ABSTRACT

Objectives

We examine associations between use of paid help and caregiving-related experiences (emotional, financial, and physical difficulty) of Black family and unpaid caregivers of older adults.

Methods

We examine a sample of N = 572 non-Hispanic Black caregivers of community-dwelling older adults receiving help with daily activities from the 2015 National Health and Aging Trends Study (NHATS) and National Study of Caregiving (NSOC). Guided by Pearlin’s Stress Process Model, logistic regression models examine associations between assisting with finding paid help and caregiver experiences.

Results

Black caregivers who helped care recipients find paid help more often had a college degree or higher, were helping older adults who received assistance with three or more self-care/mobility activities or who were living in poverty and were not receiving help with caregiving from family and friends. In fully-adjusted models, assisting with finding paid help was associated with emotional (AOR 1.92, 95% CI 1.27, 2.92 p < .01) and physical (AOR 2.16, 95% CI 1.04, 4.51; p = .04) difficulty.

Conclusions

Greater efforts are needed to support Black family and unpaid caregivers who are caring for older adults using paid help.

Clinical Implications

Future interventions that target Black caregivers of older adults using paid help could be useful for improving caregiving experiences.

中文翻译：

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居住在社区的老年人的黑人看护者的有偿帮助和看护体验

摘要

目标

我们研究了黑人家庭和老年人的无偿照料者使用有偿帮助和照料相关经历（情感、经济和身体困难）之间的关联。

方法

我们检查了 N = 572 名居住在社区的老年人的非西班牙裔黑人看护者的样本，这些看护者在 2015 年国家健康和老龄化趋势研究 (NHATS) 和国家看护研究 (NSOC) 中接受日常活动帮助。在 Pearlin 的压力过程模型的指导下，逻辑回归模型检查协助寻找有偿帮助和看护者经验之间的关联。

结果

帮助被看护者找到有偿帮助的黑人看护者通常拥有大学学位或更高学历，他们正在帮助那些在三项或更多自理/行动活动中获得帮助的老年人，或者生活在贫困中且没有得到家人看护帮助的老年人和朋友。在完全调整的模型中，协助寻找有偿帮助与情绪（AOR 1.92，95% CI 1.27，2.92 p < .01）和身体（AOR 2.16，95% CI 1.04，4.51；p = .04）困难相关。

结论

需要付出更大的努力来支持黑人家庭和使用有偿帮助照顾老年人的无偿护理人员。

临床意义

未来针对使用有偿帮助的黑人看护者的干预措施可能有助于改善看护体验。