scholarly journals The effect of socioeconomic status on informal caregiving intensity of adult females for parents: Evidence from a national study in China

2020 ◽  
Author(s):  
Yi Wang ◽  
Jiajia Li ◽  
Lulu Ding ◽  
Yuejing Feng ◽  
Xue Tang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Informal Care ◽  
High Intensity ◽  
Multinomial Logistic Regression ◽  
Informal Caregiving ◽  
Family Characteristics ◽  
National Study ◽  
Education Attainment ◽  
Nutrition Survey ◽  
Low Intensity

Abstract Background Few studies explored the effect of SES of caregivers on informal caregiving in China, especially from a female perspective. The purpose of this study was to empirically examine how the SES of female caregivers affects the amount of informal care they provide for parents in China. Methods The data used in this study was derived from the China Health and Nutrition Survey (CHNS). Informal caregivers were divided into three categories: non-caregivers (0 hrs/week), low-intensity caregivers (less than 10 hrs/week), and high-intensity caregivers (more than 10 hrs/week). Chi-square tests and one-way analysis of variance (ANOVA) were used to compare the SES of the women between non-, low-, and high-intensity caregivers. Multinomial logistic regression analysis was used to calculate relative risk ratios (RRR) for various SES variables to assess the relation of SES on the likelihood of a low- and high-intensity caregiving in the household, adjusting for age, marital status, family characteristics and wave. Results Of the 2741 respondents, high-intensity and low-intensity caregivers accounted for 16.42% and 21.38% respectively. Multinomial logistic regression results found that the likelihood of being a high-intensity caregiver vs. a non-caregivers increased as the caregiver’s education attainment increased. Urban females were 1.34 times more likely than their rural counterparts to provide low-intensity care vs. no care ( p <0.05) and were 1.34 times more likely to provide high-intensity care vs. no care ( p <0.05). Employed females were 1.27 times more likely than those non-employed to provide low-intensity care vs. no care ( p <0.05). Conclusions Differences in SES were found between high-intensity caregivers and low-intensity caregivers. Women with higher SES (higher education attainment, higher incomes, and urban Hukou ) were more likely to provide high-intensity informal care, and women who were employed and with urban Hukou were more likely to provide low-intensity care.

scholarly journals The effect of socioeconomic status among adult married females on informal caregiving for parents: Evidence from China

2020 ◽  
Author(s):  
Yi Wang ◽  
Jiajia Li ◽  
Lulu Ding ◽  
Yuejing Feng ◽  
Xue Tang ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Informal Care ◽  
High Intensity ◽  
Multinomial Logistic Regression ◽  
Family Characteristics ◽  
Regression Result ◽  
Nutrition Survey ◽  
Low Intensity ◽  
Married Female

Abstract Background: Married female caregivers face a higher risk of informal care burden. There is no study to explore the effect of socioeconomic status (SES) among married female caregivers on informal care intensity in China. The purpose of this study is to empirically examine how the SES of married female caregivers affects the amount of informal care they provide for their parents/in-law in China.Methods: 8 waves of the China Health and Nutrition Survey were pooled, and that the selection comprised only those women whose parents/in law had a need for care and were living in the same city. Informal caregivers were divided into three categories: non-caregivers (0 hrs/week), low-intensity caregivers (less than 10 hrs/week), and high-intensity caregivers (10 hrs/week and above). Chi-square tests and one-way analysis of variance (ANOVA) were used to compare the SES of the women between non-, low-, and high-intensity caregivers. Multinomial logistic regression analysis was used to calculate relative risk ratios (RRR) for various SES variables to assess the relation of SES on the likelihood of a low- and high-intensity caregiving in the household, adjusting for age, marital status, family characteristics and wave. Results: Of the 2741 respondents, high-intensity and low-intensity caregivers account for 16.42% and 21.38% respectively. Multinomial logistic regression result shows that the likelihood of being a high-intensity caregiver versus (vs.) a non-caregiver increases as the caregiver’s education attainment increases (p<0.05), and high income is related to the likelihood of being a high-intensity caregiver, but it is only significant at 10% level. Urban females are 1.34 times more likely than their rural counterparts to provide low-intensity care vs. no care (p<0.05) and are 1.34 times more likely to provide high-intensity care vs. no care (p<0.05). Employed females are 1.27 times more likely than those non-employed to provide low-intensity care vs. no care (p<0.05).Conclusions: Differences in SES are found between high-intensity caregivers and low-intensity caregivers. Women with high educational attainment and urban Hukou are more likely to provide high-intensity informal care, and women who are employed and with urban Hukou are more likely to provide low-intensity care.

