Racial-ethnic variations in paid and unpaid caregiving: Findings among persons with traumatic spinal cord injury
| Autor: | Joshua Acuna, Elizabeth A. Walker, Philip A. Edles, Yue Cao, James S. Krause, Cassandra Sligh-Conway |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Gerontology
Adult Male Ethnic group Poison control Friends Personal Satisfaction Suicide prevention Occupational safety and health White People Injury prevention Activities of Daily Living Ethnicity Medicine Humans Disabled Persons Family Spinal Cord Injuries business.industry Racial Groups Public Health Environmental and Occupational Health Human factors and ergonomics General Medicine Hispanic or Latino Middle Aged Southeastern United States Black or African American Caregivers Spouse Patient Satisfaction Income Marital status Female business |
| Zdroj: | Disability and health journal. 8(4) |
| ISSN: | 1876-7583 |
| Popis: | Background The effects of race-ethnicity on the use of paid and unpaid caregivers for those with spinal cord injury (SCI) have received little attention in the literature. Objective Compare the amount of paid and unpaid caregiver hours received and sources of caregiving between non-Hispanic White and non-Hispanic Black participants with SCI, controlling for demographic, injury-related, and economic variables. Methods Participants were identified from a large specialty hospital. Self-report data were collected by mail. Five aspects of caregiving were assessed: (a) paid assistance hours, (b) satisfaction with care, (c) unpaid assistance hours, (d) sources of informal care, and (e) evaluation of whether needs were met. Results Whites were more satisfied with paid care. Approximately 43.4% of Whites received informal care from their spouse every day, 14.7% higher than Blacks. Blacks were more likely to receive informal care from other family members, friends, church, and others. When controlling for gender, injury severity, chronological age, and years post injury, Blacks reported 1.50 more paid assistance hours (95% CI, 0.31–2.68 hours) and 1.83 less unpaid assistance hours than Whites (95% CI, 0.25–3.41 hours). Differences diminished and were not statistically significant after adding marital status and income into regression models. Conclusions The results did not provide strong evidence of racial disparities regarding caregiver assistance for those with SCI. Level of income appears to be directly related to satisfaction of quality caregiving and the use of paid versus unpaid care for those living with SCI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect