Support for family caregivers of older people during the COVID-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Elena Romero, Dalia
Data de Publicação: 2023
Outros Autores: Groisman, Daniel, Ramos Maia, Leo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453
Resumo: This study aims to identify the type of support received by family caregivers of older people during the COVID-19 pandemic, as well as the associated socioeconomic health and care-related factors. Data from CUIDA-COVID study, an online questionnaire conducted from august to november 2020 (n = 4,820) were used. Three multiple models were built, with the following outcome: contracted support, family support, and lack of support. Independent variables related to socioeconomic, health, and care aspects were converted into dichotomous categories. Family support was the most common (48.6%), followed by lack of support (38.3%), and contracted support (13.1%). No significant associations were observed between race/skin color, poverty status, chronic back pain and negative mood with any type of support. Factors strongly associated (adjustedPR > 2.0) with contracted support were: the non-sharp decrease in income during the pandemic; non-dedication to full-time care; self-rated good/excellent health; and the high degree of dependence of the older individual. For family support, the main associations were: the non-marked increase in the effort to care during the pandemic, the non-dedication to full-time care and the sharp decrease in income during the pandemic. The characteristics associated with lack of support were: living with the older person; dedication to full-time care; living in households with 1 or 2 people; and report a sharp increase in effort to care during the pandemic. Overall, caregivers with contracted support had the best socioeconomic, care and health conditions. Lack of support was related to worse health and care conditions, while family support was related to worse socioeconomic conditions.
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spelling Support for family caregivers of older people during the COVID-19 pandemic El apoyo a las cuidadoras familiares de personas mayores en el contexto de la pandemia de la COVID-19O apoio às cuidadoras familiares de pessoas idosas no contexto da pandemia de COVID-19 Cuidadores; Família; Idoso; Apoio SocialCuidadores; Familia; Anciano; Apoyo SocialCaregivers; Family; Aged; Social SupportThis study aims to identify the type of support received by family caregivers of older people during the COVID-19 pandemic, as well as the associated socioeconomic health and care-related factors. Data from CUIDA-COVID study, an online questionnaire conducted from august to november 2020 (n = 4,820) were used. Three multiple models were built, with the following outcome: contracted support, family support, and lack of support. Independent variables related to socioeconomic, health, and care aspects were converted into dichotomous categories. Family support was the most common (48.6%), followed by lack of support (38.3%), and contracted support (13.1%). No significant associations were observed between race/skin color, poverty status, chronic back pain and negative mood with any type of support. Factors strongly associated (adjustedPR > 2.0) with contracted support were: the non-sharp decrease in income during the pandemic; non-dedication to full-time care; self-rated good/excellent health; and the high degree of dependence of the older individual. For family support, the main associations were: the non-marked increase in the effort to care during the pandemic, the non-dedication to full-time care and the sharp decrease in income during the pandemic. The characteristics associated with lack of support were: living with the older person; dedication to full-time care; living in households with 1 or 2 people; and report a sharp increase in effort to care during the pandemic. Overall, caregivers with contracted support had the best socioeconomic, care and health conditions. Lack of support was related to worse health and care conditions, while family support was related to worse socioeconomic conditions. Este estudio tiene por objetivo identificar el tipo de apoyo recibido por las cuidadoras familiares de personas mayores en la pandemia de la COVID-19 y sus factores socioeconómicos de salud y atención asociados. Se utilizaron los datos del estudio CUIDA-COVID, un cuestionario en línea aplicado entre agosto y noviembre de 2020 (n = 4.820). Se construyeron tres modelos múltiples, teniendo en cuenta el resultado: apoyo contratado, apoyo familiar y falta de apoyo. Las variables independientes relacionadas con los aspectos socioeconómicos, de salud y de atención se convirtieron en categorías dicotómicas. El apoyo familia fue el más frecuente (48,6%), seguido de la falta de apoyo (38,3%) y el apoyo contratado (13,1%). No se observaron asociaciones significativas entre raza/color, pobreza, problemas crónicos de espalda y estado de ánimo negativo con ninguno de los tipos de apoyo. Los siguientes factores se asociaron fuertemente (RPajustado > 2,0) con el apoyo contratado: la falta de descenso brusco de los ingresos en la pandemia, la falta de dedicación a la atención a tiempo completo, la autoevaluación de la salud como buena/excelente, y el alto grado de dependencia de las personas mayores. Las principales asociaciones en el apoyo familia fueron las siguientes: ascenso no brusco del esfuerzo dedicado a la atención en la pandemia, la no dedicación a una atención a tiempo completo y la fuerte caída de los ingresos en la pandemia. Las características asociadas a la falta de apoyo fueron las siguientes: vivir con la persona mayor, dedicarse a una atención a tiempo completo, vivir con 1 o 2 personas en el hogar, y reportar un marcado incremento en el esfuerzo dedicado a la atención en la pandemia. En general, las cuidadoras con apoyo contratado tenían las mejores condiciones socioeconómicas, de atención y de salud. La falta de atención se relacionó con peores condiciones de salud y atención, mientras que el apoyo familia se relacionó con peores condiciones socioeconómicas.Este estudo objetiva identificar o tipo de apoio recebido por cuidadoras familiares de pessoas idosas na