Caregiving responsibilities and burden among older people by HIV status and other determinants in Uganda
| Autor: | Ties Boerma, Joseph Mugisha, Paul Kowal, Sebastian Owilla, Francien Scholten, Janet Seeley, Nirmala Naidoo, Somnath Chatterji |
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| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Adult Male Health (social science) Social Psychology Health Status Body Mass Index HIV Long-Term Survivors Cohort Studies Social support Quality of life (healthcare) Cost of Illness Antiretroviral Therapy Highly Active Surveys and Questionnaires Medicine Humans Uganda Aged Aged 80 and over Hand Strength Marital Status business.industry Public Health Environmental and Occupational Health Social Support Anthropometry Middle Aged Health indicator Self Concept Caregivers Socioeconomic Factors Africa Quality of Life Marital status Female business Body mass index Cohort study |
| Zdroj: | AIDS care. 25(11) |
| ISSN: | 1360-0451 |
| Popis: | Older caregivers have major caregiving responsibilities in countries severely affected by the HIV epidemic, but little is known about their own health and well-being. We conducted this study to assess the association of caregiving responsibilities and self-perceived burden with caregivers' health, HIV status, background characteristics and care-receiving among older people in South Western Uganda. Men and women aged 50 years and older were recruited from existing cohort studies and clinic registers and interviewed at home. Health was measured through a composite score of health in eight domains, anthropometry and handgrip strength. Summary measures of caregiving responsibilities and self-reported burden were used to analyse the main associations. There were 510 participants, including 198 living with HIV. Four fifths of women and 66% of men were caregivers. Older respondents with no care responsibility had poorer scores on all health indicators (self-reported health score, body mass index and grip strength). Having a caregiving responsibility was not associated with poorer health status or quality of life. Notably, HIV-infected people, whether on antiretroviral treatment (ART) or not, had similar caregiving responsibilities and health status as others. The self-reported burden associated with caregiving was significantly associated with a poorer health score. One third of female caregivers were the single adult in the household with larger caregiving responsibilities. Many of these women are in the poorest wealth quartile of the households in the study and are therefore more likely to need assistance. Physical and financial supports were received by 70% and 63%, respectively. Those with larger caregiving responsibilities more frequently received support. Caregiving responsibilities were associated with better health status, greater satisfaction and quality of life. Older HIV-infected people, whether on ART or not, had similar caregiving responsibilities and self-reported health status as other older people. |
| Databáze: | OpenAIRE |
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