Impact of State-Level Metrics of Equity on Psychosocial Outcomes for Sexual and Gender Minority Caregivers of People Living With Alzheimer's Disease and Related Dementias.

IF 1.6 4区医学 Q3 NURSING

Research in Gerontological Nursing Pub Date : 2025-09-01 DOI:10.3928/19404921-20250822-01

Joel G Anderson, Krystal R Kittle, Joseph Winberry, Kari A Hancock, Jordan B Westcott, Namrata Mukherjee, Jennifer M Jabson Tree, Lora H Beebe, Jason D Flatt

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Abstract

Purpose: We examined the relationship between state-level equity scores as it relates to protections and supports of sexual and gender minority (SGM) individuals at the state level and psychosocial caregiving outcomes among SGM caregivers of people living with Alzheimer's disease and related dementias (ADRD).

Method: Data collected from SGM caregivers of people with ADRD were combined with publicly available state-level equity scores. We used mixed linear models to examine the relationships between equity scores and levels of family quality of life and depressive symptoms.

Results: SGM caregivers living in low-equity states experienced significantly more microaggressions, poorer family quality of life, and greater levels of caregiver stigma and depressive symptoms. Equity score was a significant predictor of family quality of life.

Conclusion: Future research to understand the influence of the policy context in which SGM caregivers live is needed to create tailored supports to promote their well-being.

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国家级公平指标对阿尔茨海默病和相关痴呆患者的性和性别少数照护者心理社会结局的影响

目的：我们研究了州一级公平得分与州一级性少数和性别少数（SGM）个体的保护和支持以及SGM照顾阿尔茨海默病和相关痴呆（ADRD）患者的心理社会护理结果之间的关系。方法：从ADRD患者的SGM护理人员收集的数据与公开的国家级公平评分相结合。我们使用混合线性模型来检验公平得分与家庭生活质量水平和抑郁症状之间的关系。结果：生活在低公平状态的SGM照顾者经历了更多的微侵犯，更差的家庭生活质量，更高水平的照顾者耻辱感和抑郁症状。公平得分是家庭生活质量的显著预测因子。结论：未来的研究需要了解SGM照顾者生活的政策环境的影响，以创造量身定制的支持来促进他们的福祉。

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

Research in Gerontological Nursing NURSING-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.