Heather DeGrande, Deborah Gurgel Smith, Luis Enrique Espinoza, Corey D Smith
{"title":"Caregiving Across the Life Course: Intensity, Duration, and Health Among Family Caregivers in the United States.","authors":"Heather DeGrande, Deborah Gurgel Smith, Luis Enrique Espinoza, Corey D Smith","doi":"10.1177/08982643261465753","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261465753"},"PeriodicalIF":2.2000,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08982643261465753","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
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.
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.