期刊
WESTERN JOURNAL OF NURSING RESEARCH
卷 44, 期 3, 页码 239-249出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/01939459211062956
关键词
African American; caregivers; dementia; cortisol; allostatic load
类别
资金
- National Institute of Nursing Research [P01NR011587]
- National Institute on Aging [R01AG054079]
- National Center for Advancing Translational Sciences, National Institutes of Health [UL1 TR001860, KL2 TR001859]
- Building Interdisciplinary Research Careers in Women's Health (BIRCWH) K12 award - National Institutes of Health (NIH)/Eunice Kennedy Shriver National Institute of Child Health and Human Development, Office of Research on Women's Health, Office of Dietary [K12 HD051958]
- National Institute on Aging
This study found that African American family caregivers experience moderate levels of stress, which are associated with sleep disturbances and depressive symptoms. Additionally, discrimination was identified as an independent contributor to depressive symptoms among these caregivers.
Stress is a significant part of daily life, and systemic social inequities, such as racism and discrimination, are well-established contributors of chronic stress for African Americans. Added exposure to the stress of caregiving may exacerbate adverse health outcomes. This secondary analysis describes subjective and objective stress in African American family caregivers, and relationships of subjective and objective stress to health outcomes. Baseline data from 142 African American dementia family caregivers from the Great Village study were described using means and frequencies; regression models and Pearson's correlation were used to examine associations between demographics, social determinants of health, and health outcomes. Mixed models were used to examine change and change variation in cortisol. Most caregivers had moderate degrees of stress. Stress was associated with sleep disruption and depressive symptoms, and discrimination appeared to be an independent contributor to depressive symptoms. This work provides a foundation for interpreting subjective and objective indicators of stress to tailor existing multicomponent interventions.
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