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. 2020 May 13;60(7):1244–1253. doi: 10.1093/geront/gnaa042

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.