We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Use of Caregiving Support Services Among Diverse Dementia Caregivers by Geographic Context.
- Authors
Yoshikawa, Aya; Bouldin, Erin D; López-Anuarbe, Mónika; Kindratt, Tiffany B; Sylvers, Dominique L; Webster, Noah J
- Abstract
Background and Objectives Little is known about how race/ethnicity and geographic context relate to support service use among dementia caregivers. Our objectives were to investigate (a) whether the use of at least one formal caregiving service—support groups, respite care, and training—differed by race/ethnicity and across metro and nonmetro areas; and (b) whether predisposing, enabling, and need characteristics influenced support service use by race/ethnicity. Research Design and Methods Data were analyzed from a sample of primary caregivers of care recipients aged 65 years or older with probable dementia (n = 482) in the 2017 National Health and Aging Trends Study and National Study of Caregiving. We calculated weighted prevalence estimates and then used the Hosmer–Lemeshow goodness of fit statistic to find the best-fitting logistic regression models. Results Among minority dementia caregivers, support service use was higher in metro than nonmetro areas (35% and 15%); the trend was reversed for non-Hispanic White caregivers (47% nonmetro and 29% metro). The best-fitting regression models included predisposing, enabling, and need factors for both minority and non-Hispanic White caregivers. Younger age and more disagreement within the family were consistently associated with more service use in both groups. Among minority caregivers, better caregiver and care recipient health were associated with using support services. Among non-Hispanic White caregivers, nonmetro geographic context and caregiving interfering with valued activities were associated with using support services. Discussion and Implications Geographic context differently affected support service use and the influence of predisposing, enabling, and need factors varied by race/ethnicity.
- Subjects
DEMENTIA prevention; SERVICES for caregivers; RESPITE care; POPULATION geography; MEDICAL care use; SUPPORT groups; LOGISTIC regression analysis
- Publication
Gerontologist, 2024, Vol 64, Issue 2, p1
- ISSN
0016-9013
- Publication type
Article
- DOI
10.1093/geront/gnad067