Differences in risk factors and chronic conditions between informal (family) carers and non-carers using a population-based cross-sectional survey in South Australia

Autor: Kay Price, Anne F. Stacey, Tiffany K. Gill, Anne W. Taylor
Přispěvatelé: Stacey, Anne F, Gill, Tiffany K, Price, Kay, Taylor, Anne W
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Gerontology
Male
Cross-sectional study
Epidemiology
Health Status
carer health status
family carers
informal caregivers
risk factors
chronic

Specific risk
Logistic regression
0302 clinical medicine
Risk Factors
general medicine (see internal medicine)
South Australia
Medicine
risk factors
030212 general & internal medicine
health care economics and organizations
carer health status
Geriatrics
Aged
80 and over

education.field_of_study
informal caregivers
General Medicine
Middle Aged
humanities
chronic
Caregivers
Female
0305 other medical science
Adult
medicine.medical_specialty
Adolescent
Population
03 medical and health sciences
Young Adult
Humans
education
Aged
030505 public health
business.industry
geriatric medicine
Research
general diabetes
Cross-Sectional Studies
Logistic Models
Attributable risk
Chronic Disease
family carers
Self Report
business
Body mass index
Zdroj: BMJ Open
Popis: BackgroundThere is growing discussion on the impact of informal caregiving on the health status and morbidity of family carers. Evidence suggests a proportion of carers may be at risk of poor health outcomes. However, there are limited population-based studies that provide representative data on specific risk factors among carers (eg, blood pressure, cholesterol, smoking status, activity and body mass index) and major chronic conditions (eg, asthma, diabetes and arthritis). This study aimed to redress that imbalance.MethodSelf-reported data were from the South Australian Monitoring and Surveillance System (SAMSS), a representative cross-sectional state-wide population-based survey of 600 randomly selected persons per month. SAMSS uses computer-assisted telephone interviewing (CATI) to monitor chronic health-related problems and risk factors and to assess health outcomes. In total, 2247 family carers were identified from 35 195 participants aged 16 years and older for the 5-year period from 2010 to 2015. Logistic regression analyses examined associations of being a carer with self-reported chronic diseases and health risk factors. In addition, the population attributable risk (PAR) of being a carer was examined for selected chronic conditions.ResultsThe prevalence of carers was 6.4%, and peak age group for carers was 50–59 years. Adjusted ORs for chronic conditions in carers were significant for all chronic conditions examined. Although there is a high prevalence of self-reported risk factors and chronic conditions among carers compared with non-carers at the population level, PAR findings suggest that caregiving is associated with a small to moderate increased risk of having these chronic conditions.ConclusionsMonitoring of carer health and morbidity particularly ‘at risk’ individuals such as female carers with asthma or diabetes remains important and provides an ongoing baseline for future surveys. To achieve this, caregiver-based studies need to become part of mainstream biomedical research at both epidemiological and clinical levels.
Databáze: OpenAIRE