scholarly journals The effect of socioeconomic status on informal caregiving for parents among adult married females: evidence from China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Wang ◽  
Jiajia Li ◽  
Lulu Ding ◽  
Yuejing Feng ◽  
Xue Tang ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Educational Attainment ◽  
Informal Care ◽  
High Intensity ◽  
Multinomial Logistic Regression ◽  
Economic Status ◽  
Registration System ◽  
Low Intensity ◽  
Married Female

Abstract Background Married female caregivers face a higher risk of an informal care burden than other caregivers. No study has explored the effect of socioeconomic status (SES) on the intensity of informal care provided by married female caregivers in China. The purpose of this study is to empirically examine how the SES of married female caregivers affects the intensity of the informal care they provide for their parents/parents-in-law in China. Methods The data for this study were drawn from 8 waves of the China Health and Nutrition Survey (CHNS). The respondents were married women whose parents/parents-in-law needed care and lived in the same city as them. SES was defined based on four indicators: education, economic status, employment status, and hukou (China’s household registration system). Informal caregivers were divided into three categories: non-caregivers (0 h/week), low-intensity caregivers (less than 10 h/week), and high-intensity caregivers (10 h/week and above). Multinomial logistic regression analysis was used to examine the relation between SES and the likelihood of a low- and high-intensity caregiving among married female caregivers, adjusting for age, family characteristics and survey wave. Results Of the 2661 respondents, high-intensity and low-intensity caregivers accounted for 16.35 and 21.27%, respectively. The multinomial logistic regression results showed that the likelihood of being a high-intensity caregiver versus (vs. a non-caregiver) increased as the caregiver’s educational attainment increased (p < 0.05), and that high economic status was related to the likelihood of being a high-intensity caregiver, but this relationship was only significant at the 10% level. Urban females were 1.34 times more likely than their rural counterparts to provide low-intensity care vs. no care (p < 0.05) and were 1.33 times more likely to provide high-intensity care vs. no care (p < 0.05). Employed females were 1.25 times more likely than those unemployed females to provide low-intensity care vs. no care (p < 0.05). Conclusions Differences in SES were found between high-intensity caregivers and low-intensity caregivers. Women with high educational attainment and urban hukou were more likely to provide high-intensity informal care, and women who were employed and had urban hukou were more likely to provide low-intensity care.

scholarly journals The effect of socioeconomic status on informal caregiving for parents among adult married females: Evidence from China

2020 ◽  
Author(s):  
Yi Wang ◽  
Jiajia Li ◽  
Lulu Ding ◽  
Yuejing Feng ◽  
Xue Tang ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Educational Attainment ◽  
Informal Care ◽  
High Intensity ◽  
Multinomial Logistic Regression ◽  
Economic Status ◽  
Registration System ◽  
Low Intensity ◽  
Married Female

Abstract Background: Married female caregivers face a higher risk of an informal care burden than other caregivers. No study has explored the effect of socioeconomic status (SES) on the intensity of informal care provided by married female caregivers in China. The purpose of this study is to empirically examine how the SES of married female caregivers affects the intensity of the informal care they provide for their parents/parents-in-law in China.Methods: The data for this study were drawn from 8 waves of the China Health and Nutrition Survey (CHNS). The respondents were married women whose parents/parents-in-law needed care and lived in the same city as them. SES was defined based on four indicators: education, economic status, employment status, and hukou (China’s household registration system). Informal caregivers were divided into three categories: non-caregivers (0 hrs/week), low-intensity caregivers (less than 10 hrs/week), and high-intensity caregivers (10 hrs/week and above). Multinomial logistic regression analysis was used to examine the relation between SES and the likelihood of a low- and high-intensity caregiving among married female caregivers, adjusting for age, family characteristics and survey wave.Results: Of the 2661 respondents, high-intensity and low-intensity caregivers accounted for 16.35% and 21.27%, respectively. The multinomial logistic regression results showed that the likelihood of being a high-intensity caregiver versus (vs. a non-caregiver) increased as the caregiver’s educational attainment increased (p < 0.05), and that high economic status was related to the likelihood of being a high-intensity caregiver, but this relationship was only significant at the 10% level. Urban females were 1.34 times more likely than their rural counterparts to provide low-intensity care vs. no care (p < 0.05) and were 1.33 times more likely to provide high-intensity care vs. no care (p < 0.05). Employed females were 1.25 times more likely than those unemployed females to provide low-intensity care vs. no care (p < 0.05).Conclusions: Differences in SES were found between high-intensity caregivers and low-intensity caregivers. Women with high educational attainment and urban hukou were more likely to provide high-intensity informal care, and women who were employed and had urban hukou were more likely to provide low-intensity care.

