The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Race Differences in Characteristics and Experiences of Black and White Caregivers of Older Americans
Open accessAbstract
Background and Objectives: Racial disparities in health and socioeconomic characteristics of older adults have implications for the experiences of their family and unpaid caregivers, but knowledge to date has primarily drawn from convenience samples. Using a population-based sample, we examine associations between caregiver race and caregiving-related effects. Research Design and Methods: Study participants include white (n = 992) and black (n = 556) respondents to the 2015 National Study of Caregiving who assisted community-dwelling older adults with disabilities who participated in the National Health and Aging Trends Study. Guided by Pearlin’s Stress Process Model, hierarchical logistic regression models were constructed to examine race differences in caregiving-related effects after adjusting for caregiving context, stressors, and resources. Results: Relative to white caregivers, blacks more often provided in excess of 40 hr of care per week (54.3% vs 38.6%) and more often cared for an older adult with dementia (27.1% vs 20.7%) who was living below the federal poverty line (31.7% vs 11.9%) or was Medicaid-eligible (42.2% vs 11.8%). Black caregivers more often used supportive services (32.9% vs 24.8%). In fully adjusted regression models, black caregivers were more likely to report gains and less likely to report emotional difficulty than whites. Service utilization did not attenuate caregiving-related emotional difficulty or participation restrictions, regardless of race. Discussion and Implications: Findings highlight caregiving disparities and counterintuitive differences in experiences and indicate the importance of identifying supports such as paid family leave and faith and community-based programming to better support community-dwelling low-income older adults and their family and unpaid caregivers.
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“Black dementia caregivers are also more likely to provide help with ADLs than White dementia, White non-dementia, and Black non-dementia caregivers.420,421”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [420]
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“Black dementia caregivers are also more likely to provide help with ADLs than White dementia, White non‐dementia and Black non‐dementia caregivers.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [454]
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“For example, Black caregivers are more likely than White caregivers to report positive aspects of caregiving.420”
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Metadata
- Authors
- Fabius, C. D., Wolff, J. L., & Kasper, J. D.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Fabius, Chanee D
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-05-13
- Volume
- 60
- Issue
- 7
- Pages
- 1244-1253
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- PMC
- PMC7491434
- OpenAlex
- W3024212446
- Cited by
- 178
- References
- 41
- Citations by year
- 2026: 20 · 2025: 42 · 2024: 34 · 2023: 22 · 2022: 43 · 2021: 16 · 2020: 1
- FWCI
- 27.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Gerontologist (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (R01AG047859, R01AG054004, U01AG032947)
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Keywords
- racial disparities, informal caregivers, family caregiving, Black caregivers, older adults with disabilities, dementia caregiving, participation restrictions, support services, low-income elderly, Medicaid eligibility, poverty, paid family leave, community-based support programs
- MeSH terms
- Race Factors, Aged, Disabled Persons, Persons with Disabilities, Humans, United States, Caregivers, Independent Living
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