scholarly journals Caregiving Patterns and Their Association with Caregiving Burden and Gains

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1004-1004
Author(s):  
Talha Ali ◽  
Gail McAvay ◽  
Joan Monin ◽  
Thomas Gill
Keyword(s):  
Older Adults ◽  
Previous Analysis ◽  
Critical Role ◽  
National Study ◽  
Caregiver Support ◽  
Loved One ◽  
Care Experience ◽  
Physical Burden ◽  
Difficult Situations

Abstract Family and friend caregivers play a critical role in helping older adults live long and healthy lives. Using the construct of "care types" we examine whether caregivers providing more intense care experience higher burden and lower gain compared to caregivers providing less intense care. Data are from the 2015 and 2017 rounds of the National Study of Caregiving (N=2,146), a study of the caregivers of older adults enrolled in the National Health and Aging Trends Study. In a previous analysis, we derived five care types at baseline (2015), that varied in the number and type of care activities, care duration, and regularity of care provided. Caregivers reported whether caregiving was financially, emotionally, and physically difficult for them. Participants were also asked whether caregiving made them more confident, taught them to deal with difficult situations, brought them closer to the recipient, and gave them satisfaction that the recipient was well cared for. We estimated the association between care types derived at baseline and caregiver burden and gains at follow-up using logistic regression. Compared to caregivers in the least intense care type, those in the more intense care types were significantly more likely to report financial and physical burden, as well as increased ability to deal with difficult situations and increased satisfaction that their loved one was well cared for. These associations remained significant after adjusting for confounders. Care types can be used to predict burdens and gains experienced by caregivers and to effectively target caregiver support services and interventions.

scholarly journals Chinese American Caregivers of Older Adults With Alzheimer’s Disease and Other Dementias: A Scoping Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 160-160
Author(s):  
Mengyao Hu ◽  
Laura Grunin ◽  
Bei Wu
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Asian American ◽  
Scoping Review ◽  
Filial Piety ◽  
Chinese American ◽  
Dementia Caregivers ◽  
Caregiver Support ◽  
Care Experience

Abstract With the rapid growth of aging populations, the number of older adults with dementia is increasing worldwide. While there is a significant amount of research on dementia caregivers, we know very little about Chinese American (the largest subgroup of the Asian American population in America) caregivers. Therefore, the aims of this study are to 1) conduct a scoping review by identifying existing studies on Chinese American dementia caregivers, 2) present the current state of the science on Chinese American dementia caregiving, and 3) provide direction for future research. Twenty-one studies were included in the final review with 3 main themes synthesized (care experience, utilization of programs/services, and recruitment for caregivers). Care experience included illness perception towards Alzheimer’s Disease and related dementia (ADRD) such as stigma and normalization of the disease process. Filial piety was another important cultural belief underpinning care experience. An underutilization of supportive programs/services among this population was identified. Additionally, the few existing programs/services for Chinese American caregivers as well as the barriers encountered when seeking these programs/services were seen in the literature. The strategies and barriers of the included research articles for recruitment of Chinese American caregivers are also discussed in this study. These findings provide an overview of the current knowledge about Chinese American caregivers and serve as a stepping stone for future studies on similar populations in promoting caregiver’s health and developing culturally sensitive caregiver support services.

scholarly journals Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults

2020 ◽  
Vol 9 (12) ◽  
pp. 4001
Author(s):  
Roselyne Akugizibwe ◽  
Amaia Calderón-Larrañaga ◽  
Albert Roso-Llorach ◽  
Graziano Onder ◽  
Alessandra Marengoni ◽  
...  
Keyword(s):  
Older Adults ◽  
Negative Binomial ◽  
Community Dwelling ◽  
National Study ◽  
Multiple Chronic Conditions ◽  
Cox Models ◽  
Care Utilisation ◽  
Hospital Days ◽  
Binomial Models

The presence of multiple chronic conditions (i.e., multimorbidity) increases the risk of hospitalisation in older adults. We aimed to examine the association between different multimorbidity patterns and unplanned hospitalisations over 5 years. To that end, 2,250 community-dwelling individuals aged 60 years and older from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K) were studied. Participants were grouped into six multimorbidity patterns using a fuzzy c-means cluster analysis. The associations between patterns and outcomes were tested using Cox models and negative binomial models. After 5 years, 937 (41.6%) participants experienced at least one unplanned hospitalisation. Compared to participants in the unspecific multimorbidity pattern, those in the cardiovascular diseases, anaemia and dementia pattern, the psychiatric disorders pattern and the metabolic and sleep disorders pattern presented with a higher hazard of first unplanned hospitalisation (hazard ratio range: 1.49–2.05; p < 0.05 for all), number of unplanned hospitalisations (incidence rate ratio (IRR) range: 1.89–2.44; p < 0.05 for all), in-hospital days (IRR range: 1.91–3.61; p < 0.05 for all), and 30-day unplanned readmissions (IRR range: 2.94–3.65; p < 0.05 for all). Different multimorbidity patterns displayed a differential association with unplanned hospital care utilisation. These findings call for a careful primary care follow-up of older adults with complex multimorbidity patterns.