scholarly journals A National Study of the Quantity and Cost of Informal Caregiving for the Elderly with Stroke

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 326-326
Author(s):  
Susan L Hickenbottom ◽  
Kenneth M Langa ◽  
Jeffrey S Kutcher ◽  
Mohammed U Kabeto ◽  
A. M Fendrick ◽  
...  
Keyword(s):  
Informal Care ◽  
Annual Cost ◽  
The Elderly ◽  
Informal Caregiving ◽  
National Study ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Stroke Incidence ◽  
Stroke Treatment ◽  
The Us

56 Background: As the US population ages, increased stroke incidence will result in higher stroke-associated costs. While estimates of direct costs exist, little information is available regarding informal caregiving costs for stroke patients. Objective: To determine a nationally representative estimate of the quantity and cost of informal caregiving for elderly stroke patients. Methods: We used data from the first wave (1993) of the Asset and Health Dynamics (AHEAD) Study, a longitudinal study of people over 70 living in the community, to determine average weekly hours of informal caregiving. Multivariate and logistic regression analyses were performed to examine association of stroke and other covariates and assess the probability of receiving informal care. Average annual cost for informal caregiving was calculated. Results: Of the 7443 respondents, 656 (6%) reported a history of stroke. Of those, 375 (57%) reported stroke-related health problems (SRHP). After adjusting for cormorbid conditions, social support and sociodemographics, the proportion of patients receiving informal care increased with stroke severity, and there was a significant association of weekly hours of caregiving with stroke category (p<0.01). Using the mean 1998 wage for a home health aide ($8.20/hr.) as the value for family caregiver time, the expected yearly caregiving cost per stroke ranged from $3500 to $7600, which would result in an annual cost of more than $5.7 billion for stroke-related informal caregiving in the US. Conclusions: The economic burden of informal caregiving following stroke has not been studied previously. Informal caregiving occurs frequently; associated costs are substantial and should be considered when estimating the cost of stroke treatment.

Ethnic Differences in Informal Caregiving After Stroke

Stroke ◽  
2021 ◽  
Author(s):  
Lewis B. Morgenstern ◽  
Cecilia N. Hollenhorst ◽  
Linda C. Gallo ◽  
Chia-Wei Hsu ◽  
Sehee Kim ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Activities Of Daily Living ◽  
Informal Care ◽  
Ethnic Differences ◽  
Mexican Americans ◽  
Daily Living ◽  
Logistic Models ◽  
Stroke Care ◽  
Informal Caregiving ◽  
Stroke Severity

Background and Purpose: Informal (unpaid) caregiving usually provided by family is important poststroke. We studied whether the prevalence of informal caregiving after stroke differs between Mexican Americans (MAs) and non-Hispanic Whites (NHWs). Methods: Between October 2014 and December 2018, participants in the BASIC (Brain Attack Surveillance in Corpus Christi) project in Nueces County, Texas, were interviewed 90 days after stroke to determine which activities of daily living they required help with and whether family provided informal caregiving. Ethnic differences between MAs and NHWs were determined by logistic regression. The logistic models were stratified by formal (paid) care status. Odds ratios (95% CIs) are reported with NHW as the referent group. Fisher exact tests were used to assess the association of ethnicity with relationship of caregiver and with individual activities of daily living. Results: Eight hundred thirty-one patients answered the caregiving questions. Of these, 242 (29%) received family caregiving (33% of MAs and 23% of NHWs), and 142 (17%) received paid caregiving (21% of MAs and 10% of NHWs). There were no ethnic differences in stroke severity. In logistic regression analyses, among those without formal, paid care, MAs were more likely to have informal caregiving (odds ratio, 1.75 [95% CI, 1.12–2.73]) adjusted for age, National Institutes of Health Stroke Scale, prestroke modified Rankin Scale, and insurance. No ethnic differences in informal care were found among those who had formal care. There were no differences between ethnic groups in which family members provided the informal care. MAs were more likely to require help compared with NHWs for walking ( P <0.0001), bathing ( P <0.0001), hygiene ( P =0.0012), eating ( P =0.0004), dressing ( P <0.0001), ambulating ( P =0.0304), and toileting ( P =0.0003). Conclusions: MAs required more help poststroke than NHWs for assistance with activities of daily living. MAs received more help for activities of daily living through informal, unpaid caregiving than NHWs if they were not also receiving formal, paid care. Efforts to help minority and low-resource populations provide stroke care are needed.

