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Characteristics and Consequences of Family Support in Latino Dementia Care

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Abstract

The purpose of this study is to explore variations in family support for Latino dementia caregivers and describe the role of the family in dementia caregiver stress processes. Content analysis is utilized with themes derived inductively from 16 in-depth interviews with Latino caregivers recruited in California from 2002 to 2004. Three types of family support are described: extensive (instrumental and emotional support from family, n = 3), limited (instrumental support from one family member, n = 7), and lacking (no support from family, n = 6). Most caregivers report limited support, high risk for burnout and distress, and that dementia-related neuropsychiatric symptoms are obstacles to family unity. Caregivers with extensive support report a larger family size, adaptable family members, help outside of the family, and formalized processes for spreading caregiving duties across multiple persons. Culturally competent interventions should take into consideration diversity in Latino dementia care by (a) providing psychoeducation on problem solving and communication skills to multiple family members, particularly with respect to the nature of dementia and neuropsychiatric symptoms, and by (b) assisting caregivers in managing family tensions — including, when appropriate, employing tactics to mobilize family support.

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References

  • Adams, B., Aranda, M. P., Kemp, B., & Takagi, K. (2002). Ethnic and gender differences in distress among Anglo American, African American, Japanese American, and Mexican American spousal caregivers of persons with dementia. Journal of Clinical Geropsychology, 8(4), 279–301.

    Article  Google Scholar 

  • Administration for Community Living (ACL), U.S. Department of Health and Human Services. (2017). Profile of Hispanic Americans Aged 65 and Over: 2017. Retrieved from: https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2017OAProfileHA508.pdf. Accessed 23 June 2019.

  • Alzheimer’s Association. (2016). 2016 Alzheimer’s Disease Facts and Figures. Retrieved from https://www.alz.org/documents_custom/2016-facts-and-figures.pdf. Accessed 23 June 2019.

  • Angel, J. L., Rote, S. M., Brown, D. C., Angel, R. J., & Markides, K. S. (2014). Nativity status and sources of care assistance among elderly Mexican-origin adults. Journal of Cross-Cultural Gerontology, 29(3), 243–258.

    Article  Google Scholar 

  • Angel, J. L., Rote, S., & Markides, K. (2017). In J. M. Wilmoth & M. D. Silverstein (Eds.), "The role of the Latino family in late-life caregiving." pp. 38–53 in Later-Life Social Support and Service Provision in Diverse and Vulnerable Populations co. New York: Taylor and Francis.

    Google Scholar 

  • Apesoa-Varano, E. C., Barker, J. C., & Hinton, L. (2012). Mexican-American families and dementia: An exploration of “work” in response to dementia-related aggressive behavior. In J. L. Angel (Ed.), F. Torres-Gil (Ed.), & K. Markides (Ed.), Aging, Health, and Longevity in the Mexican-Origin Population (pp. 277–291). New York: Springer.

    Chapter  Google Scholar 

  • Aranda, M. P., & Knight, B. G. (1997). The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist, 37(3), 342–354.

    Article  Google Scholar 

  • Askari, N., Bilbrey, A. C., Garcia Ruiz, I., Humber, M. B., & Gallagher-Thompson, D. (2018). Dementia awareness campaign in the Latino community: A novel community engagement pilot training program with Promotoras. Clinical Gerontologist, 41(3), 200–208. https://doi.org/10.1080/07317115.2017.1398799.

    Article  Google Scholar 

  • Crist, J. D., Marylyn Morris McEwen, P. B., Suk-Sun Kim, R. N., & Alice Pasvogel, R. N. (2009). Caregiving burden, acculturation, familism, and Mexican American elders' use of home care services. Research and Theory for Nursing Practice, 23(3), 165.

    Article  Google Scholar 

  • Dilworth-Anderson, P., Williams, I. C., & Gibson, B. E. (2002). Issues of race, ethnicity, and culture in caregiving research: A twenty - year review (1980-2000). The Gerontologist, 42(2), 237–272.

