Demographic and socio-economic influences on community-based care and caregivers of people with dementia in China

2.50
Hdl Handle:
http://hdl.handle.net/2436/615360
Title:
Demographic and socio-economic influences on community-based care and caregivers of people with dementia in China
Authors:
Chen, Ruoling; Lang, Linda; Clifford, Angela; Chen, Yang; Hu, Zhi; Han, Thang S.
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.
Citation:
Demographic and socio-economic influences on community-based care and caregivers of people with dementia in China 2016, 5 (0) JRSM Cardiovascular Disease
Publisher:
Sage
Journal:
JRSM Cardiovascular Disease, vol 5, 1-15
Issue Date:
21-Jun-2016
URI:
http://hdl.handle.net/2436/615360
DOI:
10.1177/2048004016652314
Additional Links:
http://cvd.sagepub.com/lookup/doi/10.1177/2048004016652314
Type:
Article
Language:
en
ISSN:
2048-0040
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorChen, Ruolingen
dc.contributor.authorLang, Lindaen
dc.contributor.authorClifford, Angelaen
dc.contributor.authorChen, Yangen
dc.contributor.authorHu, Zhien
dc.contributor.authorHan, Thang S.en
dc.date.accessioned2016-07-01T11:06:52Z-
dc.date.available2016-07-01T11:06:52Z-
dc.date.issued2016-06-21-
dc.identifier.citationDemographic and socio-economic influences on community-based care and caregivers of people with dementia in China 2016, 5 (0) JRSM Cardiovascular Diseaseen
dc.identifier.issn2048-0040en
dc.identifier.doi10.1177/2048004016652314-
dc.identifier.urihttp://hdl.handle.net/2436/615360-
dc.description.abstractBackground 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.en
dc.language.isoenen
dc.publisherSageen
dc.relation.urlhttp://cvd.sagepub.com/lookup/doi/10.1177/2048004016652314en
dc.rightsArchived with thanks to JRSM Cardiovascular Diseaseen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectSocioeconomic statusen
dc.subjectDementiaen
dc.subjectCommunity-based study,en
dc.subjectCaregiversen
dc.titleDemographic and socio-economic influences on community-based care and caregivers of people with dementia in Chinaen
dc.typeArticleen
dc.identifier.journalJRSM Cardiovascular Disease, vol 5, 1-15en
dc.date.accepted2016-05-
rioxxterms.funderThe BUPA Foundation, and Alzheimer's Research UKen
rioxxterms.identifier.projectUoW010716en
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/CC BY-NC 3.0en
rioxxterms.licenseref.startdate2016-07-01en
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