scholarly journals Burden on Caregivers of Adults with Multiple Chronic Conditions: Intersectionality of Age, Gender, Education level, Employment Status, and Impact on Social Life—CORRIGENDUM

2019 ◽  
Vol 39 (3) ◽  
pp. 485-485
Author(s):  
Sunita Ghosh ◽  
Won Yong Choi ◽  
Allison Williams ◽  
Wendy Duggleby ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
Social Life ◽  
Chronic Conditions ◽  
Employment Status ◽  
Education Level ◽  
Multiple Chronic Conditions ◽  
Gender Education

Burden on Caregivers of Adults with Multiple Chronic Conditions: Intersectionality of Age, Gender, Education level, Employment Status, and Impact on Social Life

2019 ◽  
Vol 39 (3) ◽  
pp. 456-467 ◽  
Author(s):  
Sunita Ghosh ◽  
Won Yong Choi ◽  
Allison Williams ◽  
Wendy Duggleby ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Life ◽  
Chronic Conditions ◽  
Employment Status ◽  
Older Persons ◽  
Social Identities ◽  
Multiple Chronic Conditions ◽  
Gender Education ◽  
Education And Employment ◽  
Multiplicative Models

ABSTRACTIntersectionality analysis is the study of overlapping or intersecting social identities. Intersecting social identities may have an impact on the perception of burden by family caregivers of older persons with multiple chronic conditions (MCC). The purpose of this study was to explore the interaction of social factors on the burden of caring for older adults with MCC. A total of 194 caregivers of older adults with MCC were recruited from Alberta and Ontario. Survey data were collected at two time points, six months apart. Additive and multiplicative models were analysed using a generalised linear model to determine the level of caregiver burden. Medium-high social interference (impact on social life) was associated with higher burden when adjusted for age, gender, education, and employment status. The overall results of the five-way interaction suggest that males in general had lower burden scores than females. Irrespective of their education and employment status, females had generally higher burden scores. These results add to the current body of literature, suggesting areas for further research to fill knowledge gaps, and promoting ideas for evidence-guided public health interventions that focus on caregivers.

Timing of onset and self-management of multiple chronic conditions: A qualitative examination taking a lifespan perspective

2018 ◽  
Vol 16 (3) ◽  
pp. 173-189 ◽  
Author(s):  
Allison R Heid ◽  
Andrew R Gerber ◽  
David S Kim ◽  
Stefan Gillen ◽  
Seran Schug ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Life ◽  
Chronic Conditions ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Older Individuals ◽  
Structured Interviews ◽  
Targeted Interventions ◽  
Timing Of Onset ◽  
Management Behaviors

Objectives Over two-thirds of older individuals live with multiple chronic conditions, yet chronic diseases are often studied in silos. Taking a lifespan approach to understanding the development of multiple chronic conditions in the older population helps to further elucidate opportunities for targeted interventions that address the complexities of multiple chronic conditions. Methods Semi-structured interviews were conducted with 38 older adults (age 64+) diagnosed with at least two chronic health conditions. Content analysis was used to build understanding of how older adults discuss the timing of diagnoses and subsequent self-management of multiple chronic conditions. Results Findings highlight the complex process by which illnesses unfold in the context of individuals’ lives and the subsequent engagement and/or disengagement in self-management behaviors. Two primary themes were evident regarding timing of illnesses: illnesses were experienced within the context of social life events and/or health events, and illnesses were not predominantly seen as connected to one another by patients. Self-management behaviors were described in response to onset of each illness. Discussion Findings provide insight into how older adults understand their experience of multiple chronic conditions and change in self-management behaviors over time. In order for practitioners to ignite behavioral changes, a person’s history and life experiences must be considered.

scholarly journals Transition Experiences of Caregivers of Older Adults With Dementia and Multiple Chronic Conditions: An Interpretive Description Study

2020 ◽  
Vol 6 ◽  
pp. 237796082093429
Author(s):  
Annie Lam ◽  
Jenny Ploeg ◽  
Sandra L. Carroll ◽  
Wendy Duggleby ◽  
Carrie McAiney ◽  
...  
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Social Life ◽  
Chronic Conditions ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Interpretive Description ◽  
Care Providers ◽  
Transition Experiences

Introduction Family caregivers provide most of the care for older persons living with dementia (PLWD) and multiple chronic conditions (MCCs) in the community. Caregivers experience transitions, such as changes to their health, roles, and responsibilities, during the process of caring. Transitions encompass a time when caregivers undergo stressful responses to change. However, we know little about the transition experiences of caregivers of persons living with both dementia and MCCs. Objective This qualitative study explored the transition experiences of caregivers of PLWD within the context of MCCs, from the perspective of both caregivers and practitioners. The research question was the following: What are the transition experiences of family caregivers in providing care to older PLWD and MCCs living in the community? Methods This study was conducted using an interpretive description approach. Semistructured interviews were conducted with 19 caregivers of older community-dwelling PLWD and MCCs and 7 health-care providers working with caregivers in Ontario, Canada. Concurrent data collection and inductive data analysis were used. Results Caregivers of older PLWD and MCCs experienced four key transitions: (a) taking on responsibility for managing multiple complex conditions, (b) my health is getting worse, (c) caregiving now defines my social life, and (d) expecting that things will change. Findings highlight how the coexistence of MCCs with dementia complicates caregiver transitions and the importance of social networks for facilitating transitions. Conclusion The study provided insight on the transition experiences of caregivers of older PLWD and MCCs. MCCs increased the care load and further complicated caregivers’ transition experiences. Health-care providers, such as nurses, can play important roles in supporting caregivers during these transitions and engage them as partners in care.

scholarly journals Determinants of Environmental Perceptions and Attitudes in a Socio-Demographically Diverse Urban Setup: The Case of Gauteng Province, South Africa

