Do home modifications reduce caregiver burden? A cross-sectional analysis of factors associated with caregiver burden and resilience in Hong Kong.

IF 6.2 3区 医学 Q1 GERIATRICS & GERONTOLOGY
Innovation in Aging Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI:10.1093/geroni/igag029
Tarani Chandola, Patrick Rouxel, Vivian W Q Lou, Simon Ng, Vera Mun Yu Tang, Tom Chun Wai Tsoi, Wenyi Lin, Jianchao Quan, Wai Sze Chan, Peiyi Lu, Xingnan Yi
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引用次数: 0

Abstract

Background and objectives: The impact of modifiable housing factors on the mental health of caregivers of older adults and people with disabilities is often underestimated. This study examines the role of housing modifications in influencing caregiver burden and resilience in Hong Kong.

Research design and methods: Data from a population-based survey of 2,960 caregivers of older adults (aged 60 and older) and younger individuals with disabilities (under 60) were analyzed. Modifications to the care recipients' homes-classified as any, wheelchair-accessible, stair/chairlift, or other modifications-and the proportion of homes modified within each building or estate were assessed. Quantile regression models of the Caregiver Burden Inventory and the Connor-Davidson Resilience Scale were used to estimate the association between home modifications and caregiver burden and resilience.

Results: Caregivers living with their care recipients in buildings or estates where all homes had been modified reported approximately 0.3 standard deviations lower burden (at the 90th quantile) and 0.23 standard deviations higher resilience (at the 80th quantile) than those in non-modified buildings or estates. Similar associations were observed between modifications of individual care recipients' homes and caregiver burden, although not for resilience.

Discussion and implications: There is some evidence that home modifications are associated with reduced caregiver burden and increased caregiver resilience, particularly when measured at the building or estate level. Enhancing the housing quality of older adults and people with disabilities may improve not only their well-being, but also that of their caregivers.

家庭改造能减轻照顾者的负担吗?香港照顾者负担及复原力相关因素的横断面分析。
背景和目的:可改变的住房因素对老年人和残疾人照顾者心理健康的影响往往被低估。本研究探讨香港的房屋调整对照顾者负担及应变能力的影响。研究设计和方法:对2960名老年人(60岁及以上)和年轻残疾人(60岁以下)的护理人员进行人口调查。对接受护理者住所的改建——归类为轮椅无障碍、楼梯/升降椅或其他改建——以及每栋楼或小区内改建房屋的比例进行了评估。采用护理负担量表和Connor-Davidson弹性量表的分位数回归模型来评估家庭改造与护理负担和弹性之间的关系。结果:在所有房屋都经过改造的建筑物或屋邨中,与未经过改造的建筑物或屋邨相比,与照顾者一起生活的照顾者报告的负担(在第90分位数)降低了约0.3个标准差,恢复力(在第80分位数)提高了0.23个标准差。在个体护理接受者家庭的改变和护理者负担之间观察到类似的关联,尽管与恢复力无关。讨论和启示:有证据表明,房屋改造与减轻照顾者负担和增加照顾者复原力有关,特别是在建筑物或房地产水平上进行测量时。提高老年人和残疾人的住房质量不仅可以改善他们的福祉,也可以改善他们的照顾者的福祉。
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来源期刊
Innovation in Aging
Innovation in Aging GERIATRICS & GERONTOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
72
审稿时长
15 weeks
期刊介绍: Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.
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