ABSTRACT

People living with dementia receive care from multiple caregivers, but little is known about the structure of their caregiving arrangements. This study used the Health and Retirement Study and latent class analyses to identify subgroups of caregiving arrangements based on caregiving hours received from spouses, children, other family/friends, and paid individuals among married (n = 361) and unmarried (n = 473) community-dwelling people with probable dementia. Three classes in the married sample (class 1 “low hours with shared care,” class 2 “spouse-dominant care,” and class 3 “children-dominant care”) were identified. In class 1, spouses, children, and paid individuals provided 53%, 22%, and 26% of the caregiving hours, respectively. Three classes in the unmarried sample (class 1 “low hours with shared care,” class 2 “children-dominant care,” and class 3 “paid-dominant care”) were identified. In unmarried class 1, children, other family/friends, and paid individuals provided 35%, 41% and 24% of the caregiving hours, respectively.

摘要

痴呆症患者接受多名护理人员的护理，但人们对其护理安排的结构知之甚少。本研究使用健康与退休研究和潜在类别分析，根据已婚 (n = 361) 和未婚 (n = 473) 中配偶、子女、其他家人/朋友和有偿个人的看护时间来确定看护安排的亚组。可能患有痴呆症的社区居民。已婚样本分为三个类别（第 1 类“共同照顾的低工作时间”、第 2 类“配偶主导照顾”和第 3 类“儿童主导照顾”）。在第一类中，配偶、子女和付费个人分别提供了 53%、22% 和 26% 的看护时间。未婚样本分为三个类别（第 1 类“共同照顾的低工作时间”、第 2 类“以儿童为主的照顾”和第 3 类“以付费为主的照顾”）。在未婚第一类中，儿童、其他家人/朋友和付费个人分别提供了 35%、41% 和 24% 的看护时间。