RÉSUMÉ L’analyse de l’intersectionnalité est l’étude des identités sociales qui se chevauchent ou se recoupent. L’intersection d’identités sociales peut avoir une incidence sur la perception du fardeau assumé chez les aidants naturels prenant soin de personnes âgées atteintes de maladies chroniques multiples (MCM). Le but de l’étude était d’explorer l’interaction des facteurs sociaux sur le fardeau associé aux soins apportés aux personnes âgées atteintes de MCM. Au total, 194 aidants de personnes âgées atteintes de MCM ont été recrutés en Alberta et en Ontario. Les données de l’enquête ont été recueillies à deux reprises, à six mois d’intervalle. Les modèles additifs et multiplicatifs ont été analysés à l’aide d’un modèle linéaire généralisé afin de déterminer l’intensité du fardeau de l’aidant. L’interférence sociale moyenne à élevée (impact sur la vie sociale) était associée à un fardeau plus lourd lorsqu’ajustée en fonction de l’âge, du sexe, du niveau de scolarité et de la situation professionnelle. Les résultats principaux de l’interaction à cinq facteurs suggèrent que les hommes avaient généralement des scores de fardeau inférieurs à ceux des femmes. Indépendamment de leur niveau de scolarité et de leur situation professionnelle, les femmes ont obtenu des scores de fardeau plus élevés. Ces résultats enrichissent les publications actuelles, en suggérant des domaines de recherche supplémentaires pour combler les lacunes dans les connaissances, et supportent des idées d’interventions en santé publique axées sur les aidants et fondées sur des données probantes.
Dramatic changes in family life may have altered the structure and quality of social ties to family and friends. However, little is known about whether and how social relationships vary between older adults from different cohorts. Using data from the National Social Life, Health, and Aging Project, we compared social network composition and social support between older adults at ages 57 to 67 from the Silent Generation cohort (N=2,316) and the Baby Boom cohort (N=1,500). Compared with the Silent Generation cohort, the Baby Boom cohort had significantly higher odds of not listing any kin in their core discussion network. There were no cohort differences in proportion of friends in the network. The Baby Boom cohort also reported lower levels of family and friend support than their counterparts. Results suggest that the Baby Boom cohort is more socially disconnected from friends and particularly family compared with the Silent Generation cohort.
Burden on caregivers of adults with multiple chronic conditions: Intersectionality of age, gender, education level, employment status, and impact on social life.
As functional health declines, dependency on others increases along with the risk of neglect and its harmful consequences. In this paper, we use data collected during 2015-16 (Round 3) of the National Social Life, Health, and Aging Project (NSHAP) to identify older adults at risk of neglect and to test the hypothesis that high neglect risk predicts poorer health. Specifically, we use NSHAP’s functional health survey module and follow-up care receiving “loop” to categorize respondents as having either “high” or “low” neglect risk. NSHAP’s functional health module assesses respondents’ difficulties with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Because ADLs and IADLs are integral to the maintenance of physical health, hygiene, and well-being, the unrequited desire for help with such activities could signal neglect. Accordingly, we assign “high neglect risk” to respondents who report either that they: (a) want but are not getting help with an ADL or IADL; or (b) are getting help with an ADL or IADL, but from a helper who is not very reliable. Motivated by current research that documents higher rates of morbidity and mortality among neglected older adults, we examine associations between neglect risk and other key NSHAP measures, including indicators of physical health, mental health, cognition, social support, social strain, and field interviewer assessed respondent hygiene. Results suggest that this method of risk assessment can be useful in identifying vulnerable populations of older adults. Follow-up interviews are needed to further confirm its utility as a risk assessment tool.
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