Caregiving strain and all-cause mortality: Evidence from the REGARDS study

Martinique Perkins, Virginia J. Howard, Virginia G. Wadley, Michael Crowe, Monika M. Safford, William E. Haley, George Howard, David L Roth

Research output: Contribution to journalArticle

Abstract

Objectives. Using a large, national sample, this study examined perceived caregiving strain and other caregiving factors in relation to all-cause mortality. Method. The REasons for Geographic and Racial Differences in Stroke (REGARDS) study is a population-based cohort of men and women aged 45 years and older. Approximately 12% (n = 3,710) reported that they were providing ongoing care to a family member with a chronic illness or disability. Proportional hazards models were used for this subsample to examine the effects of caregiving status measures on all-cause mortality over the subsequent 5-year period, both before and after covariate adjustment. Results. Caregivers who reported high caregiving strain had significantly higher adjusted mortality rates than both no strain (hazard ratio [HR] = 1.55, p = .02) and some strain (HR = 1.83, p = .001) caregivers. The mortality effects of caregiving strain were not found to differ by race, sex, or the type of caregiving relationship (i.e., spouse, parent, child, sibling, and other). Discussion. High perceived caregiving strain is associated with increased all-cause mortality after controlling for appropriate covariates. High caregiving strain constitutes a significant health concern and these caregivers should be targeted for appropriate interventions.

Original languageEnglish (US)
Pages (from-to)504-512
Number of pages9
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume68
Issue number4
DOIs
StatePublished - Jul 2013

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caregiving
stroke
mortality
Stroke
cause
Mortality
Caregivers
evidence
caregiver
Social Adjustment
Spouses
Proportional Hazards Models
Siblings
Chronic Disease
spouse
chronic illness
family member
Health
parents
disability

Keywords

  • Caregiving
  • Mortality
  • Strain

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Clinical Psychology
  • Social Psychology
  • Medicine(all)

Cite this

Caregiving strain and all-cause mortality : Evidence from the REGARDS study. / Perkins, Martinique; Howard, Virginia J.; Wadley, Virginia G.; Crowe, Michael; Safford, Monika M.; Haley, William E.; Howard, George; Roth, David L.

In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences, Vol. 68, No. 4, 07.2013, p. 504-512.

Research output: Contribution to journalArticle

Perkins, Martinique ; Howard, Virginia J. ; Wadley, Virginia G. ; Crowe, Michael ; Safford, Monika M. ; Haley, William E. ; Howard, George ; Roth, David L. / Caregiving strain and all-cause mortality : Evidence from the REGARDS study. In: Journals of Gerontology - Series B Psychological Sciences and Social Sciences. 2013 ; Vol. 68, No. 4. pp. 504-512.
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