Associations between spousal caregiving and health among older adults in Mexico: A targeted estimation approach.
Torres JM; Department of Epidemiology & Biostatistics, UC San Francisco, San Francisco, California, USA.
Mitchell UA; Division of Community Health Sciences, University of Illinois, Chicago, Illinois, USA.
Sofrygin O; Division of Research, Kaiser Permanente, Oakland, California, USA.
Rudolph KE; Department of Epidemiology, Columbia University, New York, New York, USA.
López-Ortega M; Research Department, National Institute of Geriatrics, Ciudad de Mexico, Mexico.
Sharif MZ; Department of Community Health Sciences, UC Los Angeles, Los Angeles, California, USA.
Wong R; Sealy Center on Aging, University of Texas - Medical Branch, Galveston, Texas, USA.
Glymour MM; Department of Epidemiology & Biostatistics, UC San Francisco, San Francisco, California, USA.
International journal of geriatric psychiatry [Int J Geriatr Psychiatry] 2021 May; Vol. 36 (5), pp. 775-783. Date of Electronic Publication: 2020 Dec 11.
Publication Type :
Journal Article; Research Support, N.I.H., Extramural
Imprint Name(s) :
Publication: Chichester : John Wiley
Original Publication: Chichester, Sussex, England ; [New York] : Wiley, c1986-
MeSH Terms :
Aged ; Female ; Humans ; Male ; Marriage ; Mental Health ; Mexico
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Grant Information :
K01 AG056602 United States AG NIA NIH HHS; R00 DA042127 United States DA NIDA NIH HHS; R01 AG018016 United States AG NIA NIH HHS; U54 MD012523 United States MD NIMHD NIH HHS
Contributed Indexing :
Keywords: caregiver health*; depressive symptoms*; epidemiologic methods*; spousal caregiving*
Entry Date(s) :
Date Created: 20201201 Date Completed: 20210423 Latest Revision: 20210702
Update Code :
Objective: To evaluate associations between spousal caregiving and mental and physical health among older adults in Mexico.
Methods: Data come from the Mexican Health & Aging Study, a national population-based study of adults ≥50 years and their spouses (2001-2015). We compared outcomes for spousal caregivers to outcomes for those whose spouses had difficulty with at least one basic or instrumental activity of daily living (I/ADL) but were not providing care; the control group conventionally includes all married respondents regardless of spouse's need for care. We used targeted maximum likelihood estimation to evaluate the associations with past-week depressive symptoms, lower-body functional limitations, and chronic health conditions.
Results: At baseline, 846 women and 629 men had a spouse with ≥1 I/ADL. Of these, 60.9% of women and 52.6% of men were spousal caregivers. Spousal caregiving was associated with more past-week depressive symptoms for men (Marginal Risk Difference (RD): 0.27, 95% confidence internal [CI]: 0.03, 0.51) and women (RD: 0.15, 95% CI: 0.07, 0.23). We could not draw conclusions about associations with lower-body functional limitations and chronic health conditions. On average, all respondents whose spouses had caregiving needs had poorer health than the overall sample.
Conclusion: We found evidence of an association between spousal caregiving and mental health among older Mexican adults with spouses who had need for care. However, our findings suggest that older adults who are both currently providing or at risk of providing spousal care may need targeted programs and policies to support health and long-term care needs.
(© 2020 John Wiley & Sons Ltd.)