The Burden of Experiencing Unexpected Loss of a Loved One: A National Study

2012 ◽  
Author(s):  
Katherine Keyes ◽  
Jonathan Platt ◽  
Katherine Shear ◽  
Karestan Koenen
Keyword(s):  
National Study ◽  
Loved One

Neuropsychological Effects of Cybercycling for Older Adults: One-Year Follow-Up

2010 ◽  
Author(s):  
Cay Anderson-Hanley ◽  
Paul Arciero ◽  
Joseph Nimon ◽  
Vadim Yerkohin ◽  
Veronica Hopkins ◽  
...  
Keyword(s):  
Older Adults ◽  
Neuropsychological Effects ◽  
One Year

scholarly journals ASIAN OLDER ADULTS’ ONLINE AND OFFLINE HEALTH INFORMATION PREFERENCES AND BEHAVIORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S412-S412
Author(s):  
Bo Xie ◽  
Kristina Shiroma
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Ethnic Minority ◽  
Health Information ◽  
Survey Data ◽  
National Study ◽  
Information Preferences ◽  
Internet Users ◽  
And Behaviors ◽  
Older Chinese

Abstract Older adults living in Asia or of Asian origin have unique preferences for information that require special attention. This symposium focuses on the health information preferences and behaviors of Asian older adults. Song et al. investigated the relationship between Internet use and perceived loneliness among Older Chinese using from survey data collected in the 2015 wave of the China Health and Retirement Longitudinal Study (CHARLS), a national study involving 12,400 households in Mainland China. Multiple regression results suggest that older Chinese Internet users perceived significantly less loneliness compared with their age peers who were non-Internet users. Zhang et al. investigated the role of information and communication technologies in supporting antiretroviral therapy (ART)-related knowledge seeking among older Chinese with HIV. Their cross-sectional survey data were collected from 2012 to 2013 in Guangxi, China. The results suggest that less than 5% of the participants sought HIV-related information via computers. Patients less knowledgeable about ART were more likely than those more knowledgeable to consult medical professionals about the disease via cell phones. Shiroma et al. report findings of a systematic literature review conducted in spring 2019 that examined Asian ethnic minority older adults’ preferences for end-of-Life (EOL) information seeking and decision making. The results suggest Asian ethnic minority older adults are understudied in the literature on EOL information and decision making, especially in terms of their unique cultural contexts. Du et al. examined how health information obtained from different types of social networks affect osteoporosis self-management behaviors among older White and Asian women.

scholarly journals Social isolation, rather than loneliness, is associated with cognitive decline in older adults: the China Health and Retirement Longitudinal Study

2021 ◽  
pp. 1-8
Author(s):  
Bin Yu ◽  
Andrew Steptoe ◽  
Yongjie Chen ◽  
Xiaohua Jia
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Cognitive Function ◽  
Episodic Memory ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Mental Status ◽  
Chinese Older Adults ◽  
Confounding Variables

Abstract Background Social isolation and loneliness have each been associated with cognitive decline, but most previous research is limited to Western populations. This study examined the relationships of social isolation and loneliness on cognitive function among Chinese older adults. Methods This study used two waves of data (2011 and 2015) from the China Health and Retirement Longitudinal Study and analyses were restricted to those respondents aged 50 and older. Social isolation, loneliness, and cognitive function were measured at baseline. Follow-up measures on cognitive function were obtained for 7761 participants (mean age = 60.97, s.d. = 7.31; male, 50.8%). Lagged dependent variable models adjusted for confounding factors were used to evaluate the association between baseline isolation, loneliness, and cognitive function at follow-up. Results Loneliness was significantly associated with the cognitive decline at follow-up (episodic memory: β = −0.03, p < 0.01; mental status: β = −0.03, p < 0.01) in the partially adjusted models. These associations became insignificant after additional confounding variables (chronic diseases, health behaviors, disabilities, and depressive symptoms) were taken into account (all p > 0.05). By contrast, social isolation was significantly associated with decreases in all cognitive function measures at follow-up (episodic memory: β = −0.05, p < 0.001; mental status: β = −0.03, p < 0.01) even after controlling for loneliness and all confounding variables. Conclusions Social isolation is associated with cognitive decline in Chinese older adults, and the relationships are independent of loneliness. These findings expand our knowledge about the links between social relationships and the cognitive function in non-Western populations.

Sign in / Sign up

Export Citation Format

Share Document