Title | Concurrent and long-term predictors of older adults' use of community-based long-term care services: the Caregiver Health Effects Study. |
Publication Type | Journal Article |
Year of Publication | 2004 |
Authors | Bookwala, J, Zdaniuk, B, Burton, L, Lind, B, Jackson, S, Schulz, R |
Journal | J Aging Health |
Volume | 16 |
Issue | 1 |
Pagination | 88-115 |
Date Published | 2004 Feb |
ISSN | 0898-2643 |
Keywords | Aged, 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> |
DOI | 10.1177/0898264303260448 |
Alternate Journal | J Aging Health |
PubMed ID | 14979312 |
Grant List | AGI3305 / 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 |