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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

A comparative study to identify factors of caregiver burden between baby boomers and post baby boomers: a secondary analysis of a US online caregiver survey

Authors: Heejung Kim, Sangeun Lee, Jooyoung Cheon, Soyun Hong, Mido Chang

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Baby boomers’ position in the caregiving context is shifting from caregiver to care recipient as the population ages. While the unique characteristics of baby boomer caregivers are well established in caregiving literature, there is limited information about the next caregiving group after the baby boomers. In this study, the sociodemographic and caregiving-related characteristics of the two generations are compared and specific factors contributing to caregiver burden between baby boomer and post baby boomer caregivers are identified.

Methods

This cross-sectional and correlational study used secondary analysis of data from the National Alliance for Caregiving and the American Association of Retired Persons. A structured online survey was conducted in 2014 with randomly selected samples (n = 1069) in the United States focusing on sociodemographics, caregiving-related characteristics, and burden of care. Descriptive statistics, multivariate linear regression analyses, and Steiger’s Z-test were used to identify group differences in multivariate factors related to caregiver burden in two generational groups.

Results

Baby boomers and post baby boomers experienced caregiver burden to a similar degree. Caregiving-related factors are more likely to increase burden of care than sociodemographics in both groups. Caregiving without choice and spending longer hours on caregiving tasks were common factors that increased the burden in both generational groups (all p values < 0.01). However, post baby boomer caregivers reported additional challenges, such as unemployment during caregiving, the dual responsibility of both adult and child care, and a family relationship with the care recipient.

