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Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review

OBJECTIVES: Much is known about the demands of caregiving for persons with dementia (PWD) and its effects on family caregivers, however sex and gender aspects have received less attention. We synthesized the evidence on sex and gender distinctions in: (1) the caregiving burden and (2) the impact of...

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Autores principales: Xiong, Chen, Biscardi, Melissa, Astell, Arlene, Nalder, Emily, Cameron, Jill I., Mihailidis, Alex, Colantonio, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170244/
https://www.ncbi.nlm.nih.gov/pubmed/32310969
http://dx.doi.org/10.1371/journal.pone.0231848
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author Xiong, Chen
Biscardi, Melissa
Astell, Arlene
Nalder, Emily
Cameron, Jill I.
Mihailidis, Alex
Colantonio, Angela
author_facet Xiong, Chen
Biscardi, Melissa
Astell, Arlene
Nalder, Emily
Cameron, Jill I.
Mihailidis, Alex
Colantonio, Angela
author_sort Xiong, Chen
collection PubMed
description OBJECTIVES: Much is known about the demands of caregiving for persons with dementia (PWD) and its effects on family caregivers, however sex and gender aspects have received less attention. We synthesized the evidence on sex and gender distinctions in: (1) the caregiving burden and (2) the impact of caregiving on the physical and mental health of family caregivers of PWD. DESIGN: Systematic review. DATA SOURCES: Medline, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature between January 2007 and October 2019 were searched. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Included studies met the following criteria: (1) examine experiences and/or impacts of caregiving among family caregivers of individuals with any form of dementia; (2) report sex and/or gender distribution of study population and/or report results stratified by sex and/or gender, and (3) include both male and female family caregivers. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted the data and assessed risk of bias using the Critical Appraisal Skills Program checklist and National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. Data were synthesized using a narrative synthesis approach. RESULTS: A total of 22 studies were included. Caregiving burden was measured using various methods. A majority of studies reported higher burden among females. All studies that did not report a sex and gender difference in caregiving burden accounted for confounders. Findings on sex and gender differences on physical and mental health conditions were inconsistent with most studies failing to account for confounders in their analyses. CONCLUSIONS: Current evidence on sex and gender differences in caregiving burden, mental and physical health is limited. Findings suggest presence of sex and gender differences in caregiving burden. Given the variety of mental and physical health constructs that were examined, further research is required to substantiate the evidence. PROPSERO Registration Number: CRD 42018070032.
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spelling pubmed-71702442020-04-23 Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review Xiong, Chen Biscardi, Melissa Astell, Arlene Nalder, Emily Cameron, Jill I. Mihailidis, Alex Colantonio, Angela PLoS One Research Article OBJECTIVES: Much is known about the demands of caregiving for persons with dementia (PWD) and its effects on family caregivers, however sex and gender aspects have received less attention. We synthesized the evidence on sex and gender distinctions in: (1) the caregiving burden and (2) the impact of caregiving on the physical and mental health of family caregivers of PWD. DESIGN: Systematic review. DATA SOURCES: Medline, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature between January 2007 and October 2019 were searched. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Included studies met the following criteria: (1) examine experiences and/or impacts of caregiving among family caregivers of individuals with any form of dementia; (2) report sex and/or gender distribution of study population and/or report results stratified by sex and/or gender, and (3) include both male and female family caregivers. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted the data and assessed risk of bias using the Critical Appraisal Skills Program checklist and National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. Data were synthesized using a narrative synthesis approach. RESULTS: A total of 22 studies were included. Caregiving burden was measured using various methods. A majority of studies reported higher burden among females. All studies that did not report a sex and gender difference in caregiving burden accounted for confounders. Findings on sex and gender differences on physical and mental health conditions were inconsistent with most studies failing to account for confounders in their analyses. CONCLUSIONS: Current evidence on sex and gender differences in caregiving burden, mental and physical health is limited. Findings suggest presence of sex and gender differences in caregiving burden. Given the variety of mental and physical health constructs that were examined, further research is required to substantiate the evidence. PROPSERO Registration Number: CRD 42018070032. Public Library of Science 2020-04-20 /pmc/articles/PMC7170244/ /pubmed/32310969 http://dx.doi.org/10.1371/journal.pone.0231848 Text en © 2020 Xiong et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Xiong, Chen
Biscardi, Melissa
Astell, Arlene
Nalder, Emily
Cameron, Jill I.
Mihailidis, Alex
Colantonio, Angela
Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title_full Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title_fullStr Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title_full_unstemmed Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title_short Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review
title_sort sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170244/
https://www.ncbi.nlm.nih.gov/pubmed/32310969
http://dx.doi.org/10.1371/journal.pone.0231848
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