TitleThe relationship among caregiving characteristics, caregiver strain, and health-related quality of life: evidence from the Survey of the Health of Wisconsin.
Publication TypeJournal Article
Year of Publication2015
AuthorsLitzelman, K, Skinner, HG, Gangnon, RE, F. Nieto, J, Malecki, K, Witt, WP
JournalQual Life Res
Volume24
Issue6
Pagination1397-406
Date Published2015 Jun
ISSN1573-2649
KeywordsAdult, Aged, Caregivers, Female, Health Status, Humans, Male, Middle Aged, Quality of Life, Self Report, Stress, Psychological, Surveys and Questionnaires, Wisconsin, Young Adult
Abstract
 

PURPOSE: In order to better understand how family caregiving may contribute to poor health outcomes, this study sought to determine (1) if and to what extent caregiving characteristics were associated with caregiver strain and health-related quality of life (HRQoL), and (2) whether caregiver strain mediated this association.

METHODS: Data were from the 2008-2010 Survey of the Health of Wisconsin, a representative sample of Wisconsin adults aged 21-74 years. Participants completed questionnaires about their caregiving, sociodemographics, and HRQoL; 264 caregivers were identified. Staged generalized additive models assessed the associations among caregiving characteristics, caregiver strain, and HRQoL; survey weights were applied to account for the complex sampling design.

RESULTS: More hours per week of care and greater duration of caregiving were associated with higher levels of strain. Greater caregiver strain was in turn associated with worse mental HRQoL. However, most caregiving characteristics were not directly associated with mental or physical HRQoL.

CONCLUSIONS: The findings suggest a chains-of-risk model in which caregiving may increase strain, which may in turn adversely influence mental HRQoL. Using this perspective to refine interventions may improve our ability to support caregivers on practice and policy levels.

DOI10.1007/s11136-014-0874-6
Alternate JournalQual Life Res
PubMed ID25427430
PubMed Central IDPMC4446250
Grant ListUL1 TR000427 / TR / NCATS NIH HHS / United States
F31 AG044073 / AG / NIA NIH HHS / United States
5UL 1RR025011 / RR / NCRR NIH HHS / United States
RC2 HL101468 / HL / NHLBI NIH HHS / United States
UL1 RR025011 / RR / NCRR NIH HHS / United States
Z99 CA999999 / / Intramural NIH HHS / United States
1 RC2 HL101468 / HL / NHLBI NIH HHS / United States
P2C HD047873 / HD / NICHD NIH HHS / United States
F31 AG 044073 / AG / NIA NIH HHS / United States