Advertisement

Journal of General Internal Medicine

, Volume 19, Issue 8, pp 875–878 | Cite as

Quality of preventive clinical services among caregivers in the health and retirement study

  • Catherine KimEmail author
  • Mohammed U. Kabeto
  • Robert B. Wallace
  • Kenneth M. Langa
Populations At Risk

Abstract

We examined the association between caregiving for a spouse and preventive clinical services (self-reported influenza vaccination, cholesterol screening, mammography, Pap smear, and prostate cancer screening over 2 years and monthly self-breast exam) for the caregiver in a cross-sectional analysis of the Health and Retirement Study, a nationally representative sample of U.S. adults aged ≥50 years (N=11,394). Spouses engaged in 0, 1–14, or ≥14 hours per week of caregiving. Each service was examined in logistic regression models adjusting for caregiver characteristics. After adjustment for covariates, there were no significant associations between spousal caregiving and likelihood of caregiver receipt of preventive services.

Key words

caregiving prevention mammography influenza cholesterol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Office of the Assistant Secretary for Planning and Evaluation. Informal Caregiving: Compassion in Action. Washington, DC: Department of Health and Human Services; 1998.Google Scholar
  2. 2.
    Schulz R, Beach S. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999;282:2215–9.PubMedCrossRefGoogle Scholar
  3. 3.
    Burton L, Newsom J, Schulz R, Hirsch C, German P. Preventive health behaviors among spousal caregivers. Prev Med. 1997;26:162–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Teel C, Press A. Fatigue among elders in caregiving and noncaregiving roles. West J Nurs Res. 1999;21:498–514.PubMedCrossRefGoogle Scholar
  5. 5.
    Stone R, Cafferata G, Sangl J. Caregivers of the frail elderly: a national profile. Gerontologist. 1987;27:616–26.PubMedGoogle Scholar
  6. 6.
    Schulz R, O’Brien A, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. Gerontologist. 1995;35:771–91.PubMedGoogle Scholar
  7. 7.
    King A, Oka R, Young D. Ambulatory blood pressure and heart rate responses to the stress of work and caregiving in older women. J Gerontol. 1994;49:M239–45.PubMedGoogle Scholar
  8. 8.
    Archbold P, Stewart B, Greenlick M, Harvath T. Mutuality and preparedness as predictors of caregiver role strain. Res Nurs Health. 1990;13:375–84.PubMedCrossRefGoogle Scholar
  9. 9.
    Montgomery R. The family role in the context of long-term care. J Aging Health. 1999;11:383–416.PubMedCrossRefGoogle Scholar
  10. 10.
    Mittelman M, Ferris S, Shulman E, et al. A comprehensive support program: effect on depression in spouse-caregivers of AD patients. Gerontologist. 1995;35:792–802.PubMedGoogle Scholar
  11. 11.
    Sarna L, Chang B. Colon cancer screening among older women caregivers. Cancer Nurs. 2000;23:109–16.PubMedCrossRefGoogle Scholar
  12. 12.
    Scharlach A, Midanik L, Runle M, Soghikian K. Health practices of adults with elder care responsibilities. Prev Med. 1997;26:155–61.PubMedCrossRefGoogle Scholar
  13. 13.
    Juster F, Suzman R. An overview of the Health and Retirement Study. J Hum Resour. 1995;30:S7-S56.CrossRefGoogle Scholar
  14. 14.
    Norgard T, Rodgers W. Patterns of in-home care among elderly black and white Americans. J Gerontol B Psychol Sci Soc Sci. 1997;52:93–101.PubMedGoogle Scholar
  15. 15.
    Wolf D, Freedman V, Soldo B. The division of family labor: care for elderly parents. J Gerontol B Psychol Sci Soc Sci. 1997;52:102–9.PubMedGoogle Scholar
  16. 16.
    Charlson M, Pompei P, Ales K, MacKenzie C. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40:373–83.PubMedCrossRefGoogle Scholar
  17. 17.
    Altman B, Cooper P, Cunningham P. The case of disability in the family: impact on health care utilization and expenditures for nondisabled members. Milbank Q. 1999;77:39–74.PubMedCrossRefGoogle Scholar
  18. 18.
    Baumgarten M, Battista R, Infante-Rivard C, et al. Use of physician services among family caregivers of elderly persons with dementia. J Clin Epidemiol. 1997;50:1265–72.PubMedCrossRefGoogle Scholar
  19. 19.
    Harwell T, Moore K, Madison M, et al. Comparing self-reported measures of diabetes care with similar measures from a chart audit in a well-defined population. Am J Med Qual. 2001;16:3–8.PubMedCrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2004

Authors and Affiliations

  • Catherine Kim
    • 1
    • 2
    Email author
  • Mohammed U. Kabeto
    • 1
    • 4
  • Robert B. Wallace
    • 5
  • Kenneth M. Langa
    • 1
    • 3
    • 4
    • 6
    • 7
  1. 1.Received from the Division of General MedicineUniversity of MichiganUSA
  2. 2.Department of Medicine, Department of Obstetrics and GynecologyUniversity of MichiganUSA
  3. 3.Institute for Social ResearchUniversity of MichiganUSA
  4. 4.Patient Safety Enhancement ProgramUniversity of Michigan Health SystemAnn Arbor
  5. 5.College of Public HealthUniversity of IowaIowa City
  6. 6.Department of Veterans Affairs Center for Practice Management and Outcomes ResearchAnn Arbor
  7. 7.Society for General Internal Medicine Collaborative Center for Research and Education in the Care of Older AdultsAnn Arbor

Personalised recommendations