A Comparison of the Use of Home Care Services by Anglo-American and Mexican American Elders

Crist, Janice D.; Woo, Seon Hye; Choi, Myunghan

doi:10.1177/1043659607305190

Cited by 19 publications

(29 citation statements)

References 48 publications

(61 reference statements)

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“…Some evidence indicates that Mexican American caregivers report more distress than non-Hispanic White and African American caregivers (Adams, Aranda, Kemp, & Takagi, 2002; Aranda, Villa, Trejo, Ramírez, & Ranney, 2003; Folsom et al, 2007) and that Mexican American caregivers are more distressed than their noncaregiving counterparts (Hahn, Kim, & Chiriboga, 2011; Hernandez & Bigatti, 2010; Herrera et al, 2013). Yet, previous research on Mexican American caregivers tends to focus on small clinical samples, the elderly's use of formal care services, or care provided to children and spouses (e.g., Crist, Woo, & Choi, 2007). …”

Section: Introductionmentioning

confidence: 99%

Health of Elderly Mexican American Adults and Family Caregiver Distress

2014

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Using newly available data on family caregivers from a large epidemiological study of elderly Mexican-origin adults (Hispanic Established Population for the Epidemiologic Study of the Elderly [HEPESE], 2010/2011), we identify which types of impairment (functional, psychological, and cognitive) in the elderly individual are associated with family caregiver depressive symptoms. Results from ordinary least squares regressions using 626 caregiver–care recipient dyads demonstrate that more severe mobility limitations (Performance-Oriented Mobility Assessment), social disability (instrumental activities of daily living), neuropsychiatric disturbances related to cognitive decline (Neuropsychiatric Inventory), and depressive symptoms in the elderly subject are positively associated with caregiver psychological distress. Perceived social stress partially accounts for these associations. We also identify certain segments of this caregiver population that are especially vulnerable to burden when caring for a family member with high levels of impairment, namely female and low-income caregivers. These vulnerabilities should be the focus of intervention efforts to reduce stress and improve the emotional and psychological well-being of Mexican-origin caregivers.

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Section: Introductionmentioning

confidence: 99%

Health of Elderly Mexican American Adults and Family Caregiver Distress

2014

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“…Our findings build on qualitative studies that examine how changing cultural traditions in the Mexican-origin family relate to parental care (Crist, Garcia-Smith, & Phillips, 2006; Crist et al, 2007; A. P. Herrera et al, 2008; Mausbach et al, 2004; Radina, 2007).…”

Section: Discussionmentioning

confidence: 97%

“…Most research has focused on caregiver burden and psychological distress or the role of cultural factors like familism (Aranda & Knight 1999; Crist et al 2007; Hernandez & Bigatti 2010; Hahn et al 2011; Sayegh & Knight 2011). A recent study using this sample found that lower income Mexican-origin caregivers report more psychological distress than their higher income counterparts (blind citation).…”

Section: Mexican-origin Families Demographic Shifts and Caregivingmentioning

confidence: 99%

“…However, recent shifts in traditional family arrangements and female workforce participation indicate that as older parents become seriously impaired families will require new care arrangements and an increased use of formal services. There is a large body of literature on the emotional and psychological burdens of caregiving (Crist, Woo, & Choi, 2007; Cucciare, Gray, Azar, Jimenez, & Gallagher-Thompson, 2010; A. P. Herrera, Lee, Palos, & Torres-Vigil, 2008; Villa & Aranda, 2000; Werner, Mittelman, Goldstein, & Heinik, 2012; Zarit & Reamy, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Nativity Status and Sources of Care Assistance Among Elderly Mexican-Origin Adults

Angel

Rote

Brown

et al. 2014

J Cross Cult Gerontol

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Much like other racial/ethnic groups, Latinos are facing challenges to provide needed care to aging adults. Older Latinos underutilize nursing homes and home health care services and primarily rely on their families for assistance. While this general trend has been established, little attention has been paid to nativity differentials in patterns of caregiving for this segment of the aging population. The analyses are based on the latest wave (Wave 7) of the Hispanic Established Population for Epidemiologic Studies of the Elderly or H-EPESE (2010/2011) a sample of older Mexican-origin adults and their family caregivers living in the southwestern U.S. We examine 629 child caregiver/parent care recipient dyads using bivariate statistics and multinomial logistic regression analyses. The results reveal that while grown children of Mexican-origin elders play a critical role in providing instrumental and financial supports to their aging parents, the burden that the children of foreign-born parents bear is greater. Despite higher rates of disability, Mexican-born elders are more dependent on a child for help and far less likely to call upon other family members, relatives and community based-providers for help than the U.S. born. Given the recent and future growth in this segment of the aging population, intervention strategies will need to focus on nativity status and acculturative processes in the context of caregiving and caregiver burden.

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“…Kirby & Lau (2010) show that proportionally more African American and Hispanic older adults used any formal home care than Whites or Asian elders between 2000 and 2006. CMS data (as cited in Crist, Woo, & Choi, 2007) suggest that Mexican Americans use home health service less than White Americans (CMS, 2003). Yeboah-Korang, Kleppinger, and Fortinsky (2011) found that African American and Hispanic patients were less likely to receive physical therapy than White patients.…”

Section: Health Disparitymentioning

confidence: 96%

Racial/Ethnic Disparities in Home Health Care: Charting a Course for Future Research

Davitt

2012

Home Health Care Services Quarterly

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Racial/ethnic disparities in health have been well-documented. However, we know little about the existence of or mechanisms that contribute to disparities in home health care. This article proposes a conceptual framework, based on a comprehensive review of the literature, to guide research to understand whether and how disparities emerge in home health care. The framework outlines the patient, agency, practice, and system factors that have been shown to or theoretically could contribute to disparities. Enhanced parity in home health care will impact society by reducing health costs due to morbidity, while directly benefiting minority patients.

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A Comparison of the Use of Home Care Services by Anglo-American and Mexican American Elders

Cited by 19 publications

References 48 publications

Health of Elderly Mexican American Adults and Family Caregiver Distress

Health of Elderly Mexican American Adults and Family Caregiver Distress

Nativity Status and Sources of Care Assistance Among Elderly Mexican-Origin Adults

Racial/Ethnic Disparities in Home Health Care: Charting a Course for Future Research

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