辑回归来模拟与从劳动力中退休的护理人员提供全职护理的调整关联。结果:336名退休照顾者提供全职照顾,336名未退休照顾者提供全职照顾(平均年龄70岁,73%为女性;N = 672)。与照顾负担和类型相关的因素与从劳动力中退休以提供全职照顾密切相关,而照顾者自我报告的身心健康和家庭收入与退休决定无关。结论与启示:照护者的退休决定主要受受护者的照护需求驱动。这些发现可能表明,需要灵活的工作场所政策,以适应不同的照顾责任,以支持照顾者。增加获得集中住宿和临时护理的机会可能是另一种可以减少护理人员负担和从劳动力中退休的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.10
自引率
6.60%
发文量
472
审稿时长
44 days
期刊介绍: JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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