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Demographic and socio-economic influences on community-based care and caregivers of people with dementia in China
- Source :
- JRSM Cardiovascular Disease, JRSM Cardiovascular Disease, Vol 5 (2016)
- Publication Year :
- 2016
-
Abstract
- Background Dementia is a major public health challenge and China has the largest population with dementia in the world. However, dementia care and caregivers for Chinese are less investigated. Objectives and design To evaluate demographic and socio-economic influences on dementia care, management patterns and caregiver burden in a household community-dwelling-based survey, using participants’ care receipts and Zarit scale. Setting and participants Rural and urban communities across six provinces of China comprising 4837 residents aged ≥60 years, in whom 398 had dementia and 1312 non-dementia diseases. Results People with dementia were less likely to receive care if they were living in rural compared to urban areas (Odd ratio (OR) = 0.20; 95%CI: 0.10–0.41), having education level below compared to above secondary school (OR = 0.24; 95%CI: 0.08–0.70), manual labourer compared to non-manual workers (OR = 0.27; 95%CI: 0.13–0.55), having personal annual income below RMB 10,000 yuan (£1000) compared to above (OR = 0.37; 95%CI: 0.13–0.74) or having four or more than compared to less four children (OR = 0.52; 95%CI: 0.27–1.00). Caregivers for dementia compared with those for non-dementia diseases were younger and more likely to be patients’ children or children in-law, had lower education and spent more caring time. Caregiver burden increased with low education, cutback on work and caring for patients who were younger or living in rural areas, and this caregiver burden was three-fold greater than that for non-dementia diseases. Conclusions There are a number of inequalities in dementia care and caregiver burden in China. Reducing the socio-economic gap and increasing education may improve community care for people with dementia and preserve caregivers’ well-being.
- Subjects :
- Gerontology
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Population
Care burden
socio-economic inequality
03 medical and health sciences
0302 clinical medicine
Epidemiology
mental disorders
medicine
Dementia
030212 general & internal medicine
China
education
Community-based care
Socioeconomic status
education.field_of_study
business.industry
Public health
Caregiver burden
medicine.disease
lcsh:RC666-701
epidemiology
business
030217 neurology & neurosurgery
Research Paper
Subjects
Details
- ISSN :
- 20480040
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- JRSM cardiovascular disease
- Accession number :
- edsair.doi.dedup.....a6853ed95ea435ed966e41f414fb772d