Online Program

Sources of caregiver stress among African-americans

Monday, November 4, 2013

Shajiuddin Mohammed, MD, MPH, Department of Public Health, Southern Connecticut State University, New Haven, CT
Christine Unson, PhD, Department of Public Health, Southern Connecticut State University, New Haven, CT
Mary Ann Glendon, Southern Connecticut State University, New Haven, CT
Simbi Dabiri, SCSU, New Haven, CT
Tammy Testut, SCSU, New Haven, CT
Purpose: This study identified sources of stress among African Americans caregivers.

Method: A convenience sample of caregivers (N=110) who provided at least 5 hours of care per week to a relative 55 years old or older, was recruited from community settings in metropolitan areas in northeastern United States. They completed a self-administered questionnaire concerning caregiver stress and its potential determinants.

Results: The average age of the caregivers was 42.5 (SD=15.3) years; 41.8% were employed full-time; 81.8% were females and 34.3% were sole caregivers; primary caregivers (65.1%) provided an average of 36.8 (SD=46.5) hrs. of care per week, The care recipient, on average, was 75.1 (SD=9.7) years old, had moderate functional status (ADL: 4.37 (SD=2.2) and IADL: 4.1 (SD=3.1)) mostly lived (51.8%) lived with a caregiver. The sample experienced low burden/stress (Zarit Caregiver Burden Interview (ZCBI), M=22, SD=13.58); positive perceptions of caregiving (Positive Aspects of Caregiving (PAC): 4.1 (SD=0.7); moderate religiosity: 4.78 (SD=1.55) and moderate family disagreements: 2.28 (SD= 1.13). High scores on CES-D scale (â=0.36**), lower scores on PAC (â=-0.21**), more family disagreements (â=0.37**), and higher religiosity (â=0.27**), were significant predictors of ZCBI in regression analysis. They accounted for 50% of the variance in the ZCBI (Adj R2 .50**). IADLs, ADLs, weekly hours of care, and living with caregiver were not significant predictors.

Conclusion: African American caregivers tend to experience low to moderate caregiver burden. The main contributors to caregiver stress are family disagreements and depression. There is a need to develop interventions that lower caregiver burden among African-Americans.

Learning Areas:

Provision of health care to the public
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe caregiving situations of African American caregivers and to identify factors associated with their caregiver stress.

Keyword(s): Caregivers, Stress

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a physician with vast clinical and research experience. I have a thorough knowledge of research and education and I am eligible to be a author.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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