Caregiving associated with selected cancer risk behaviors and screening utilization among women: cross-sectional results of the 2009 BRFSS

Reeves, Katherine W.; Bacon, Kathryn L.; Fredman, Lisa

doi:10.1186/1471-2458-12-685

Cited by 33 publications

(51 citation statements)

References 14 publications

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“…Although there are benefits to providing care, 2–4 caregivers are vulnerable to increased depression 5 and other health problems ,6,7 and reduced preventive health behaviors. 8,9 As a consequence, caregiving is associated with increased individual and societal healthcare costs. 10,11 …”

Section: Introductionmentioning

confidence: 99%

Association Between Hospice Use and Depressive Symptoms in Surviving Spouses

et al. 2015

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IMPORTANCE Family caregivers of individuals with serious illness are at risk for depressive symptoms and depression. Hospice includes the provision of support services for family caregivers, yet evidence is limited regarding the effect of hospice use on depressive symptoms among surviving caregivers.OBJECTIVE To determine the association between hospice use and depressive symptoms in surviving spouses. DESIGN, SETTING, AND PARTICIPANTSWe linked data from the Health and Retirement Study, a nationally representative longitudinal survey of community-dwelling US adults 50 years or older, to Medicare claims. Participants included a propensity score-matched sample of 1016 Health and Retirement Study decedents with at least 1 serious illness and their surviving spouses interviewed between August 2002 and May 2011. We compared the spouses of individuals enrolled in hospice with the spouses of individuals who did not use hospice, performing our analysis between January 30, 2014, and January 16, 2015.EXPOSURES Hospice enrollment for at least 3 days in the year before death. MAIN OUTCOMES AND MEASURESSpousal depressive symptom scores measured 0 to 2 years after death with the Center for Epidemiologic Studies Depression Scale, which is scored from 0 (no symptoms) to 8 (severe symptoms). RESULTSOf the 1016 decedents in the matched sample, 305 patients (30.0%) used hospice services for 3 or more days in the year before death. Of the 1016 spouses, 51.9% had more depressive symptoms over time (mean [SD] change, 2.56 [1.65]), with no significant difference related to hospice use. A minority (28.2%) of spouses of hospice users had improved Center for Epidemiologic Studies Depression Scale scores compared with 21.7% of spouses of decedents who did not use hospice, although the difference was not statistically significant (P = .06). Among the 662 spouses who were the primary caregivers, 27.3% of spouses of hospice users had improved Center for Epidemiologic Studies Depression Scale scores compared with 20.7% of spouses of decedents who did not use hospice; the difference was not statistically significant (P = .10). In multivariate analysis, the odds ratio for the association of hospice enrollment with improved depressive symptoms after the spouse's death was 1.63 (95% CI, 1.00-2.65). CONCLUSIONS AND RELEVANCEAfter bereavement, depression symptoms increased overall for surviving spouses regardless of hospice use. A modest reduction in depressive symptoms was more likely among spouses of hospice users than among spouses of nonhospice users.

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Section: Introductionmentioning

confidence: 99%

Association Between Hospice Use and Depressive Symptoms in Surviving Spouses

et al. 2015

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“…Studies from foreign countries (mostly the USA) show equivocal results regarding the association between caregiving and caregiver preventive health behavior . Burton et al reported the relationship between spousal caregiving and lifestyle health behavior using data from the Cardiovascular Health Study .…”

Section: Discussionmentioning

confidence: 99%

“…In countries other than Japan, the effect of informal caregiving on the caregiver's health has been of great interest . In addition, a few studies have examined the relationship between informal caregiving and preventive clinical services . In Japan, routine health check‐ups are quite prevalent; for example, employers must carry out health check‐ups for their employees annually.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10] In addition, a few studies have examined the relationship between informal caregiving and preventive clinical services. 11,12 In Japan, routine health check-ups are quite prevalent; for example, employers must carry out health check-ups for their employees annually. Also, since 2008, "specific health check-ups" focused on prevention of metabolic syndrome are offered to people aged 40-74 years by insurers.…”

Section: Introductionmentioning

confidence: 99%

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Association of care recipients’ care‐need level with family caregiver participation in health check‐ups in Japan

Sugiyama

Tamiya

Watanabe

et al. 2017

Geriatrics Gerontology Int

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Aim:The public mandatory long-term care insurance system in Japan has supposedly mitigated the care burden for family caregivers of older adults, whereas family caregivers still play a considerable role in providing care. The effect of informal caregiving on the caregiver's health has been of great interest. We investigated the relationship between the amplitude of informal caregiving and caregiver participation in health check-ups in Japan.Methods: The present study was a cross-sectional analysis of nationally representative data in Japan (2010 Comprehensive Survey of Living Conditions). We investigated the relationship between care recipients' care-need level and in-home caregiver participation in health check-ups during the last year of the survey for caregivers.Results: A total of 3354 caregiver/recipient pairs were included in the study. Crude proportions of caregivers completing a health check-up by care-need level were 68.4% (support required 1 and 2), 63.5% (care required 1-3) and 60.3% (care required 4 and 5). Higher care-need level was negatively associated with caregiver participation in health checkups (support required 1 and 2as reference, care required 1-3: odds ratio 0.82, 95% confidence interval 0.75-0.90), care required 4 and 5: odds ratio 0.76, 95% confidence interval 0.74-0.79) after adjustment for possible confounders. Inclusion of the caregiver time devoted to care per day and caregiver self-rating of health as independent variables did not change the result. Conclusions:These results suggest that facilitating health check-up participation for family caregivers of care recipients with higher care-need levels might be an effective intervention for decreasing the gap in health behavior possibly caused by informal caregiving. Geriatr Gerontol Int 2017; ••: ••-••.

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“…), and reduced preventive health behaviors (Son et al. ; Reeves, Bacon, and Fredman ). As a consequence, caregiving is often associated with increased health care costs (Van Houtven, Wilson, and Clipp ; Schulz and Cook ) and may even lead to increased mortality (Schulz and Beach ).…”

Section: Conceptual Frameworkmentioning

confidence: 99%