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The Burden and Benefits of Caregiving: A Latent Class Analysis.
Gerontologist. 2019 11 16; 59(6):1078-1091.G

Abstract

BACKGROUND AND OBJECTIVES

Informal caregiving to older adults is a key part of the U.S. long-term care system. Caregivers' experiences consist of burden and benefits, but traditional analytic approaches typically consider dimensions independently, or cannot account for burden and benefit levels and combinations that co-occur. This study explores how benefits and burden simultaneously shape experiences of caregiving to older adults, and factors associated with experience types.

RESEARCH DESIGN AND METHODS

2015 National Health and Aging Trends Study (NHATS) and National Study of Caregiving (NSOC) data were linked to obtain reports from caregivers and recipients. Latent class and regression analysis were conducted on a nationally representative sample of U.S. informal caregivers to older persons.

RESULTS

Five distinguishable caregiving experiences types and their population prevalence were identified. Subjective burden and benefits level and combination uniquely characterize each group. Primary stressors (recipient depression, medical diagnoses), primary appraisal (activities of daily living, instrumental activities of daily living, medical task assistance, hours caregiving), and background/contextual factors (caregiver age, race, relationship to recipient, mental health, coresidence, long-term caregiving) are associated with experience types.

DISCUSSION AND IMPLICATIONS

Findings highlight caregivers' experience multiplicity and ambivalence, and identify groups that may benefit most from support services. In cases where it is not possible to reduce burden, assistance programs may focus on increasing the benefits perceptions.

Authors+Show Affiliations

Department of Sociology, Rutgers, The State University of New Jersey, New Brunswick.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

29659788

Citation

Pristavec, Teja. "The Burden and Benefits of Caregiving: a Latent Class Analysis." The Gerontologist, vol. 59, no. 6, 2019, pp. 1078-1091.
Pristavec T. The Burden and Benefits of Caregiving: A Latent Class Analysis. Gerontologist. 2019;59(6):1078-1091.
Pristavec, T. (2019). The Burden and Benefits of Caregiving: A Latent Class Analysis. The Gerontologist, 59(6), 1078-1091. https://doi.org/10.1093/geront/gny022
Pristavec T. The Burden and Benefits of Caregiving: a Latent Class Analysis. Gerontologist. 2019 11 16;59(6):1078-1091. PubMed PMID: 29659788.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Burden and Benefits of Caregiving: A Latent Class Analysis. A1 - Pristavec,Teja, PY - 2017/08/21/received PY - 2020/11/16/pmc-release PY - 2018/4/17/pubmed PY - 2020/4/24/medline PY - 2018/4/17/entrez KW - Analysis—Regression models KW - Caregiver stress KW - Caregiving—Informal KW - Depression KW - Family issues KW - Health KW - Interpersonal relations (other than family relations) KW - Quantitative research methods KW - Sociology of aging/social Gerontology KW - Statistics SP - 1078 EP - 1091 JF - The Gerontologist JO - Gerontologist VL - 59 IS - 6 N2 - BACKGROUND AND OBJECTIVES: Informal caregiving to older adults is a key part of the U.S. long-term care system. Caregivers' experiences consist of burden and benefits, but traditional analytic approaches typically consider dimensions independently, or cannot account for burden and benefit levels and combinations that co-occur. This study explores how benefits and burden simultaneously shape experiences of caregiving to older adults, and factors associated with experience types. RESEARCH DESIGN AND METHODS: 2015 National Health and Aging Trends Study (NHATS) and National Study of Caregiving (NSOC) data were linked to obtain reports from caregivers and recipients. Latent class and regression analysis were conducted on a nationally representative sample of U.S. informal caregivers to older persons. RESULTS: Five distinguishable caregiving experiences types and their population prevalence were identified. Subjective burden and benefits level and combination uniquely characterize each group. Primary stressors (recipient depression, medical diagnoses), primary appraisal (activities of daily living, instrumental activities of daily living, medical task assistance, hours caregiving), and background/contextual factors (caregiver age, race, relationship to recipient, mental health, coresidence, long-term caregiving) are associated with experience types. DISCUSSION AND IMPLICATIONS: Findings highlight caregivers' experience multiplicity and ambivalence, and identify groups that may benefit most from support services. In cases where it is not possible to reduce burden, assistance programs may focus on increasing the benefits perceptions. SN - 1758-5341 UR - https://www.unboundmedicine.com/medline/citation/29659788/The_Burden_and_Benefits_of_Caregiving:_A_Latent_Class_Analysis_ L2 - https://academic.oup.com/gerontologist/article-lookup/doi/10.1093/geront/gny022 DB - PRIME DP - Unbound Medicine ER -