Expansion of elderly couples' IADL caregiver networks beyond the marital dyad.

TitleExpansion of elderly couples' IADL caregiver networks beyond the marital dyad.
Publication TypeJournal Article
Year of Publication2006
AuthorsFeld, S, Dunkle, RE, Schroepfer, T, Shen, H-W
JournalInt J Aging Hum Dev
Volume63
Issue2
Pagination95-113
Date Published2006
ISSN Number0091-4150
Call Numbernewpubs20090908/FeldetalIJAH.pdf
KeywordsActivities of Daily Living, Aged, Caregivers, Female, Humans, Logistic Models, Male, Marriage, Multivariate Analysis, Self-Help Groups
Abstract

Factors influencing expansion of instrumental activities of daily living (IADL) caregiver networks beyond the spouse/partner were studied, using data from the Asset and Health Dynamics among the Oldest Old (AHEAD) nationally representative sample of American elders (ages 70 and older). Analyses were based on 427 Black and White couples in which one partner regularly received IADL assistance; nearly 20% had expanded networks. Logistic regression showed expanded networks were significantly more likely when spouses had IADL or basic personal activity of everyday living (ADL) limitations and help recipients were wives or had numerous IADL or ADL limitations; they also tended to be more common (p <.10) for couples with numerous nearby daughters and help recipients with proxies and those without serious cognitive problems. Network expansion was unrelated to recipients' number of health conditions and Medicaid coverage or couples' ages, marital duration, income, and number of proximate sons. Implications for service programs and caregiving theories of the circumstances linked to IADL assistance from outside the marital dyad are discussed.

DOI10.2190/CW8G-PB6B-NCGH-HT1M
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/17137029?dopt=Abstract

Endnote Keywords

ADL and IADL Impairments/Caregiving/Couples

Endnote ID

20210

Citation Key7111
PubMed ID17137029
Grant ListT32-AG00021 / AG / NIA NIH HHS / United States