Caregiving activities and activity-limiting pain among African American caregivers.

IF 3.5 2区 医学 Q2 CLINICAL NEUROLOGY
Martha Abshire Saylor, Janiece L Taylor, Yifan Liu, Wonkyung Jung, Erin M Spaulding, Katherine A Ornstein
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引用次数: 0

Abstract

Background: African American caregivers disproportionately engage in high-intensity caregiving. Pain experiences of African Americans may interfere with caregiving and overall health, but little is known about the associations of caregiving activities and activity-limiting pain among African Americans.

Objective: We aimed to (i) examine risk factors for activity-limiting pain among African American caregivers and (ii) analyze the relationships between caregiving intensity, patient care needs and activity-limiting pain.

Methods: In a cross-sectional analysis, using nationally representative data from the National Study of Caregiving and linked National Health and Aging Trends Study, we analyzed caregiver and care recipient factors associated with activity-limiting pain among African American caregivers. We examined the relationship between caregiving intensity, patient care needs and activity-limiting pain using multivariable logistic regression. Sampling weights were applied to make nationally representative estimates.

Results: Our sample (N=1,673) included mostly female (63.5%) African American caregivers, with a mean age of 55.8 ± 21.5 years. Nearly half experience pain and 11% report activity-limiting pain. In our fully adjusted, multivariable model, those with higher intensity caregiving (i.e., longer duration of caregiving) [aOR: 2.09, CI: 1.29-3.39] and higher patient care needs (i.e., supporting care recipients requiring assistance for more activities of daily living (ADLs)) [aOR: 1.15, CI: 1.02-1.29] had higher odds of activity-limiting pain compared to those with lower intensity caregiving and lower care needs.

Conclusion: These findings underscore the importance of the intersection of race, caregiving, and pain. Future work should explore how African American caregivers cope with pain and how best to support them.

非裔美国照护者的照护活动与活动限制性疼痛。
背景:非裔美国护理人员不成比例地从事高强度护理。非裔美国人的疼痛经历可能会干扰护理和整体健康,但对非裔美国人的护理活动和活动限制性疼痛之间的联系知之甚少。目的:我们的目的是(i)检查非裔美国护理人员活动受限疼痛的危险因素,(ii)分析护理强度、患者护理需求和活动受限疼痛之间的关系。方法:在横断面分析中,使用来自全国护理研究和相关的全国健康和老龄化趋势研究的全国代表性数据,我们分析了非裔美国护理者中与活动限制性疼痛相关的护理者和护理接受者因素。我们使用多变量逻辑回归检验了护理强度、患者护理需求和活动受限疼痛之间的关系。采用抽样加权作出具有全国代表性的估计。结果:我们的样本(N=1,673)包括大多数女性(63.5%)的非裔美国护理人员,平均年龄为55.8±21.5岁。近一半的人感到疼痛,11%的人报告活动受限的疼痛。在我们完全调整的多变量模型中,高强度护理(即较长的护理持续时间)[aOR: 2.09, CI: 1.29-3.39]和高患者护理需求(即,支持需要更多日常生活活动(ADLs)的护理接受者)[aOR: 1.15, CI: 1.02-1.29]的患者与低强度护理和低护理需求的患者相比,活动限制性疼痛的发生率更高。结论:这些发现强调了种族、护理和疼痛交叉的重要性。未来的工作应该探索非裔美国人护理人员如何应对疼痛以及如何最好地支持他们。
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
8.90
自引率
6.40%
发文量
821
审稿时长
26 days
期刊介绍: The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.
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