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Caregivers' Absenteeism and Its Association With Health Shocks and Functional Impairment Among Persons With Severe Dementia

Malhotra, Chetna ; Huynh, Vinh Anh ; Østbye, Truls ; Malhotra, Rahul

Journal of aging & social policy, 2024-07, Vol.36 (4), p.603-620 [Periódico revisado por pares]

England: Routledge

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  • Título:
    Caregivers' Absenteeism and Its Association With Health Shocks and Functional Impairment Among Persons With Severe Dementia
  • Autor: Malhotra, Chetna ; Huynh, Vinh Anh ; Østbye, Truls ; Malhotra, Rahul
  • Assuntos: Absenteeism ; activities of daily living ; Adult ; Aged ; Caregivers ; Caregivers - economics ; Caregivers - psychology ; Caregiving ; Children ; Coping ; Coresidence ; Costs ; Dementia ; family caregiver ; Female ; Health ; Health care expenditures ; health shocks ; Humans ; Male ; Middle Aged ; Prospective Studies ; Singapore
  • É parte de: Journal of aging & social policy, 2024-07, Vol.36 (4), p.603-620
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Adult child caregivers of persons with severe dementia (PWSDs) experience absenteeism due to caregiving. We quantified employed adult child caregivers' absenteeism; its association with PWSDs' functional impairment and health shocks; and characteristics of caregivers not experiencing absenteeism in the presence of PWSDs' health shocks and high functional impairment. We used a prospective cohort of 111 employed adult child caregivers of community-dwelling PWSDs in Singapore surveyed every 4 months for 1 year. We calculated absenteeism days due to caregiving and the corresponding absenteeism cost. Findings showed that 43% of the caregivers experienced absenteeism due to caregiving at least once during 1 year. On average, in a month, caregivers experienced 2.3 (SD = 5.9) absenteeism days and S$758 (SD = 2120) absenteeism cost. Those caring for PWSDs with high functional impairment experienced an additional 2.5 absenteeism days and S$788 absenteeism cost versus caregivers of PWSDs with low functional impairment. Caregivers whose PWSDs experienced a health shock experienced an additional 1.8 absenteeism days and S$772 absenteeism cost versus caregivers of PWSDs without a health shock. Co-residence with PWSDs worsened the impact of PSWDs' high functional impairment on caregivers absenteeism. Caregivers not co-residing with PWSDs and not using a maladaptive coping style were less likely to experience absenteeism when caring for PWSDs with a health shock. Results suggest a need to support caregivers of PWSDs to better cope with their caregiving in order to mitigate caregivers' absenteeism.
  • Editor: England: Routledge
  • Idioma: Inglês
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