142nd APHA Annual Meeting and Exposition

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Sociodemographic Features and Mental Health Among Elderly Informal Caregivers:A Cross-Sectional Survey

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Rodrigo Fonseca, MD , University of Sao Paulo, Institute of Psychiatry IPq HCFMUSP, Sao Paulo, Brazil
Population aging and informal caregiver support are becoming a major  concern in LAMIC. The present study was performed in social unprivilleged areas of westbound of São Paulo-Brazil with 13% of territory consisting in shantytowns. Aims were describing sociodemographic profile, common mental disorders and burden on informal caregivers and general profile of elderly population in need of caregiving. The main hypothesis was  to investigate association between sociodemographic profiles and common mental disorders(CMD) and burden using SRQ-20 and Zarit Caregiver Burden Scale.Initial sample calculation was based on dementia prevalence, reaching 2000 elders (CI 95% 4-6)

Households interviews were performed in primary care-covered catchment area.Sample size was of 588 caregivers with 16 years or above and respective elders with 65 years or above.Written informed consent  was obtained.

Mean age of caregivers was 49,8 years (sd=.599 .,CI 95%).Female gender was proeminent (82,65%). Daughters were the main elderly caregivers (58,8%). 59,8% of the female sample reached threshold  for CMD (p=0,000) and 35% high level of burden (p=0,001). Association between CMD and high burden reached statistical significance (Pearson chi2=58,98 p=0,000). 16% of elderly sample filled diagnosis of DSM-IV dementia, 9,9% of ICD-10 major depression and 39,3% of CMD. Dementia was predictor of CMD and high burden among caregivers (p=0,001).

Findings suggest that caregivers should be considered as a risk population for mental health and worsening of quality of elderly care. Early needs assessment, treatment and logistic support  for informal caregivers in areas of social deprivation should be aims of health and social security policies in LAMIC.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences

Learning Objectives:
Identify population aging and informal caregiving as a growing public policy concern Assess common mental diosrders and burden among elderly caregivers Demonstrate informal elderly caregivers are a mental health at- risk population Differentiate common mental disorder, subjective and objective burden Discuss caregivers needs assessment in logistic terms and health related issues Explain caregiver burden

Keyword(s): Aging, Caregivers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been one of the few researchers in Brazil on focusing mental health and burden among informal elderly caregivers in a low-income community setting.Most of the studies are related to health services population.LAMIC countries such as Brazil faces population aging, paucity of health policies,low socioeconomic status, lack of community and caregiver support and incipient collaborative care.Therefore, this kind of study highlights an quite unexplored health policy issue in Brazil.
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.