Conclusions

Due to the aging population of baby boomers, post baby boomers encounter different challenges related to caregiving burden, which is often considered an additional workload in their life course. Current policy and program tailored to baby boomers should be re-designed to meet the different needs of emerging caregivers. Specific vulnerable subgroups should have priority to receive the benefits of specific policies, such as those without choice and younger, working caregivers.
Literature
1.
2.
3.
He W, Goodkind D, Kowal P. An aging world: 2015. Washington, DC: U.S. Census Bureau; 2016.
4.
MetLife Mature Market Institute (MMMI). The MetLife study of caregiving costs to working caregivers: double jeopardy for baby boomers caring for their parents. New York: Metropolitan Life Insurance Company; 2011.
5.
Guberman N, Lavoie JP, Blein L, Olazabal I. Baby boom caregivers: care in the age of individualization. Gerontologist. 2012;52:210–8.CrossRefPubMed
6.
DeRigne L, Ferrante S. The sandwich generation: a review of the literature. Florida. Public Health Rev. 2012;9:95–104.
7.
Parker K, Patten E. The sandwich generation: rising financial burdens for middle-aged Americans. Washington, DC: Pew Research Center& Demographic Trends Projects; 2013.
8.
Suh J. Measuring the “sandwich”: care for children and adults in the American time use survey 2003-2012. J Fam Econ Iss. 2016;37:197–211.CrossRef
9.
Fingerman KL, Pitzer LM, Chan W, Birditt K, Franks MM, Zarit S. Who gets what and why? Help middle-aged adults provide to parents and grown children. J Gerontol B Psychol Sci Soc Sci. 2011;66:87–98.CrossRefPubMed
10.
Hou PY, Lai CK, Chung CS, Sham AK, Yeung CL. Young adults’ experiences of their parents caring for a relative with dementia. Geriatr Gerontol Int. 2016;16:873–9.CrossRefPubMed
11.
Owram D. Born at the right time: a history of the baby-boom generation. Toronto: University of Toronto Press; 1996.
12.
Hughes JW, Seneca JJ. America’s demographic tapestry: baseline for the new millennium. New Brunswick: Rutgers University Press; 1999.
13.
14.
15.
Do EK, Cohen SA, Brown MJ. Socioeconomic and demographic factors modify the association between informal caregiving and health in the sandwich generation. BMC Public Health. 2014;14:362.CrossRefPubMedPubMedCentral
16.
Badley EM, Canizares M, Perruccio AV, Hogg-Johnson S, Gignac MA. Benefits gained, benefits lost: comparing baby boomers to other generations in a longitudinal cohort study of self-rated health. Milbank Q. 2015;93:40–72.CrossRefPubMedPubMedCentral
17.
18.
Bastawrous M, Gignac MA, Kapral MK, Cameron JI. Adult daughters providing post-stroke care to a parent: a qualitative study of the impact that role overload has on lifestyle, participation and family relationships. Clin Rehabil. 2015;29:592–600.CrossRefPubMed
19.
Tramonti F, Bongioanni P, Leotta R, Puppi I, Rossi B. Age, gender, kinship and caregiver burden in amyotrophic lateral sclerosis. Psychol Health Med. 2015;20:41–6.CrossRefPubMed
20.
Ain QU, Dar NZ, Ahmad A, Munzar S, Yousafzai AW. Caregiver stress in stroke survivor: data from a tertiary care hospital – a cross sectional survey. BMC Psychol. 2014;2:49.CrossRefPubMedPubMedCentral
21.
Vogler J, Klein AM, Bender A. Long-term health-related quality-of-life in patients with acquired brain injury and their caregivers. Brain Inj. 2014;28:1381–8.CrossRefPubMed
22.
Cormio C, Romito F, Viscanti G, Turaccio M, Lorusso V, Mattioli V. Psychological well-being and posttraumatic growth in caregivers of cancer patients. Front Psychol. 2014;5:1342.CrossRefPubMedPubMedCentral
23.
Koyama A, Matsushita M, Hashimoto M, Fujise N, Ishikawa T, Tanaka H, Ikeda M, et al. Mental health among younger and older caregivers of dementia patients. Psychogeriatrics. 2017;17:108–14.CrossRefPubMed
24.
Germain V, Dabakuyo-Yonli TS, Marilier S, Putot A, Bengrine-Lefevre L, Arveux P, Manckoundia P, Quipourt V. Management of elderly patients suffering from cancer: assessment of perceived burden and of quality of life of primary caregivers. J Geriatr Oncol. 2017;8:220–8.CrossRefPubMed
25.
26.
27.
Pearlin LI, Mullan JT, Semple SJ, Skaff MM. Caregiving and the stress process: an overview of concepts and their measures. Gerontologist. 1990;30:583–94.CrossRefPubMed
28.
DeNavas-Walt C, Proctor BD. Income and poverty in the United States: 2014. Washington, DC: U.S. Census Bureau; 2015.
29.
Kim H, Chang M, Rose K, Kim S. Predictors of caregiver burden in caregivers of individuals with dementia. J Adv Nurs. 2012;68:846–55.CrossRefPubMed
30.
Paternoster R, Brame R, Mazerolle P, Piquero A. Using the correct statistical test for the equality of regression coefficients. Criminology. 1998;36:859–66.CrossRef
31.
Schulz R, Beach SR, Cook TB, Martire LM, Tomlinson JM, Monin JK. Predictors and consequences of perceived lack of choice in becoming an informal caregiver. Aging Ment Health. 2012;16:712–21.CrossRefPubMedPubMedCentral
32.
Rohr MK, Lang FR. The role of anticipated gains and losses on preferences about future caregiving. J Gerontol B Psychol Sci Soc Sci. 2016;71:405–14.CrossRefPubMed
33.
Robison J, Shugrue N, Fortinsky RH, Gruman C. Long-term supports and services planning for the future: implications from a statewide survey of baby boomers and older adults. Gerontologist. 2014;54:297–313.CrossRefPubMed
34.
Rubin RM, White-Means SI. Informal caregiving: dilemmas of sandwiched caregivers. J Fam Econ Iss. 2009;30:252–67.CrossRef
35.
36.
George LK, Blazer DG, Hughes DC, Fowler N. Social support and the outcome of major depression. Br J Psychiatry. 1989;154:478–85.CrossRefPubMed
37.
D’Arcy C, Siddique CM. Unemployment and health: an analysis of “Canada health survey” data. Int J Health Serv. 1985;15:609–35.CrossRefPubMed
38.
Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff. 2010;29:11–21.CrossRef
39.
Lavretsky H, Epel ES, Siddarth P, Nazarian N, Cyr NS, Khalsa DS, Irwin MR. A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: effects on mental health, cognition, and telomerase activity. Int J Geriatr Psychiatry. 2013;28:57–65.CrossRefPubMed
40.
Cheng HY, Chair SY, Chau JP. The effectiveness of psychosocial interventions for stroke family caregivers and stroke survivors: a systematic review and meta-analysis. Patient Educ Couns. 2014;95:30–44.CrossRefPubMed
Metadata
Title
A comparative study to identify factors of caregiver burden between baby boomers and post baby boomers: a secondary analysis of a US online caregiver survey
Authors
Heejung Kim
Sangeun Lee
Jooyoung Cheon
Soyun Hong
Mido Chang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5488-4

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