2020 ◽  
Vol 12 (9) ◽  
pp. 3613 ◽  
Author(s):  
Simangele Dlamini ◽  
Solomon G. Tesfamichael ◽  
Yegnanew Shiferaw ◽  
Tholang Mokhele
Keyword(s):  
South Africa ◽  
Employment Status ◽  
Environmental Planning ◽  
Environmental Attitudes ◽  
Population Group ◽  
Education Level ◽  
Environmental Perceptions ◽  
Gauteng Province ◽  
Perceptions And Attitudes ◽  
Gender Education

In environment-nature discourse, determinants of environmental perceptions and attitudes vary significantly making it difficult to draw generalisations on their significance for particular locales. In this paper, we explore the key socio-demographic factors affecting environmental perceptions and attitudes for a socio-economically diverse area of Gauteng province, South Africa, using a generalised ordered logit model (gologit) approach. Personal level variables like gender, education level, employment status, age, population group, migration status and external variables such as dwelling type and electricity availability, obtained through a questionnaire, were assessed as determinants of environmental perceptions and attitudes. Statistical results indicated that dwelling type, gender, education level, place of birth and employment status were strong determinants of environmental attitudes. Population group (Coloured and White), dwelling type, electricity availability, employment status and education level (from primary only up to matric) were found to be significant predictors of environmental perceptions. Education level, dwelling type and employment status were therefore the common explanatory variables from the analysis, giving prominence to material values that people attach to environmental attitudes and perceptions. Age had no influence on both environmental perceptions and attitudes. The results from this article can provide a foundation for segmentation of anthropocentric factors for environmental planning and strategy formulation within the province.

scholarly journals The Predicament of Caring: Work Interferences and Health of Family Caregivers of Persons With Multiple Chronic Conditions

2020 ◽  
Vol 6 ◽  
pp. 233372142093893
Author(s):  
Allison Williams ◽  
Bharati Sethi
Keyword(s):  
Chronic Conditions ◽  
Employment Status ◽  
Negative Impact ◽  
Well Being ◽  
Workplace Culture ◽  
Multiple Chronic Conditions ◽  
Unpaid Care ◽  
Promotion Strategies ◽  
Negative Impacts ◽  
Work Interference

Providing caregiving to family members with multiple chronic conditions (MCCs) can interfere with employment status and have a negative impact on caregivers’ well-being. The qualitative analysis of 13 Canadian employees who were also simultaneously providing unpaid care (carer-employees) identified three themes that highlight work interference, negative impacts on well-being, and workplace culture. The findings call for employers to provide health promotion strategies and a supportive workplace culture that reduce workplace interference while being responsive to the unique needs of carer-employees.

scholarly journals Health Insurance Ownership among Mollucans in Indonesia

2020 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Sahrir Sillehu ◽  
Abu Khoiri ◽  
Ratna Dwi Wulandari
Keyword(s):  
Higher Education ◽  
Health Insurance ◽  
Employment Status ◽  
Multinomial Logistic Regression ◽  
Education Level ◽  
Public Access ◽  
Age Group ◽  
Gender Education ◽  
The Government ◽  
Use Of Health Services

Abstract Health insurance is an effort to transfer risks to increase public access to the use of health services. The study was aimed at analyzing factors related to health insurance ownership among Mollucans in Indonesia. The sample size was 788 respondents. The variables analyzed included health insurance ownership, age group, gender, education level, employment status. The final stage was employed multinomial logistic regression. The results show Mollucans in the ≤19 age group were 0.182 times more likely than Mollucans in the ≥ 50 age group to have government-run type health insurance. Mollucans in the 20-29 age group were 0.219 times more likely than Mollucans in the ≥ 50 age group to have government-run health insurance. On the other hand, Mollucans with primary education was 0.196 times more likely than Mollucans with higher education to have a government-run type of health insurance. Mollucans with secondary education was 0.415 times more likely than Mollucans with higher education to have government-run health insurance. Meanwhile, unemployed Mollucans have a probability of 0.358 times compared to employed Mollucans to have the government-run type of health insurance. Finally, unemployed Mollucans are 0.056 times more likely than employed Mollucans to have private-run health insurance. It was concluded that 3 proven variables associated with health insurance ownership among Moluccans in Indonesia, namely age group, education level, and employment status.

Opportunities to optimize ehealth technology for patients with multiple chronic conditions

2013 ◽  
Author(s):  
Donna M. Zulman ◽  
Emily Jenchura ◽  
Danielle Cohen ◽  
Eleanor Lewis ◽  
Steven M. Asch
Keyword(s):  
Chronic Conditions ◽  
Multiple Chronic Conditions

Public knowledge, perception and communication behavior surrounding COVID-19 in Malaysia

2020 ◽  
Author(s):  
Khayriyyah Mohd Hanafiah ◽  
Chang Da Wan
Keyword(s):  
Logistic Regression ◽  
Employment Status ◽  
Multinomial Logistic Regression ◽  
Movement Control ◽  
Education Level ◽  
Public Knowledge ◽  
Communication Behavior ◽  
Positive Communication ◽  
The Face ◽  
Control Order

The COVID-19 pandemic is the first to occur in an age of hyperconnectivity. This paper presents results from an online anonymous survey conducted in Malay, English, and Chinese, during the first week of the Movement Control Order in Malaysia (n=1075), which aimed to examine public knowledge, perception and communication behavior in the Malaysian society in the face of a sudden outbreak and social distancing measures. Although the level of public knowledge, risk perception and positive communication behavior surrounding COVID-19 was high, a majority of respondents reported receiving a lot of questionable information. Multinomial logistic regression further identified that responses to different items varied significantly across respondent survey language, gender, age, education level and employment status.

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