    Article  Google Scholar 

  • Gallagher-Thompson, D., Tzuang, M., Hinton, L., Alvarez, P., Rengifo, J., Valverde, I., et al. (2015). Effectiveness of a fotonovela for reducing depression and stress in Latino dementia family caregivers. Alzheimer Disease and Associated Disorders, 29(2), 146.

    Google Scholar 

  • Garcia, M. A., Downer, B., Chiu, C. T., Saenz, J. L., Rote, S., & Wong, R. (2017). Racial/ethnic and nativity differences in cognitive life expectancies among older adults in the United States. The Gerontologist, 59(2), 281–289.

    Article  Google Scholar 

  • Gelman, C. R. (2014). Familismo and its impact on the family caregiving of Latinos with Alzheimer’s disease: A complex narrative. Research on Aging, 36(1), 40–71.

    Article  Google Scholar 

  • Gelman, C. R., Tompkins, C. J., & Ihara, E. S. (2013). The complexities of caregiving for minority older adults: Rewards and challenges. Handbook of Minority Aging, 313–328.

  • Haan, M. N., Mungas, D. M., Gonzalez, H. M., Ortiz, T. A., Acharya, A., & Jagust, W. J. (2003). Prevalence of dementia in older Latinos: The influence of type 2 diabetes mellitus, stroke and genetic factors. Journal of the American Geriatrics Society, 51(2), 169–177.

    Article  Google Scholar 

  • Hinton, L., Haan, M., Geller, S., & Mungas, D. (2003). Neuropsychiatric symptoms in Latino elders with dementia or cognitive impairment without dementia and factors that modify their association with caregiver depression. The Gerontologist, 43(5), 669–677.

    Article  Google Scholar 

  • Hinton, L., Franz, C. E., Yeo, G., & Levkoff, S. E. (2005). Conceptions of dementia in a multiethnic sample of family caregivers. Journal of the American Geriatrics Society, 53(8), 1405–1410.

  • Hinton, L., Chambers, D., & Velásquez, A. (2009). Making sense of behavioral disturbances in persons with dementia: Latino family caregiver attributions of neuropsychiatric inventory domains. Alzheimer Disease and Associated Disorders, 23(4), 401–405.

    Article  Google Scholar 

  • Hinton, L., Carter, K., Reed, B. R., Beckett, L., Lara, E., DeCarli, C., & Mungas, D. (2010). Recruitment of a community-based cohort for research on diversity and risk of dementia. Alzheimer Disease and Associated Disorders, 24(3), 234.

    Google Scholar 

  • House, J. S. (1981). Work stress and social support. Reading: Adison-Wesley.

    Google Scholar 

  • Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 5(9), 1277–1288. https://doi.org/10.1177/1049732305276687.

    Article  Google Scholar 

  • Janevic, M. R., & Connell, C. M. (2001). Racial, ethnic, and cultural differences in the dementia caregiving experience: Recent findings. The Gerontologist, 41(3), 334–347.

    Article  Google Scholar 

  • Knight, B. G., & Sayegh, P. (2010). Cultural values and caregiving: The updated sociocultural stress and coping model. The Journals of Gerontology: Series B, 65(1), 5–13.

    Article  Google Scholar 

  • Latinos and Alzheimer’s Disease: New Numbers Behind the Crisis. (2016). USC Edward R. Roybal Institute on Aging and the LatinosAgainstAlzheimer’s Network. Retrieved from: https://www.usagainstalzheimers.org/sites/default/files/2018-02/Latinos-and-AD_USC_UsA2-Impact-Report.pdf. Accessed 23 June 2019.

  • Lincoln, Y. S., & Guba, E. G. (1985). Establishing trustworthiness. Naturalistic inquiry, 289, 331.

  • Llanque, S. M., & Enriquez, M. (2012). Interventions for Hispanic caregivers of patients with dementia: A review of the literature. American Journal of Alzheimer's Disease & Other Dementias, 27(1), 23–32.

