Informal Caregiver Burden, Benefits, and Older Adult Mortality: A Survival Analysis.

Objective Informal caregivers are crucial to maintaining older adults' health, but few studies examine how caregiving receipt is associated with older person longevity. In a nationally representative sample, we prospectively explore whether and how having an informal caregiver is associated with old...

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Publicado en:Journals of Gerontology Series B: Psychological Sciences & Social Sciences Vol. 75; no. 10; pp. 2193 - 2207
Autores principales: Pristavec, Teja, Luth, Elizabeth A
Formato: Artículo
Publicado: Oxford University Press / USA Dec2020
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2020
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      pub: Oxford University Press / USA
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        atl: Informal Caregiver Burden, Benefits, and Older Adult Mortality: A Survival Analysis.
      aug:
        au:
          Pristavec, Teja
          Luth, Elizabeth A
        affil:
          Social and Decision Analytics Division, Biocomplexity Institute and Initiative, University of Virginia , Arlington
          Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine , New York, New York
      su:
        Health status indicators
        Medical care
        Mortality
        Patients
        Socioeconomic factors
        Old age
        Patient aftercare
        Longitudinal method
        Services for caregivers
        Survival analysis (Biometry)
        Burden of care
        Caregiver attitudes
        Descriptive statistics
      sug:
        subj:
          Health status indicators
          Medical care
          Mortality
          Patients
          Socioeconomic factors
          Old age
          Home Health Care Services
          Patient aftercare
          Longitudinal method
          Services for caregivers
          Survival analysis (Biometry)
          Burden of care
          Caregiver attitudes
          Descriptive statistics
      keyword:
        Benefits
        Burden
        NHATS
        NSOC
        Benefits
        Burden
        NHATS
        NSOC
      ab: Objective Informal caregivers are crucial to maintaining older adults' health, but few studies examine how caregiving receipt is associated with older person longevity. In a nationally representative sample, we prospectively explore whether and how having an informal caregiver is associated with older adult overall mortality, and how caregivers' burden and benefits perceptions relate to care recipient mortality. Methods We match six National Health and Aging Trends Study waves (2011–2016) with 2011 National Study of Caregiving data, conducting survival analysis on 7,369 older adults and 1,327 older adult-informal caregiver dyads. Results Having an informal caregiver is associated with 36% (p  < .001) higher mortality risk over 6-year follow-up, adjusting for demographic, economic, and health factors. Older adults whose caregivers perceive only burden have 38% higher (p  < .05) mortality risk than those with caregivers reporting neither burden nor benefits. This risk is reduced from 38% higher to 5% higher (p  < .001) for older adults with caregivers reporting benefits alongside burden, compared to those with caregivers reporting neither perception. Discussion Having a caregiver may signal impending decline beyond known mortality factors. However, interventions to increase caregivers' benefit perceptions and reduce their burden may decrease mortality risk for older adults with declining health and functional ability.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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