Patterns of Caregiving of Cuban, Other Hispanic, Caribbean Black, and White Elders in South Florida

Friedemann, Marie-Luise; Buckwalter, Kathleen C.; Newman, Frederick L.; Mauro, Ana C.

doi:10.1007/s10823-013-9193-6

Cited by 26 publications

(18 citation statements)

References 46 publications

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“…As previous studies indicated, strong family support and a sense of obligation/commitment to caregiving among non-Hispanic black caregivers may posit caregiving as an embraced cultural value and norm with positive appraisals of the care of foreign-born care recipients with small or restricted social networks ( Soskolne et al, 2007 ). This may occur even despite the high intensity of care provision among racial/ethnic minority caregivers ( Friedemann et al, 2013 ; Rote & Moon, 2018 ). This may in turn lead to better psychosocial well-being and physical health.…”

Section: Discussionmentioning

confidence: 99%

Caregiver Well-Being and Burden: Variations by Race/Ethnicity and Care Recipient Nativity Status

Moon

Haley

Rote

et al. 2020

Innovation in Aging

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Background and Objectives Despite growing diversity among the aging population and extensive previous research on racial/ethnic minority caregivers, little research has been conducted on the potentially unique experiences and outcomes of informal caregivers of foreign-born care recipients. Using nationally representative data and the Stress Process Model, the current study examined the differences in caregiver outcomes (care burden, psychological well-being, self-rated health) by care recipient nativity status (U.S. born vs Foreign-born) and the extent to which caregiver outcomes vary by care recipient nativity status and caregiver race/ethnicity (Non-Hispanic White, Non-Hispanic Black, Hispanic, Others). Research Design and Methods The current study used Round 5 of National Health and Aging Trends Study (NHATS) and the National Study of Caregiving (NSOC, N=1,436). We conducted OLS regression to analyze the differences in caregiver’s outcomes by care recipient nativity status and caregiver race/ethnicity and to investigate the impacts of the inclusion of caregiving factors (background factors, primary stressors, secondary stressors, and resources). Results Regression analyses showed that only care burden significantly varied by care recipient nativity status after controlling for covariates. Caregivers of foreign-born care recipients reported higher burden. However, when interactions of care recipient nativity status × caregiver race/ethnicity were introduced, non-Hispanic Black and Hispanic caregivers of foreign-born care recipients were more likely to report better psychological well-being and self-rated health compared to their counterparts. Across caregiver groups, better caregiver-care recipient relationship quality and less caregiver chronic conditions were associated with less burden and better caregiver psychological well-being and self-rated health. Discussion and Implications Care recipient nativity status and caregiver race/ethnicity may have complex effects on caregiving experiences. Given the observed significant interaction effects for caregiver psychological well-being and self-rated health, cultural factors may affect the extent to which these caregivers appraise their caregiving. Future research should delve into the appropriate ways to assess care stress as well as resilience among each caregiver group. Our results indicate the need for research, education, and practice that assesses cultural and within group differences among caregivers and informs needed changes to structural barriers.

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Section: Discussionmentioning

confidence: 99%

Caregiver Well-Being and Burden: Variations by Race/Ethnicity and Care Recipient Nativity Status

Moon

Haley

Rote

et al. 2020

Innovation in Aging

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“…Culturally congruent interventions that focus on MA elders and their caregivers are needed because MA and Anglo caregiving experiences are different (Friedemann, Buckwalter, Newman, & Mauro, 2013). Besides a preliminary study (Crist & Haradon, 2011), no other intervention studies to increase use of HHCS by MA elders exist.…”

mentioning

confidence: 99%

The Impact of a Telenovela Intervention on Use of Home Health Care Services and Mexican American Older Adult and Caregiver Outcomes

Crist¹,

Pasvogel²,

Hepworth³

et al. 2015

Research in Gerontological Nursing

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A two-group randomized controlled trial tested a telenovela intervention (a culturally congruent videotaped dramatization with guided dialogue) to increase Mexican American elders’ and family caregivers’ awareness of and confidence in home health care services (HHCS), thereby increasing use of HHCS and improving elders’ and caregivers’ outcomes. Both groups had significant increases in awareness of and confidence in HHCS. The intervention group used HHCS more than the control group (91.1% versus 71.2% of total visits authorized) although this was not a statistically significant difference (p=.18). Use of HHCS was associated with increased elders’ and caregivers’ mutuality (the quality of the elder-caregiver relationship), and decreased caregiving burden and caregiver depression. The predictive role and measurement of awareness and ways to improve the intervention are discussed. Findings are especially important with today’s focus on transitional care to keep elders at home and prevent unnecessary readmissions.

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“…Further, based on the literature, immigrant caregivers who are less acculturated and less educated are less likely to accept outside resources compared to more acculturated immigrant caregivers. Therefore, based on the social exclusion theory a decrease in assets would be expected (Friedemann et al 2013 ). Furthermore, this phenomenon directly relates to the strain of familial financial resources and the abilities of adult children to provide care for their older adult family members who were the original immigrants from before the Immigration and Nationality Amendment Act of 1965 (Carrion and Nedjat-Haiem 2013 ).…”

Section: Discussionmentioning

confidence: 99%

Timing of Immigration Effects Asset Change Among Hispanic Caregivers of Older Family Members

et al. 2020

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Given the cultural value of family in Hispanic culture, older Hispanic immigrants are likely to have family caregivers. This study examined the economic implications of caring for older Hispanic adults regarding non-housing financial wealth over time. Using the 2008, 2010, and 2012 waves of the Health and Retirement Study (HRS) and RAND HRS data files, this study compares changes in the non-housing financial wealth between 2008 and 2012 by caregiving and immigration status among Hispanics. This study examined differences in assets between Hispanic caregivers and non-caregivers and more specifically examined the subpopulation of Hispanic caregivers who immigrated prior to and after 1968 as compared to U.S.-born caregivers to better understand the effect of the Immigration and Nationality Amendment Act of 1965 on asset change. Results indicate that caregiving itself did not have a statistically significant association with wealth, but the timing of immigration to the US had a statistically significant correlation (p < .05) with changes in the financial wealth. The findings of this study have implications for policy and program development targeting older adults and caregiving for this population.

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Patterns of Caregiving of Cuban, Other Hispanic, Caribbean Black, and White Elders in South Florida

Cited by 26 publications

References 46 publications

Caregiver Well-Being and Burden: Variations by Race/Ethnicity and Care Recipient Nativity Status

Caregiver Well-Being and Burden: Variations by Race/Ethnicity and Care Recipient Nativity Status

The Impact of a Telenovela Intervention on Use of Home Health Care Services and Mexican American Older Adult and Caregiver Outcomes

Timing of Immigration Effects Asset Change Among Hispanic Caregivers of Older Family Members

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