Patterns of informal care among Puerto Rican, African American, and white stroke survivors

Hinojosa, Melanie Sberna; Zsembik, Barbara A.; Rittman, Maude

doi:10.1080/13557850903165403

Cited by 17 publications

(17 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hispanics, who typically emphasize respect for the older people, tend to have larger family networks and are more likely to have a greater number of informal caregivers compared with whites and African Americans. 21 However, it is possible that when taking other factors into account, such as community quality and access to adequate healthcare and resources, the accrued effects of social, economic, and health disparities are not buffered by high levels of social support in this population.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Rehospitalization in Post-Acute Rehabilitation among Different Ethnic Groups

Cimarolli

Falzarano

Hicks

2020

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Objectives: Previous research has shown that ethnicity may play a role in increased risk for hospital readmission during a post-acute rehabilitation care (PARC) stay. However, little is known about risk factors influencing discharge status from PARC settings among different ethnic groups. Hence, the aim of our study was to investigate the relationship of individual characteristics (eg, sex, neighborhood quality) and health behavior (use of rehabilitation services) with rehospitalization across ethnic groups of older adult patients who received post-acute rehabilitation for a cardiovascular disease at a skilled nursing facility (SNF). Design: Retrospective study with data extraction from electronic medical records (EMRs) at admission and discharge. Setting: SNF. Participants: The sample consisted of 520 post-acute rehabilitation patients (96 Hispanics, 172 African Americans, and 252 Whites) 60 years or older with an admitting condition of a circulatory-related disease. Measurements: Sociodemographic and health-related variables, and discharge status (rehospitalized or home). Results: For the Hispanic sample, lower community quality was associated with a greater likelihood of being rehospitalized. For African Americans, having no social support, higher levels of admission functional dependency, and shorter length of stay were significantly associated with a higher likelihood of being rehospitalized. For the group of White participants, the following variables emerged as risk factors for rehospitalization: being male, lower admission cognitive functioning, higher levels of admission depressive symptomatology, and shorter length of stay. Conclusions/Implications: Individual characteristics and health behaviors that are risk factors for rehospitalization during a post-acute stay vary across ethnic groups. Hence, the study provides

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Rehospitalization in Post-Acute Rehabilitation among Different Ethnic Groups

Cimarolli

Falzarano

Hicks

2020

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

show abstract

“…Latino culture has been characterized as generally collectivist, such that Latinos often place significant value on the well-being of their family (Marin & Marin, 1991). Accordingly, caregiving structures in Latino families similarly tend to be collectivist (Dilworth-Anderson, Willians, & Gibson, 2002), and are often larger than that of White families in the United States (Hinojosa, Zsembik, & Rittman, 2009). Research with Latino caregivers has revealed strong feelings of loyalty and obligation to support nuclear and extended family members who are sick, a process that can contribute to significant "role-engulfment" (Delgado & Tennstedt, 1997;Sanchez-Ayendez, 1998;Villarreal, Blozis, & Widaman, 2005;Zea, Quezada, & Belgrave, 1994;Zsembik & Bonilla, 2000).…”

Section: Discussionmentioning

confidence: 99%

Just how bad is it? Comparison of the mental health of Mexican traumatic brain injury caregivers to age-matched healthy controls

Perrin

Stevens

Cabrera

et al. 2013

NRE

View full text Add to dashboard Cite

OBJECTIVE: To compare the mental health of family caregivers of individuals with traumatic brain injury (TBI) to an agematched healthy control from Guadalajara, Mexico. SETTING: Hospital Civil Fray Antonio Alcade, a public medical facility in Guadalajara, Mexico. PARTICIPANTS: Ninety family caregivers of individuals with TBI and 89 healthy controls (n = 179) did not differ with respect to age, sex, marital status, education, or household income. MAIN OUTCOME MEASURES: Outcome measures assessed satisfaction with life (Satisfaction with Life Scale), depression (Patient Health Questionnaire-9), social support (Interpersonal Support Evaluation List), self-esteem (Rosenberg Self-Esteem Scale), and anxiety (State-Trait Anxiety Inventory). RESULTS: A multivariate analysis of variance found that in comparison to controls, TBI caregivers reported substantially lower mental health scores across all indices, as well as lower social support in two out of three comparisons. The effect sizes of the social support differences were small; two out of five mental health differences reached medium-sized effects; and the other three reached large-sized effects. CONCLUSIONS: Because TBI caregivers' mental health influences the quality of informal care they can provide, mental health interventions for family caregivers are an extremely important part of TBI rehabilitation in Latin America, especially considering familism as a core value in Latino culture.

show abstract

“…Because of the high levels of collectivism and family values in Latino cultures, as well as the larger size of caregiving networks among Latinos, there is an increased likelihood that Latinos will serve as family caregivers (Hinojosa, Zsembik, & Rittman, 2009). As a cultural value, familism encourages solidarity and asserts an obligation to assist both immediate and extended family members with health problems (Delgado & Tenntedt, 1997; Zsembik & Bonilla, 2000).…”

Section: Influence Of Culturementioning

confidence: 99%

Influence of TBI Impairments and Related Caregiver Stress on Family Needs in Guadalajara, Mexico

Sung

Perrin

Mickens

et al. 2013

The Australian Journal of Rehabilitation Counselling

View full text Add to dashboard Cite

This study recruited 90 traumatic brain injury (TBI) caregivers from Guadalajara, Mexico to examine influences of five domains of TBI impairment and related caregiver stress on five types of family needs. Canonical correlations suggested that greater social impairment in individuals with TBI and related caregiver stress were associated with higher informational, household and health needs in families. Meanwhile greater physical impairments in individuals with TBI and related caregiver stress were associated with higher household needs. Additionally, greater emotional impairments in individuals with TBI and related caregiver stress were associated with higher informational needs. Caregiver interventions targeting specific TBI impairments and related caregiver stress may meet family needs and thereby improve the quality of informal care for their family members with TBI.

show abstract

Patterns of informal care among Puerto Rican, African American, and white stroke survivors

Cited by 17 publications

References 61 publications

Predictors of Rehospitalization in Post-Acute Rehabilitation among Different Ethnic Groups

Predictors of Rehospitalization in Post-Acute Rehabilitation among Different Ethnic Groups

Just how bad is it? Comparison of the mental health of Mexican traumatic brain injury caregivers to age-matched healthy controls

Influence of TBI Impairments and Related Caregiver Stress on Family Needs in Guadalajara, Mexico

Contact Info

Product

Resources

About