Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia

Abstract Introduction We aim to determine whether racial/ethnic health disparities are a consequence of caregiving for persons with dementia and/or health status before becoming a caregiver. Methods Longitudinal data from the Health and Retirement Study (1998–2012) on 7859 Black, Hispanic, and White...

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Main Authors: Cynthia Chen, Johanna Thunell, Julie Zissimopoulos
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1002/trc2.12082
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author Cynthia Chen
Johanna Thunell
Julie Zissimopoulos
author_facet Cynthia Chen
Johanna Thunell
Julie Zissimopoulos
author_sort Cynthia Chen
collection DOAJ
description Abstract Introduction We aim to determine whether racial/ethnic health disparities are a consequence of caregiving for persons with dementia and/or health status before becoming a caregiver. Methods Longitudinal data from the Health and Retirement Study (1998–2012) on 7859 Black, Hispanic, and White couples were analyzed for changes in physical and mental health with incident dementia of a spouse. Results Blacks and Hispanics, but not Whites, had poorer health before becoming caregivers for a spouse with dementia, than those who did not become caregivers. Spouse's dementia onset was associated with caregiver's higher odds of depressive disorder, with no racial/ethnic variation. Racial disparities in caregiver's health were attributed to health differences before caregiving, not differential health changes due to caregiving. Discussion Older Blacks and Hispanics with poor health are at increased risk of caregiving for a spouse with dementia. Protecting the health of persons supporting spouses with dementia requires understanding socioeconomic and cultural factors driving care provision.
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spelling doaj.art-1931ddcb830945c391f884dda49a1a602022-12-21T20:22:28ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372020-01-0161n/an/a10.1002/trc2.12082Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementiaCynthia Chen0Johanna Thunell1Julie Zissimopoulos2Saw Swee Hock School of Public Health National University of Singapore SingaporeUSC Price School of Public Policy Schaeffer Center for Health Policy and Economics University of Southern California Los Angeles California USAUSC Price School of Public Policy Schaeffer Center for Health Policy and Economics University of Southern California Los Angeles California USAAbstract Introduction We aim to determine whether racial/ethnic health disparities are a consequence of caregiving for persons with dementia and/or health status before becoming a caregiver. Methods Longitudinal data from the Health and Retirement Study (1998–2012) on 7859 Black, Hispanic, and White couples were analyzed for changes in physical and mental health with incident dementia of a spouse. Results Blacks and Hispanics, but not Whites, had poorer health before becoming caregivers for a spouse with dementia, than those who did not become caregivers. Spouse's dementia onset was associated with caregiver's higher odds of depressive disorder, with no racial/ethnic variation. Racial disparities in caregiver's health were attributed to health differences before caregiving, not differential health changes due to caregiving. Discussion Older Blacks and Hispanics with poor health are at increased risk of caregiving for a spouse with dementia. Protecting the health of persons supporting spouses with dementia requires understanding socioeconomic and cultural factors driving care provision.https://doi.org/10.1002/trc2.12082caregivingdementiadepressionracial disparities
spellingShingle Cynthia Chen
Johanna Thunell
Julie Zissimopoulos
Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
caregiving
dementia
depression
racial disparities
title Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
title_full Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
title_fullStr Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
title_full_unstemmed Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
title_short Changes in physical and mental health of Black, Hispanic, and White caregivers and non‐caregivers associated with onset of spousal dementia
title_sort changes in physical and mental health of black hispanic and white caregivers and non caregivers associated with onset of spousal dementia
topic caregiving
dementia
depression
racial disparities
url https://doi.org/10.1002/trc2.12082
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