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Socioeconomic Predictors of the Employment of Migrant Care Workers by Italian Families Assisting Older Alzheimer's Disease Patients: Evidence From the Up-Tech Study
- Source :
- The journals of gerontology. Series B, Psychological sciences and social sciences. 71(3)
- Publication Year :
- 2014
-
Abstract
- The availability of family caregivers of older people is decreasing in Italy as the number of migrant care workers (MCWs) hired by families increases. There is little evidence on the influence of socioeconomic factors in the employment of MCWs.We analyzed baseline data from 438 older people with moderate Alzheimer's disease (AD), and their family caregivers enrolled in the Up-Tech trial. We used bivariate analysis and multilevel regressions to investigate the association between independent variables-education, social class, and the availability of a care allowance-and three outcomes-employment of a MCW, hours of care provided by the primary family caregiver, and by the family network (primary and other family caregivers).The availability of a care allowance and the educational level were independently associated with employing MCWs. A significant interaction between education and care allowance was found, suggesting that more educated families are more likely to spend the care allowance to hire a MCW.Socioeconomic inequalities negatively influenced access both to private care and to care allowance, leading disadvantaged families to directly provide more assistance to AD patients. Care allowance entitlement needs to be reformed in Italy and in countries with similar long-term care and migration systems.
- Subjects :
- Gerontology
Migrant care worker
Male
Financing, Government
very elderly
aged
Alzheimer disease
caregiver
economics
educational status
employment
female
financial management
home care
human
Italy
long term care
male
middle aged
migration
socioeconomics
standards
statistics and numerical data
supply and distribution
very elderly, Aged
Aged, 80 and over
Alzheimer Disease
Caregivers
Educational Status
Employment
Female
Financing, Personal
Home Care Services
Humans
Long-Term Care
Middle Aged
Socioeconomic Factors
Transients and Migrants
Alzheimer's disease
Care allowance
Family caregiver
Socioeconomic factors
Up-Tech
Disease
0302 clinical medicine
050602 political science & public administration
80 and over
030212 general & internal medicine
Family caregivers
05 social sciences
0506 political science
Clinical Psychology
Government
population characteristics
Financing
geographic locations
Social Psychology
Social class
Financial management
03 medical and health sciences
medicine
Personal
Socioeconomic status
Aged
business.industry
medicine.disease
Long-term care
Care workers
Geriatrics and Gerontology
business
Subjects
Details
- ISSN :
- 17585368
- Volume :
- 71
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- The journals of gerontology. Series B, Psychological sciences and social sciences
- Accession number :
- edsair.doi.dedup.....eeee9859ccc040dd1bda9dab1cd76517