    Article  Google Scholar 

  • Losada, A., Márquez-González, M., Knight, B. G., Yanguas, J., Sayegh, P., & Romero-Moreno, R. (2010). Psychosocial factors and caregivers’ distress: Effects of familism and dysfunctional thoughts. Aging & Mental Health, 14(2), 193–202.

    Article  Google Scholar 

  • Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J., & DeKosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment: Results from the cardiovascular health study. JAMA, 288(12), 1475–1483.

    Article  Google Scholar 

  • Mendez-Luck, C. A., & Anthony, K. P. (2016). Marianismo and caregiving role beliefs among US-born and immigrant Mexican women. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71(5), 926–935.

    Article  Google Scholar 

  • Mendez-Luck, C. A., Applewhite, S. R., Lara, V. E., & Toyokawa, N. (2016). The concept of Familism in the lived experiences of Mexican-origin caregivers. Journal of Marriage and Family, 78(3), 813–829.

    Article  Google Scholar 

  • Napoles, A. M., Chadiha, L., Eversley, R., & Moreno-John, G. (2010). Reviews: Developing culturally sensitive dementia caregiver interventions: Are we there yet? American Journal of Alzheimer's Disease & Other Dementias®, 25(5), 389–406.

    Article  Google Scholar 

  • National Alliance on Caregiving AARP Public Policy Institute. (2015). Caregiving in the U.S. 2015 - focused look at caregivers of adults age 50+. Retrieved from http://www.caregiving.org/wp-content/uploads/2015/05/2015_CaregivingintheUS_Care-Recipients-Over-50_WEB.pdf. Accessed 23 June 2019.

  • National Institute on Aging. (2012). Health disparities and Alzheimer’s disease. Retrieved from http://www.nia.nih.gov/alzheimers/publication/2011-2012-alzheimers-disease-progress-report/health-disparities-and. Accessed 23 June 2019.

  • Roberts, A.W., Ogunwole, S.U., Blakeslee, L., & Rabe, M.A. (2018). The population 65 years and older in the United States: 2016 Retrieved from: https://www.census.gov/content/dam/Census/library/publications/2018/acs/ACS-38.pdf. Accessed 23 June 2019.

  • Robinson, G. S., & Knight, B. G. (2004). Preliminary study investigating acculturation, cultural values, and psychological distress in Latino caregivers of dementia patients. Journal of Mental Health and Aging, 10, 183–194.

    Google Scholar 

  • Rote, S. M., & Moon, H. (2016). Racial/ethnic differences in caregiving frequency: Does immigrant status matter? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, gbw106.

  • Rote, S., Angel, J., & Markides, K. (2014). Health of elderly Mexican American adults and family caregiver distress. Research on Aging. https://doi.org/10.1177/0164027514531028.

    Article  Google Scholar 

  • Turner, R. M., Hinton, L., Gallagher-Thompson, D., Tzuang, M., Tran, C., & Valle, R. (2015). Using an emic lens to understand how Latino families cope with dementia behavioral problems. American Journal of Alzheimer's Disease & Other Dementias, 30(5), 454–462.

    Article  Google Scholar 

  • Uchino, B. N. (2009). Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4(3), 236–255.

    Article  Google Scholar 

  • Vega, I. E., Cabrera, L. Y., Wygant, C. M., Velez-Ortiz, D., & Counts, S. E. (2017). Alzheimer's disease in the Latino community: Intersection of genetics and social determinants of health. Journal of Alzheimer's Disease, 58(4), 979–992. https://doi.org/10.3233/Jad-161261.

    Article  Google Scholar 

  • Wu, S., Rodriguez, F., Jin, H., & Vega, W. A. (2019). Latino and Alzheimer’s: Social determinants and personal factors contributing to disease risk. In Contextualizing health and aging in the Americas (pp. 63–84). Cham: Springer.

    Chapter  Google Scholar 

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Correspondence to Sunshine Rote.

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Rote, S., Angel, J. & Hinton, L. Characteristics and Consequences of Family Support in Latino Dementia Care. J Cross Cult Gerontol 34, 337–354 (2019). https://doi.org/10.1007/s10823-019-09378-4

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