Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern
{"title":"探索照顾者健康之路：照顾者的负担、家庭主义和种族的作用。","authors":"Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern","doi":"10.1177/08982643241235970","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the associations of ethnicity, caregiver burden, familism, and physical and mental health among Mexican Americans (MAs) and non-Hispanic Whites (NHWs).</p><p><strong>Methods: </strong>We recruited adults 65+ years with possible cognitive impairment (using the Montreal Cognitive Assessment score<26), and their caregivers living in Nueces County, Texas. We used weighted path analysis to test effects of ethnicity, familism, and caregiver burden on caregiver's mental and physical health.</p><p><strong>Results: </strong>516 caregivers and care-receivers participated. MA caregivers were younger, more likely female, and less educated compared to NHWs. Increased caregiver burden was associated with worse mental (B = -0.53; <i>p</i> < .001) and physical health (B = -0.15; <i>p</i> = .002). Familism was associated with lower burden (B = -0.14; <i>p</i> = .001). MA caregivers had stronger familism scores (B = 0.49; <i>p</i> < .001).</p><p><strong>Discussion: </strong>Increased burden is associated with worse caregiver mental and physical health. MA caregivers had stronger familism resulting in better health. Findings can contribute to early identification, intervention, and coordination of services to help reduce caregiver burden.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241235970"},"PeriodicalIF":2.2000,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339238/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.\",\"authors\":\"Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern\",\"doi\":\"10.1177/08982643241235970\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study examines the associations of ethnicity, caregiver burden, familism, and physical and mental health among Mexican Americans (MAs) and non-Hispanic Whites (NHWs).</p><p><strong>Methods: </strong>We recruited adults 65+ years with possible cognitive impairment (using the Montreal Cognitive Assessment score<26), and their caregivers living in Nueces County, Texas. We used weighted path analysis to test effects of ethnicity, familism, and caregiver burden on caregiver's mental and physical health.</p><p><strong>Results: </strong>516 caregivers and care-receivers participated. MA caregivers were younger, more likely female, and less educated compared to NHWs. Increased caregiver burden was associated with worse mental (B = -0.53; <i>p</i> < .001) and physical health (B = -0.15; <i>p</i> = .002). Familism was associated with lower burden (B = -0.14; <i>p</i> = .001). MA caregivers had stronger familism scores (B = 0.49; <i>p</i> < .001).</p><p><strong>Discussion: </strong>Increased burden is associated with worse caregiver mental and physical health. MA caregivers had stronger familism resulting in better health. Findings can contribute to early identification, intervention, and coordination of services to help reduce caregiver burden.</p>\",\"PeriodicalId\":51385,\"journal\":{\"name\":\"Journal of Aging and Health\",\"volume\":\" \",\"pages\":\"8982643241235970\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-02-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339238/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aging and Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/08982643241235970\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08982643241235970","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.
Objectives: This study examines the associations of ethnicity, caregiver burden, familism, and physical and mental health among Mexican Americans (MAs) and non-Hispanic Whites (NHWs).
Methods: We recruited adults 65+ years with possible cognitive impairment (using the Montreal Cognitive Assessment score<26), and their caregivers living in Nueces County, Texas. We used weighted path analysis to test effects of ethnicity, familism, and caregiver burden on caregiver's mental and physical health.
Results: 516 caregivers and care-receivers participated. MA caregivers were younger, more likely female, and less educated compared to NHWs. Increased caregiver burden was associated with worse mental (B = -0.53; p < .001) and physical health (B = -0.15; p = .002). Familism was associated with lower burden (B = -0.14; p = .001). MA caregivers had stronger familism scores (B = 0.49; p < .001).
Discussion: Increased burden is associated with worse caregiver mental and physical health. MA caregivers had stronger familism resulting in better health. Findings can contribute to early identification, intervention, and coordination of services to help reduce caregiver burden.
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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