scholarly journals The impacts of caregiving intensity on informal caregivers in Malaysia: findings from a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Suhana Jawahir ◽  
Ee Hong Tan ◽  
Yeung R’ong Tan ◽  
Sarah Nurain Mohd Noh ◽  
Iqbal Ab Rahim
Keyword(s):  
Informal Care ◽  
High Intensity ◽  
Informal Caregivers ◽  
Daily Activities ◽  
Ageing Population ◽  
Social Activities ◽  
Negative Consequences ◽  
Negative Effects ◽  
Factors Affecting ◽  
Low Intensity

Abstract Background Provision of informal care may adversely affect health, daily and social activities of the informal caregivers, but few studies have examined these effects in relation to caregiving intensity. This study examined the predictive factors associated with the effects of caregiving roles on health, daily and social activities of informal caregivers, accounting for caregiving intensity. Methods Data of adults aged 18 years and over from the National Health and Morbidity Survey 2019 were used. Respondent’s demographic, socioeconomic, health, and caregiving-related characteristics were described using complex samples analysis. Logistic regression analysis was performed to examine the factors affecting health, daily and social activities of caregivers, accounting for caregiving intensity. Results Five point one percent of adults in Malaysia provided informal care. High intensity caregivers were more likely to be actively employed and provided longer duration of care compared with low intensity caregivers. For low intensity caregiving, females, those aged 35–59 years, and those with long-term condition were more likely to have negative effects on health. Daily activities of non-Malays were more likely to be affected, while no factor was found significantly associated with effect on social activities. For high intensity caregiving, caregivers aged 60 and over, those received training and those without assistance were more likely to have negative effects on health. Daily activities of those without assistance were more likely to be affected. Social activities of non-Malays, those received training and those providing care for 2 years or more were more likely to be affected. Conclusions Our study indicates that both low- and high-intensity caregivers have common features, with the exception of employment status and care duration. Caregiving, regardless of intensity, has a significant impact on caregivers. In order to reduce the negative consequences of caregiving responsibilities, all caregivers need assistance from the community and government, that is customised to their needs. By addressing the factors contributing to the negative effects of caregiving, a continuation of informal caregiving can be sustained through policies supporting the growing demand for informal care necessitated by an ageing population and higher life expectancy in Malaysia.

scholarly journals Conditioning Intensity and Probability of Live Birth after Blood or Marrow Transplantation (BMT): a BMTSS Report

2021 ◽  
Author(s):  
Nora Balas ◽  
Lindsey Hageman ◽  
Jessica Wu ◽  
Liton Francisco ◽  
Elizabeth Schlichting Ross ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Live Birth ◽  
High Intensity ◽  
Marrow Transplantation ◽  
Conditional Logistic Regression ◽  
Low Intensity ◽  
Exposure Variable ◽  
Total Body ◽  
Conditioning Intensity ◽  
The Impact

We examine the impact of conditioning intensity (low intensity: non-myeloablative/reduced intensity vs. high intensity: myeloablative) and total body irradiation (TBI) on the probability of live birth after blood or marrow transplantation (BMT). Study participants were drawn from the BMT Survivor Study (BMTSS), and included 1,607 survivors transplanted 1974-2014 at age ≤45, with survival ≥2y post-BMT and age at study ≥18. Closest-age, same-sex biologic siblings (n=172) were 1:1 matched with 172 survivors. Survivors and siblings self-reported information on sociodemographic, chronic health conditions, and pregnancies. Within survivor analysis: The association between the primary exposure variable (No TBI/low-intensity conditioning; 200-800cGy TBI/low-intensity conditioning; No TBI/ high-intensity conditioning; &gt;800cGy TBI/ high-intensity conditioning) and the odds of no post-BMT live birth was examined using multivariable logistic regression, adjusting for clinical and demographic variables. Median age at BMT was 31y (IQR=0-45), and median length of follow-up was 14.3y (IQR=2.4-41.4); 39.3% were autologous BMT recipients and 46.6% were female. Overall, 120 (8.7%) survivors reported post-BMT live births. Receipt of &gt;800cGy TBI/ high-intensity conditioning (OR=3.7, 95%CI=1.9-7.0; ref: no TBI/low-intensity conditioning) was associated with higher odds of reporting no live birth post-BMT. In contrast, 200-800cGy TBI/low-intensity conditioning (OR=1.3, 95%CI=0.5-3.3), and no TBI/high-intensity conditioning (OR=0.9, 95%CI=0.5-1.7) were at similar risk of reporting post-BMT live birth as no TBI/low-intensity conditioning. Comparison with biologic siblings: Using conditional logistic regression, we found that BMT survivors were more likely to report no live birth (OR=2.0, 95%CI: 1.2-3.3) compared with siblings. These findings could inform conditioning intensity options for patients wishing to preserve fertility post-BMT.

