Dissertation/Thesis Abstract

Measurement of informal caregiving to older disabled adults in the United States
by Giovannetti, Erin Rand, Ph.D., The Johns Hopkins University, 2009, 201; 3357165
Abstract (Summary)

Objectives. (1) To describe the methodology used to measure informal caregiving in national population-based surveys. (2) To evaluate the influence of survey design on the estimated number and characteristics of caregivers in the US. (3) To compare the characteristics of caregivers and their care-recipients across primacy status.

Methods. A detailed review of national population based surveys of aging and caregiving was conducted to identify the key elements of variation in the measurement of caregiving. Two elements identified as possible sources of variation, survey sample frame and primacy status of caregivers included in the sample, were then explored analytically. The influence of sample frame on the number and characteristics of caregivers and care-recipients was examined by applying a single rigorous definition of caregiving to the 2004 Health and Retirement Survey (HRS) and 2004 Survey of Income and Program Participation (SIPP). The influence of primacy status of caregivers was explored by comparing primary and secondary caregivers and their care-recipients in the 2004 HRS using logistic regression corrected for complex survey design.

Results. The weighted number of caregivers was not found to differ between the HRS and SIPP; the prevalence of disability was significantly greater in the HRS and the prevalence of receiving help was significantly greater in the SIPP. Other significant differences between the HRS and SIPP included the proportion of caregivers who were spouses, co-residing, and the proportion of care-recipients of lower socio-economic status. Comparison of primary and secondary caregivers suggested that men were more likely to assume the role of secondary caregivers than women, and that non-white older disabled adults were more likely to have multiple caregivers than white older disabled adults.

Conclusions. These data suggests that both sample frame and the operational definition of caregiving have a significant influence on both the estimated size and composition of the caregiving population identified in nation surveys. Policy makers who use estimates of caregiving from national health surveys may want to consider how the methods for identifying caregivers and disabled care-recipients affect our understanding of how many caregivers are available to provide care and at what cost.

Indexing (document details)
Advisor: Wolff, Jennifer
School: The Johns Hopkins University
School Location: United States -- Maryland
Source: DAI-B 70/04, Dissertation Abstracts International
Subjects: Public health, Health care management
Keywords: Caregiving, Disabled adults, Informal caregiving
Publication Number: 3357165
ISBN: 978-1-109-13917-4
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