Caregiving Across the Life Course: Intensity, Duration, and Health Among Family Caregivers in the United States.

IF 2.2 3区 医学 Q2 GERONTOLOGY
Heather DeGrande, Deborah Gurgel Smith, Luis Enrique Espinoza, Corey D Smith
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引用次数: 0

Abstract

ObjectivesThis study examined how caregiving intensity, duration, and labor type are associated with physical and mental health among family caregivers (FCGs) across life-course stages.MethodsUsing cross-sectional data from 2,610 FCGs in the 2024 Behavioral Risk Factor Surveillance System, we applied multivariable logistic and linear regression models stratified by life-course stage.ResultsWomen had 65% higher odds of depression than men (aOR = 1.65, 95% CI = 1.22-2.22), consistent across all age groups. Older FCGs who provided care for two or more years showed markedly worse physical health, a pattern consistent with wear-and-tear and cumulative disadvantage frameworks. Midlife FCGs presented a sandwich-generation profile of worse physical health with increased caregiving intensity.ConclusionFindings highlight the need for age-tailored caregiver support and structural reforms, including expanding the Family and Medical Leave Act, wage replacement programs, and a caregiving-linked Medicare benefit.

整个生命过程中的护理:美国家庭照顾者的强度、持续时间和健康。
目的本研究探讨了家庭照顾者(FCGs)在生命历程各阶段的照顾强度、持续时间和劳动类型与身心健康的关系。方法利用2024年行为危险因素监测系统2610例fgs的横断面数据,应用多变量logistic和线性回归模型,按生命历程阶段分层。结果女性患抑郁症的几率比男性高65% (aOR = 1.65, 95% CI = 1.22-2.22),所有年龄组均一致。提供两年或两年以上护理的老年FCGs表现出明显较差的身体健康状况,这种模式与磨损和累积不利框架一致。中年FCGs呈现出一种三明治一代的特征,即随着照顾强度的增加,身体健康状况更差。结论:研究结果强调了针对年龄的照顾者支持和结构性改革的必要性,包括扩大《家庭和医疗休假法》、工资替代计划和与照顾相关的医疗保险福利。
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
5.60
自引率
3.60%
发文量
113
期刊介绍: The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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