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Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S.
INTRODUCTION: Older adults are at high risk for stroke and falls, both of which require a large amount of informal caregiving. However, the economic burden of informal caregiving associated with stroke and fall history is not well known. METHODS: Using the 2010 Health and Retirement Study, data on n...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819006/ https://www.ncbi.nlm.nih.gov/pubmed/29153121 http://dx.doi.org/10.1016/j.amepre.2017.07.020 |
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author | Joo, Heesoo Wang, Guijing Yee, Sue Lin Zhang, Ping Sleet, David |
author_facet | Joo, Heesoo Wang, Guijing Yee, Sue Lin Zhang, Ping Sleet, David |
author_sort | Joo, Heesoo |
collection | PubMed |
description | INTRODUCTION: Older adults are at high risk for stroke and falls, both of which require a large amount of informal caregiving. However, the economic burden of informal caregiving associated with stroke and fall history is not well known. METHODS: Using the 2010 Health and Retirement Study, data on non-institutionalized adults aged ≥65 years (N=10,129) in 2015–2017 were analyzed. Two-part models were used to estimate informal caregiving hours. Based on estimates from the models using a replacement cost approach, the authors derived informal caregiving hours and costs associated with falls in the past 2 years for stroke and non-stroke persons. RESULTS: Both the prevalence of falls overall and of falls with injuries were higher among people with stroke than those without (49.5% vs 35.1% for falls and 16.0% vs 10.3% for injurious falls, p<0.01). Stroke survivors needed more informal caregiving hours than their non-stroke counterparts, and the number of informal caregiving hours was positively associated with non-injurious falls and even more so with injurious falls. The national burden of informal caregiving (2015 U.S. dollars) associated with injurious falls amounted to $2.9 billion (95% CI=$1.1 billion, $4.7 billion) for stroke survivors (about 0.5 million people), and $6.5 billion (95% CI=$4.3 billion, $8.7 billion) for those who never had a stroke (about 3.6 million people). CONCLUSIONS: In U.S. older adults, informal caregiving hours and costs associated with falls are substantial, especially for stroke survivors. Preventing falls and fall-related injuries, especially among stroke survivors, therefore has potential for reducing the burden of informal caregiving. |
format | Online Article Text |
id | pubmed-5819006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
record_format | MEDLINE/PubMed |
spelling | pubmed-58190062018-02-20 Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. Joo, Heesoo Wang, Guijing Yee, Sue Lin Zhang, Ping Sleet, David Am J Prev Med Article INTRODUCTION: Older adults are at high risk for stroke and falls, both of which require a large amount of informal caregiving. However, the economic burden of informal caregiving associated with stroke and fall history is not well known. METHODS: Using the 2010 Health and Retirement Study, data on non-institutionalized adults aged ≥65 years (N=10,129) in 2015–2017 were analyzed. Two-part models were used to estimate informal caregiving hours. Based on estimates from the models using a replacement cost approach, the authors derived informal caregiving hours and costs associated with falls in the past 2 years for stroke and non-stroke persons. RESULTS: Both the prevalence of falls overall and of falls with injuries were higher among people with stroke than those without (49.5% vs 35.1% for falls and 16.0% vs 10.3% for injurious falls, p<0.01). Stroke survivors needed more informal caregiving hours than their non-stroke counterparts, and the number of informal caregiving hours was positively associated with non-injurious falls and even more so with injurious falls. The national burden of informal caregiving (2015 U.S. dollars) associated with injurious falls amounted to $2.9 billion (95% CI=$1.1 billion, $4.7 billion) for stroke survivors (about 0.5 million people), and $6.5 billion (95% CI=$4.3 billion, $8.7 billion) for those who never had a stroke (about 3.6 million people). CONCLUSIONS: In U.S. older adults, informal caregiving hours and costs associated with falls are substantial, especially for stroke survivors. Preventing falls and fall-related injuries, especially among stroke survivors, therefore has potential for reducing the burden of informal caregiving. 2017-12 /pmc/articles/PMC5819006/ /pubmed/29153121 http://dx.doi.org/10.1016/j.amepre.2017.07.020 Text en This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Joo, Heesoo Wang, Guijing Yee, Sue Lin Zhang, Ping Sleet, David Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title | Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title_full | Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title_fullStr | Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title_full_unstemmed | Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title_short | Economic Burden of Informal Caregiving Associated With History of Stroke and Falls Among Older Adults in the U.S. |
title_sort | economic burden of informal caregiving associated with history of stroke and falls among older adults in the u.s. |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819006/ https://www.ncbi.nlm.nih.gov/pubmed/29153121 http://dx.doi.org/10.1016/j.amepre.2017.07.020 |
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