scholarly journals Facility Characteristics Associated With Intensity of Care of Nursing Home Residents With Advanced Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 227-228
Author(s):  
Meghan Hendricksen ◽  
Susan Mitchell ◽  
Ruth Lopez ◽  
Kathleen Mazor ◽  
Ellen McCarthy
Keyword(s):  
Nursing Home ◽  
High Intensity ◽  
Multinomial Logistic Regression ◽  
Tube Feeding ◽  
Nursing Home Residents ◽  
Advanced Dementia ◽  
Low Intensity ◽  
Hospital Referral ◽  
Modifiable Factors ◽  
Intensity Of Care

Abstract Profound variations in care intensity of nursing home (NH) residents with advanced dementia exist for NHs within and across hospital referral regions (HRRs). Little is known about how these levels of influence relate. Nationwide 2016-2017 Minimum DataSet was used to categorize NHs and HRRs into 4 levels of care intensity based on hospital transfer and tube-feeding rates among residents with advanced dementia: low intensity NH in low intensity HRR; high intensity NH in low intensity HRR; low intensity NH in high intensity HRR; and high intensity NH in high intensity HRR. We used multinomial logistic regression to identify NH characteristics associated with belonging to each of 4-levels of intensity as compared to low intensity NH in low intensity HRRs (reference). We found high intensity NHs in high intensity HRRs were more likely to be in an urbanized area, not have an dementia unit, have an NP/PA on staff, have a higher proportion of residents who were male, age &lt;65, of Black race, and had pressure ulcers, and relatively fewer days on hospice. Whereas in low intensity HRRs, higher proportion of Black residents was the only characteristic associated with being a high intensity NH. These findings suggest potentially modifiable factors within high intensity HRRs that could be targeted to reduce burdensome care, including having a dementia unit, palliative care training for NP/PAs, or increased use of hospice care. This study underscores the critical need to better understand the role race plays in the intensity of care of NH residents with dementia.

Inhibition rather than Enhancement of Hemostatic System Activation during Initiation of Oral Anticoagulant Treatment

1997 ◽  
Vol 77 (04) ◽  
pp. 685-689 ◽  
Author(s):  
Paul A Kyrle ◽  
Johannes Brockmeier ◽  
Ansgar Weltermann ◽  
Sabine Eichinger ◽  
Wolfgang Speiser ◽  
...  
Keyword(s):  
High Intensity ◽  
Oral Anticoagulant ◽  
Protein C ◽  
Venous Blood ◽  
Rapid Decline ◽  
Oral Anticoagulant Treatment ◽  
Shed Blood ◽  
Low Intensity ◽  
Hemostatic System ◽  
System Activation

SummaryCoumarin-induced skin necrosis is believed to be due to a transient hypercoagulable state resulting from a more rapid decline of the protein C activity relative to that of coagulation factors (F) II, IX and X during initiation of oral anticoagulant therapy. We studied hemostatic system activation during early oral anticoagulant treatment with a technique that investigates coagulation activation in the microcirculation.We determined in 10 healthy volunteers the concentrations of prothrombin fragment F1+2 (f1.2) and thrombin-antithrombin complex (TAT) in blood emerging from an injury of the microvasculature (bleeding time incision) before and after initiation of both high-inten- sity and low-intensity coumarin therapy. In addition, f1.2, TAT, activated F VII (F Vila) and the activities of FII, F VII, F X and protein C were measured in venous blood.A rapid decline of F VII and protein C was observed in venous blood with activities at 24 h of 7 ± 1% and 43 ± 2%, respectively, during the high-intensity regimen. A 20 to 30% reduction of f1.2 and TAT was seen in venous blood at 72 h with no major difference between the high- and the low-intensity regimen. F Vila levels were substantially affected by anticoagulation with a >90% reduction at 48 h during the high-intensity regimen. Following high-intensity coumarin, a >50% decrease in the fl.2 and TAT levels was found in shed blood at 48 h suggesting substantial inhibition of thrombin generation during early oral anticoagulation. An increase in the f1.2 and TAT levels was seen neither in shed blood nor in venous blood.Our data do not support the concept of a transient imbalance between generation and inhibition of thrombin as the underlying pathomechanism of coumarin-induced skin nekrosis.

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