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Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE)

Lambert, Sylvie D., Bowe, Steven J., Livingston, Patricia M., Heckel, Leila, Cook, Selina, Kowal, Paul and Orellana, Liliana 2017, Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE), BMJ open, vol. 7, no. 11, pp. 1-15, doi: 10.1136/bmjopen-2017-017236.

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Title Impact of informal caregiving on older adults' physical and mental health in low-income and middle-income countries: a cross-sectional, secondary analysis based on the WHO's Study on global AGEing and adult health (SAGE)
Author(s) Lambert, Sylvie D.
Bowe, Steven J.ORCID iD for Bowe, Steven J. orcid.org/0000-0003-3813-842X
Livingston, Patricia M.ORCID iD for Livingston, Patricia M. orcid.org/0000-0001-6616-3839
Heckel, LeilaORCID iD for Heckel, Leila orcid.org/0000-0002-9138-1034
Cook, Selina
Kowal, Paul
Orellana, LilianaORCID iD for Orellana, Liliana orcid.org/0000-0003-3736-4337
Journal name BMJ open
Volume number 7
Issue number 11
Article ID e017236
Start page 1
End page 15
Total pages 15
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2017-11-15
ISSN 2044-6055
2044-6055
Keyword(s) ageing
caregiver
chronic disease
international health
psychosocial factors
Summary Objectives A high proportion of care stemming from chronic disease or disability in low-income and middle-income countries is provided by informal caregivers. The goal of this study was to determine the level of burden experienced by these caregivers, explore associated factors and assess whether caregivers’ and non-caregivers’ health differed.

Design and setting
This cross-sectional study was a secondary analysis of data on caregivers’ burden, health and health risk factors in Ghana, India and the Russian Federation collected as part of the WHO’s Study on global AGEing and adult health (SAGE) Wave 1.

Participants Caregivers in Ghana (n=143), India (n=490) and Russia (n=270) completed the measures.

Outcome measures Factors associated (ie, demographics and caregiving profile variables) with burden were explored among caregivers. Then, quality of life (QOL), perceived stress, depression, self-rated health (SRH) and health risk factors were compared between caregivers and matched non-caregivers (1:2).

Results The largest caregiving subgroups were spouses and adult children. Caregivers mostly cared for one person and provided financial, social/emotional and/or physical support, but received little support themselves. Burden level ranged from 17.37 to 20.03. Variables associated with burden were mostly country-specific; however, some commonality for wealth, type of care and caregiving duration was noted. Caregivers with a moderate or high level of burden reported lower QOL and higher perceived stress than those experiencing low burden. Caregivers reported lower QOL and SRH than non-caregivers.

Conclusion
Given the lack of support received and consequences of the burden endured by caregivers, policy and programme initiatives are needed to ensure that caregivers in low- and middle-income countries can fulfil their role without compromising their own health.
Language eng
DOI 10.1136/bmjopen-2017-017236
Field of Research 111202 Cancer Diagnosis
Socio Economic Objective 920202 Carer Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, Article authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30105111

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.