Health-Related Quality of Life: A Comparative Analysis of Caregivers of People With Dementia, Cancer, COPD/Emphysema, and Diabetes and Noncaregivers, 2015-2018 BRFSS.

Secinti, Ekin; Lewson, Ashley B; Wu, Wei; Kent, Erin E; Mosher, Catherine E

Secinti, Ekin; Lewson, Ashley B; Wu, Wei; Kent, Erin E; Mosher, Catherine E.

Afiliación

Secinti E; Department of Psychology, Indiana University-Purdue University Indianapolis, North Blackford Street, LD, Indianapolis, IN, USA.
Lewson AB; Department of Psychology, Indiana University-Purdue University Indianapolis, North Blackford Street, LD, Indianapolis, IN, USA.
Wu W; Department of Psychology, Indiana University-Purdue University Indianapolis, North Blackford Street, LD, Indianapolis, IN, USA.
Kent EE; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Mosher CE; Department of Psychology, Indiana University-Purdue University Indianapolis, North Blackford Street, LD, Indianapolis, IN, USA.

Ann Behav Med ; 55(11): 1130-1143, 2021 10 27.

Article en En | MEDLINE | ID: mdl-33761526

RESUMEN

BACKGROUND: Many informal caregivers experience significant caregiving burden and report worsening health-related quality of life (HRQoL). Caregiver HRQoL may vary by disease context, but this has rarely been studied. PURPOSE: Informed by the Model of Carer Stress and Burden, we compared HRQoL outcomes of prevalent groups of caregivers of people with chronic illness (i.e., dementia, cancer, chronic obstructive pulmonary disease [COPD]/emphysema, and diabetes) and noncaregivers and examined whether caregiving intensity (e.g., duration and hours) was associated with caregiver HRQoL. METHODS: Using 2015-2018 Behavioral Risk Factor Surveillance System data, we identified caregivers of people with dementia (n = 4,513), cancer (n = 3,701), COPD/emphysema (n = 1,718), and diabetes (n = 2,504) and noncaregivers (n = 176,749). Regression analyses were used to compare groups. RESULTS: Caregiver groups showed small, nonsignificant differences in HRQoL outcomes. Consistent with theory, all caregiver groups reported more mentally unhealthy days than noncaregivers (RRs = 1.29-1.61, ps < .001). Caregivers of people with cancer and COPD/emphysema reported more physically unhealthy days than noncaregivers (RRs = 1.17-1.24, ps < .01), and caregivers of people with diabetes reported a similar pattern (RR = 1.24, p = .01). However, general health and days of interference of poor health did not differ between caregivers and noncaregivers. Across caregiver groups, most caregiving intensity variables were unrelated to HRQoL outcomes; only greater caregiving hours were associated with more mentally unhealthy days (RR = 1.13, p < .001). CONCLUSIONS: Results suggest that HRQoL decrements associated with caregiving do not vary substantially across chronic illness contexts and are largely unrelated to the perceived intensity of the caregiving. Findings support the development and implementation of strategies to optimize caregiver health across illness contexts.

Asunto(s)

Demencia; Diabetes Mellitus; Enfisema; Neoplasias; Enfermedad Pulmonar Obstructiva Crónica; Sistema de Vigilancia de Factor de Riesgo Conductual; Cuidadores; Humanos; Calidad de Vida

Palabras clave

COPD; Cancer; Dementia; Diabetes; Health-related quality of life; Informal caregivers

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad Pulmonar Obstructiva Crónica / Demencia / Diabetes Mellitus / Enfisema / Neoplasias Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Ann Behav Med Asunto de la revista: CIENCIAS DO COMPORTAMENTO Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

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