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The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years

Caregiving for a spouse is considered a major stressor many Americans will encounter during their lifetimes. Although most studies indicate caregiving is associated with experiencing diminished health outcomes, little is known about how this role affects caregivers’ use of acute health services. To...

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Autores principales: Meyer, Kylie, Gassoumis, Zachary, Wilber, Kathleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741696/
http://dx.doi.org/10.1093/geroni/igaa057.249
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author Meyer, Kylie
Gassoumis, Zachary
Wilber, Kathleen
author_facet Meyer, Kylie
Gassoumis, Zachary
Wilber, Kathleen
author_sort Meyer, Kylie
collection PubMed
description Caregiving for a spouse is considered a major stressor many Americans will encounter during their lifetimes. Although most studies indicate caregiving is associated with experiencing diminished health outcomes, little is known about how this role affects caregivers’ use of acute health services. To understand how spousal caregiving affects the use of acute health services, we use data from the Health and Retirement Study. We apply fixed effects (FE) logistic regression models to examine odds of experiencing an overnight hospitalization in the previous two years according to caregiving status, intensity, and changes in caregiving status and intensity. Models controlled for caregiver gender, age, race, ethnicity, educational attainment, health insurance status, the number of household residents, and self-assessed health. Overall, caregivers were no more likely to experience an overnight hospitalization compared to non-caregivers (OR 0.92; CI 0.84 to 1.00; p-value=0.057). However, effects varied according to the intensity of caregiving and the time spent in this role. Compared to non-caregivers, for example, spouses who provided care to someone with no need for assistance with activities of daily living had lower odds of experiencing a hospitalization (OR 0.77; CI 0.66 to 0.89). In contrast, caregivers who provided care to someone with dementia for 4 to <6 years had 3.29 times the odds of experiencing an overnight hospitalization (CI 1.04 to 10.38; p-value=0.042). Findings indicate that, although caregivers overall appear to use acute health services about as much as non-caregivers, large differences exist between caregivers. Results emphasize the importance of recognizing diversity within caregiving experiences.
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spelling pubmed-77416962020-12-21 The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years Meyer, Kylie Gassoumis, Zachary Wilber, Kathleen Innov Aging Abstracts Caregiving for a spouse is considered a major stressor many Americans will encounter during their lifetimes. Although most studies indicate caregiving is associated with experiencing diminished health outcomes, little is known about how this role affects caregivers’ use of acute health services. To understand how spousal caregiving affects the use of acute health services, we use data from the Health and Retirement Study. We apply fixed effects (FE) logistic regression models to examine odds of experiencing an overnight hospitalization in the previous two years according to caregiving status, intensity, and changes in caregiving status and intensity. Models controlled for caregiver gender, age, race, ethnicity, educational attainment, health insurance status, the number of household residents, and self-assessed health. Overall, caregivers were no more likely to experience an overnight hospitalization compared to non-caregivers (OR 0.92; CI 0.84 to 1.00; p-value=0.057). However, effects varied according to the intensity of caregiving and the time spent in this role. Compared to non-caregivers, for example, spouses who provided care to someone with no need for assistance with activities of daily living had lower odds of experiencing a hospitalization (OR 0.77; CI 0.66 to 0.89). In contrast, caregivers who provided care to someone with dementia for 4 to <6 years had 3.29 times the odds of experiencing an overnight hospitalization (CI 1.04 to 10.38; p-value=0.042). Findings indicate that, although caregivers overall appear to use acute health services about as much as non-caregivers, large differences exist between caregivers. Results emphasize the importance of recognizing diversity within caregiving experiences. Oxford University Press 2020-12-16 /pmc/articles/PMC7741696/ http://dx.doi.org/10.1093/geroni/igaa057.249 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. 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 reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Meyer, Kylie
Gassoumis, Zachary
Wilber, Kathleen
The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title_full The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title_fullStr The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title_full_unstemmed The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title_short The Differential Effects of Caregiving Intensity on Overnight Hospitalization in the Previous 2 Years
title_sort differential effects of caregiving intensity on overnight hospitalization in the previous 2 years
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741696/
http://dx.doi.org/10.1093/geroni/igaa057.249
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