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Concurrent and long-term predictors of older adults' use of community-based long-term care services: the Caregiver Health Effects Study.

TitleConcurrent and long-term predictors of older adults' use of community-based long-term care services: the Caregiver Health Effects Study.
Publication TypeJournal Article
Year of Publication2004
AuthorsBookwala, J, Zdaniuk, B, Burton, L, Lind, B, Jackson, S, Schulz, R
JournalJ Aging Health
Volume16
Issue1
Pagination88-115
Date Published2004 Feb
ISSN0898-2643
KeywordsAged, Caregivers, Community Health Services, Disabled Persons, Forecasting, Health Services for the Aged, Humans, Long-Term Care, Regression Analysis, Spouses, United States
Abstract<p><b>OBJECTIVE: </b>This study examined concurrent and long-term associations between caregiver-related characteristics and the use of community long-term care services in a sample of 186 older adults caring for a disabled spouse.</p><p><b>METHOD: </b>We used two waves of data from the Caregiver Health Effects Study, an ancillary study of the Cardiovascular Health Study. Caregiver-related need variables as predictors of service use were of primary interest and included caregiving demands, caregiver mental and physical health, and mastery. Their contribution to service use was examined after controlling for known predictors of service use.</p><p><b>RESULTS: </b>At Time 1, more caregiver depressive symptoms predicted greater service use; at Time 2, more caregiver activity restriction and depressive symptoms predicted greater formal service use; increases in caregiver activity restriction and depressive symptomatology over time predicted increases in service use.</p><p><b>DISCUSSION: </b>Caregiver-related need variables play a significant role in defining utilization patterns of community-based long-term care services among older adults.</p>
DOI10.1177/0898264303260448
Alternate JournalJ Aging Health
PubMed ID14979312
Grant ListAGI3305 / AG / NIA NIH HHS / United States
AGO1532 / AG / NIA NIH HHS / United States
N01-HC-85079 / HC / NHLBI NIH HHS / United States
N01-HC-85086 / HC / NHLBI NIH HHS / United States
R01 MH46015 / MH / NIMH NIH HHS / United States
R01 MH52247 / MH / NIMH NIH HHS / United States
T32 MH19986 / MH / NIMH NIH HHS / United States