pandemia de COVID-19, assim como os fatores socioeconômicos de saúde e relativos ao cuidado associados. Utilizou-se dados do estudo CUIDA-COVID, questionário online realizado entre agosto e novembro de 2020 (n = 4.820). Foram construídos três modelos múltiplos, tendo como desfecho: apoio contratado, apoio familiar e ausência de apoio. As variáveis independentes relacionadas a aspectos socioeconômicos, de saúde e cuidado foram convertidas em categorias dicotômicas. O apoio familiar foi o mais comum (48,6%), seguido pelo ausência de apoio (38,3%) e apoio contratado (13,1%). Não foram observadas associações significativas entre raça/cor, situação de pobreza, problema crônico de coluna e estado de ânimo negativo com nenhum dos tipos de apoio. Foram fatores fortemente associados (RPajustada > 2,0) ao apoio contratado: a não diminuição acentuada da renda na pandemia; a não dedicação ao cuidado em tempo integral; a autoavaliação da saúde boa/excelente; e o alto grau de dependência da pessoa idosa. Para o apoio familiar, as principais associações foram: o não aumento acentuado do esforço dedicado ao cuidado na pandemia; a não dedicação ao cuidado em tempo integral; e a diminuição acentuada da renda na pandemia. Foram as características associadas ao ausência de apoio: viver com o idoso; dedicar-se ao cuidado em tempo integral; residir em domicílios com uma ou duas pessoas; e relatar um aumento acentuado do esforço dedicado ao cuidado na pandemia. No geral, as cuidadoras com apoio contratado tiveram as melhores condições socioeconômicas, de cuidado e saúde. A desassistência foi relacionada a piores condições de saúde e cuidado, enquanto o apoio familiar às piores condições socioeconômicas.Reports in Public HealthCadernos de Saúde Pública2023-12-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453Reports in Public Health; Vol. 39 No. 11 (2023): NovemberCadernos de Saúde Pública; v. 39 n. 11 (2023): Novembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453/18843https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453/18844Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessElena Romero, DaliaGroisman, DanielRamos Maia, Leo2023-12-05T17:45:48Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8453Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:37.799488Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Support for family caregivers of older people during the COVID-19 pandemic
El apoyo a las cuidadoras familiares de personas mayores en el contexto de la pandemia de la COVID-19
O apoio às cuidadoras familiares de pessoas idosas no contexto da pandemia de COVID-19
title Support for family caregivers of older people during the COVID-19 pandemic
spellingShingle Support for family caregivers of older people during the COVID-19 pandemic
Elena Romero, Dalia
Cuidadores; Família; Idoso; Apoio Social
Cuidadores; Familia; Anciano; Apoyo Social
Caregivers; Family; Aged; Social Support
title_short Support for family caregivers of older people during the COVID-19 pandemic
title_full Support for family caregivers of older people during the COVID-19 pandemic
title_fullStr Support for family caregivers of older people during the COVID-19 pandemic
title_full_unstemmed Support for family caregivers of older people during the COVID-19 pandemic
title_sort Support for family caregivers of older people during the COVID-19 pandemic
author Elena Romero, Dalia
author_facet Elena Romero, Dalia
Groisman, Daniel
Ramos Maia, Leo
author_role author
author2 Groisman, Daniel
Ramos Maia, Leo
author2_role author
author
dc.contributor.author.fl_str_mv Elena Romero, Dalia
Groisman, Daniel
Ramos Maia, Leo
dc.subject.por.fl_str_mv Cuidadores; Família; Idoso; Apoio Social
Cuidadores; Familia; Anciano; Apoyo Social
Caregivers; Family; Aged; Social Support
topic Cuidadores; Família; Idoso; Apoio Social
Cuidadores; Familia; Anciano; Apoyo Social
Caregivers; Family; Aged; Social Support
description This study aims to identify the type of support received by family caregivers of older people during the COVID-19 pandemic, as well as the associated socioeconomic health and care-related factors. Data from CUIDA-COVID study, an online questionnaire conducted from august to november 2020 (n = 4,820) were used. Three multiple models were built, with the following outcome: contracted support, family support, and lack of support. Independent variables related to socioeconomic, health, and care aspects were converted into dichotomous categories. Family support was the most common (48.6%), followed by lack of support (38.3%), and contracted support (13.1%). No significant associations were observed between race/skin color, poverty status, chronic back pain and negative mood with any type of support. Factors strongly associated (adjustedPR > 2.0) with contracted support were: the non-sharp decrease in income during the pandemic; non-dedication to full-time care; self-rated good/excellent health; and the high degree of dependence of the older individual. For family support, the main associations were: the non-marked increase in the effort to care during the pandemic, the non-dedication to full-time care and the sharp decrease in income during the pandemic. The characteristics associated with lack of support were: living with the older person; dedication to full-time care; living in households with 1 or 2 people; and report a sharp increase in effort to care during the pandemic. Overall, caregivers with contracted support had the best socioeconomic, care and health conditions. Lack of support was related to worse health and care conditions, while family support was related to worse socioeconomic conditions.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-05
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dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453/18843
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8453/18844
dc.rights.driver.fl_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 39 No. 11 (2023): November
Cadernos de Saúde Pública; v. 39 n. 11 (2023): Novembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
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instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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