Psychosocial and Cognitive Health Differences by Caregiver Status Among Older Mexican Americans
This study identifies the risk and protective factors associated with informal caregiving by older (≥70 years) Mexican Americans and profiles caregiving arrangements. Overall, a greater number of informal caregivers (n = 92) were married and female. They also had higher physical functioning and better cognition than non-caregivers (n = 1,888) but fewer visited a physician regularly. Informal caregivers also showed an increased risk of depressive symptoms. A third of caregivers spent more than 20 h/day caregiving and the majority (84%) of care recipients were family members. In order to support the efforts of this disproportionately burdened caregiver group, increased social support and healthcare services are needed.
KeywordsInformal caregiving Depression Cognition Mexican Americans
- Black, S. A., Ray, L. A., Angel, R. J., Espino, D. V., Miranda, M., & Markides, K. S. (2003). Resource book of the Hispanic Established Population for the Epidemiological Study of the Elderly (Study No. 2851). Ann Arbor: National Archive of Computerized Data on Aging. Retrieved from http://www.icpsr.umich.edu.
- Evercare and National Alliance on Caregiving (2008). Evercare study of Hispanic family caregiving in the U.S.: Findings from a national study. Minnetonka, MN: Evercare; Bethesda, MD: National Alliance on Caregiving. Retrieved from http://evercarehealthplans.com/pdf/HispanicCaregiversStudy.pdf.
- Feinberg, L., Reinhard, S. C., Houser, A., & Choula, R. (2011). Valuing the invaluable: The growing contributions and costs of family caregiving (2011 update). AARP Public Policy Institute. Available from http://www.aarp.org/relationships/caregiving/info-07-2011/valuing-the-invaluable.html.
- Gallagher-Thompson, D., Shurgot, G. R., Rider, K., Gray, H. L., McKibbin, C. L., Kraemer, H., et al. (2006). Ethnicity, stress, and cortisol function in Hispanic and non-Hispanic white women: A preliminary study of family dementia caregivers and non caregivers. American Journal of Geriatric Psychiatry, 14(4), 334–342.PubMedCrossRefGoogle Scholar
- Hazuda, H. P., Stern, M. P., & Haffner, S. M. (1988). Acculturation and assimilation among Mexican-Americans: scales and population-based data. Social Science Quarterly, 69, 687–706.Google Scholar
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
- Lefley, H. P. (1987). Aging parents as caregivers of mentally ill children: An emerging social problem. Hospital & Community Psychiatry, 38, 1063–1070.Google Scholar
- Markides, K. S. (1999). Hispanic established populations for epidemiologic studies of the elderly, Wave III, 1998–1999, Arizona, California, Colorado, New Mexico and Texas [File No. ICPSR04102-v2]. Ann Arbor, MI: Inter-University Consortium for Political and Social Research. doi:10.3886/ICPSR04102.
- Mausbach, B. T., Coon, D. W., Cardenas, V., & Thompson, L. W. (2003). Religious coping among Caucasian and Latina dementia caregivers. Journal of Mental Health and Aging, 9, 97–110.Google Scholar
- Mirowsky, J., & Ross, C. E. (2003). Social causes of psychological distress (2nd ed.). Hawthorne, NY: Aldine de Gruyter.Google Scholar
- Mulgrew, C. L., Morgenstern, N., Shetterly, S. M., Baxter, J., Baron, A. E., & Hamman, R. F. (1999). Cognitive functioning and impairment among rural elderly Hispanics and non-Hispanic whites as assessed by the Mini-Mental State Examination. The Journals of Gerontology. Series B, Psychological Science and Social Sciences, 54(4), P223–P230.CrossRefGoogle Scholar
- National Alliance for Caregiving (2009). Caregiving in the U.S.: A focused look at those caring for someone age 50 or Older. Bethesda, MD, and Washington, DC: National Alliance for Caregiving and AARP.Google Scholar
- Pearlin, L. I., Aneshensel, C. S., Mullan, J. T., & Whitlatch, C. J. (1996). Caregiving and its social support. In R. H. Binstock & L. K. George (Eds.), Handbook of Aging and the Social Sciences (4th ed., pp. 283–302). San Diego: Academic Press, Inc.Google Scholar
- Zarit, S. H., & Zarit, J. M. (2007). Mental disorders in older adults: The fundamentals of assessment (2nd ed.). New York, NY: The Guilford Press.Google Scholar