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Who cares? Implications of care-giving and -receiving by HIV-infected or -affected older people on functional disability and emotional wellbeing.
- Source :
- Ageing & Society; Jan2015, Vol. 35 Issue 1, p169-202, 34p
- Publication Year :
- 2015
-
Abstract
- This paper examines how care-giving to adults and/or children and care-receiving is associated with the health and wellbeing of older people aged 50+ in rural South Africa. Data used are from a cross-sectional survey adapted from World Health Organization's Study on Global Ageing and Adult Health (SAGE) conducted in 2009/10 in rural South Africa. Bivariate statistics and multivariate logistical regression were used to assess the relationship between care-giving and/or care-receiving with functional disability, quality of life or emotional wellbeing, and self-rated health status, adjusted for socio-demographic factors. Sixty-three per cent of 422 older people were care-givers to at least one young adult or child; 27 per cent of older people were care-givers due to HIV-related reasons in young adults; 84 per cent of participants were care-recipients mainly from adult children, grandchildren and spouse. In logistic regressions adjusting for sex, age, marital status, education, receipt of grants, household headship, household wealth and HIV status, care-giving was statistically significantly associated with good functional ability as measured by ability to perform activities of daily living. This relationship was stronger for older people providing care-giving to adults than to children. In contrast, care-givers were less likely to report good emotional wellbeing; again the relationship was stronger for care-givers to adults than children. Simultaneous care-giving and -receiving was likewise associated with good functional ability, but about a 47 per cent lower chance of good emotional wellbeing. Participants who were HIV-infected were more likely to be in better health but less likely to be receiving care than those who were HIV-affected. Our findings suggest a strong relationship between care-giving and poor emotional wellbeing via an economic or psychological stressor pathway. Interventions that improve older people's socio-economic circumstances and reduce financial hardship as well as those that provide social support would go some way towards mitigating this relationship. [ABSTRACT FROM PUBLISHER]
- Subjects :
- QUALITY of life
HIV infection epidemiology
PSYCHOLOGY of caregivers
CHI-squared test
CONFIDENCE intervals
HEALTH status indicators
PROBABILITY theory
STATISTICAL sampling
SELF-evaluation
STATISTICS
SURVEYS
DATA analysis
MULTIPLE regression analysis
WELL-being
CROSS-sectional method
DATA analysis software
FUNCTIONAL assessment
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 0144686X
- Volume :
- 35
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Ageing & Society
- Publication Type :
- Academic Journal
- Accession number :
- 101359134
- Full Text :
- https://doi.org/10.1017/S0144686X13000615