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Informal Caregiver Burden and Benefits and Older Adult Mortality: A Survival Analysis.
J Gerontol B Psychol Sci Soc Sci. 2020 Jan 06 [Online ahead of print]JG

Abstract

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<0.001) 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<0.05) mortality risk than those with caregivers reporting neither burden nor benefits. This risk is reduced from 38% higher to 5% higher (p<0.001) 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.

Authors+Show Affiliations

Postdoctoral Research Associate Social and Decision Analytics Division Biocomplexity Institute and Initiative University of Virginia, Arlington, VA.Postdoctoral Research Fellow Division of Geriatrics and Palliative Medicine Weill Cornell Medicine.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31903481

Citation

Pristavec, Teja, and Elizabeth A. Luth. "Informal Caregiver Burden and Benefits and Older Adult Mortality: a Survival Analysis." The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 2020.
Pristavec T, Luth EA. Informal Caregiver Burden and Benefits and Older Adult Mortality: A Survival Analysis. J Gerontol B Psychol Sci Soc Sci. 2020.
Pristavec, T., & Luth, E. A. (2020). Informal Caregiver Burden and Benefits and Older Adult Mortality: A Survival Analysis. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. https://doi.org/10.1093/geronb/gbaa001
Pristavec T, Luth EA. Informal Caregiver Burden and Benefits and Older Adult Mortality: a Survival Analysis. J Gerontol B Psychol Sci Soc Sci. 2020 Jan 6; PubMed PMID: 31903481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Informal Caregiver Burden and Benefits and Older Adult Mortality: A Survival Analysis. AU - Pristavec,Teja, AU - Luth,Elizabeth A, Y1 - 2020/01/06/ PY - 2019/04/16/received PY - 2020/1/7/entrez PY - 2020/1/7/pubmed PY - 2020/1/7/medline KW - Benefits KW - NHATS KW - NSOC KW - burden KW - mortality JF - The journals of gerontology. Series B, Psychological sciences and social sciences JO - J Gerontol B Psychol Sci Soc Sci N2 - 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<0.001) 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<0.05) mortality risk than those with caregivers reporting neither burden nor benefits. This risk is reduced from 38% higher to 5% higher (p<0.001) 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. SN - 1758-5368 UR - https://www.unboundmedicine.com/medline/citation/31903481/Informal_Caregiver_Burden_and_Benefits_and_Older_Adult_Mortality:_A_Survival_Analysis_ L2 - https://academic.oup.com/psychsocgerontology/article-lookup/doi/10.1093/geronb/gbaa001 DB - PRIME DP - Unbound Medicine ER -
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