Table 5.
Stage Models of Caregiving-Related Gains, Difficulties, and Participation Restrictions by Caregiver Race Adjusted for Caregiving Context, Stressors, and Support
| Multivariate models | Caregiver effects (OR) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Substantial perceived gainsb | Substantial financial difficultyc | Substantial emotional difficultyc | Participation restrictionsd | |||||||||
| 1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 | |
| Caregiver racea | ||||||||||||
| Race | ||||||||||||
| White | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| Black | 2.88*** | 2.26*** | 2.33*** | 1.73* | 1.11 | 1.14 | 0.54** | 0.51** | 0.53** | 0.84 | 0.62* | 0.65 |
| Caregiving stressors | ||||||||||||
| Care recipient factors | ||||||||||||
| Level of assistance | ||||||||||||
| Household chores only | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||
| 1–2 self-care/mobility needs | 0.99 | 1.00 | 1.05 | 1.07 | 0.72 | 0.74 | 1.08 | 1.13 | ||||
| 3+ self-care/mobility needs | 0.98 | 1.01 | 1.00 | 0.97 | 1.34 | 1.29 | 2.11** | 1.93* | ||||
| Probable dementia | 1.19 | 1.22 | 1.23 | 1.22 | 2.00* | 1.99* | 1.17 | 1.12 | ||||
| Medicaid | 1.58 | 1.61 | 1.44 | 1.34 | 0.47** | 0.43** | 1.20 | 0.98 | ||||
| Federal poverty level status | ||||||||||||
| <100% federal poverty level | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||
| 100–<200% federal poverty level | 0.68 | 0.67 | 1.52 | 1.54 | 0.82 | 0.82 | 1.33 | 1.42 | ||||
| 200% federal poverty level and above | 0.75 | 0.75 | 0.61 | 0.60 | 0.61 | 0.60 | 1.31 | 1.31 | ||||
| Caregiver factors | ||||||||||||
| Hours of care provided in the past week | ||||||||||||
| 20 or fewer | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||
| 21–39 | 1.83* | 1.86* | 0.79 | 0.76 | 1.24 | 1.21 | 2.46** | 2.30* | ||||
| 40 or more | 2.05*** | 2.14*** | 2.25** | 2.15* | 1.62* | 1.56 | 6.02*** | 5.58*** | ||||
| Sources of support | ||||||||||||
| Family and friends | .86 | .80 | .76 | .71 | ||||||||
| Use of supportive services | .81 | 1.38 | 1.44* | 2.36*** |
Notes: OR = odds ratio. Data are survey-weight adjusted; National Study of Caregiving 2015.
aAdjusted for caregiving context: relationship to care recipient, gender, caregiver and care recipient age, education, self-rated health, and employment status.
bSubstantial positive aspects of caregiving defined as 6–8 on a scale of 8.
cSubstantial difficulty defined as values of 4–5 on the 5-point scale.
dParticipation restrictions defined as not being able to participate in at least one valued activity because of caregiving activities.
*p < .05. **p < .01. ***p < .001.