Informal caregiving for diabetes and diabetic complications among elderly americans.

TitleInformal caregiving for diabetes and diabetic complications among elderly americans.
Publication TypeJournal Article
Year of Publication2002
AuthorsLanga, KM, Vijan, S, Hayward, RA, Chernew, ME, Blaum, CS, Kabeto, MU, Weir, DR, Katz, SJ, Willis, RJ, A. Fendrick, M
JournalJ Gerontol B Psychol Sci Soc Sci
Date Published2002 May
ISSN Number1079-5014
Call Numberpubs_2002_Langa_KJGSeriesB.pdf
KeywordsAged, Aged, 80 and over, Caregivers, Cost of Illness, Costs and Cost Analysis, Diabetes Complications, Diabetes Mellitus, Disabled Persons, Female, Health Surveys, Humans, Hypoglycemic Agents, Insulin, Male, Time Factors

OBJECTIVES: Little is known regarding the amount of time spent by unpaid caregivers providing help to elderly individuals for disabilities associated with diabetes mellitus (DM). We sought to obtain nationally representative estimates of the time, and associated cost, of informal caregiving provided to elderly individuals with diabetes, and to determine the complications of DM that contribute most significantly to the subsequent need for informal care.

METHODS: We estimated multivariable regression models using data from the 1993 Asset and Health Dynamics Among the Oldest Old Study, a nationally representative survey of people aged 70 or older (N = 7,443), to determine the weekly hours of informal caregiving and imputed cost of caregiver time for community-dwelling elderly individuals with and without a diagnosis of DM.

RESULTS: Those without DM received an average of 6.1 hr per week of informal care, those with DM taking no medications received 10.5 hr, those with DM taking oral medications received 10.1 hr, and those with DM taking insulin received 14.4 hr of care (p <.01). Disabilities related to heart disease, stroke, and visual impairment were important predictors of diabetes-related informal care. The total cost of informal caregiving for elderly individuals with diabetes in the United States was between $3 and $6 billion per year, similar to previous estimates of the annual paid long-term care costs attributable to DM.

DISCUSSION: Diabetes imposes a substantial burden on elderly individuals, their families, and society, both through increased rates of disability and the significant time that informal caregivers must spend helping address the associated functional limitations. Future evaluations of the costs of diabetes, and the cost-effectiveness of diabetes interventions, should consider the significant informal caregiving costs associated with the disease.

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Endnote Keywords

Aged, 80 and Over/Caregivers/Cost of Illness/Costs and Cost Analysis/Diabetes Mellitus/Complications/Therapy/Disabled Persons/Female/Health Surveys/Hypoglycemic Agents/Insulin/Support, Non U.S. Government/Support, U.S. Government--non PHS/Support, U.S. Government--PHS/Time Factors

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Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key6790
PubMed ID11983744
Grant ListU01 AG009740 / AG / NIA NIH HHS / United States
K08 AG19180-01 / AG / NIA NIH HHS / United States
U01 AG09740 / AG / NIA NIH HHS / United States