Quality of Preventive Clinical Services Among Caregivers in the Health and Retirement Study


  • Received from the Division of General Medicine (CK, MUK, KML), Department of Medicine, Department of Obstetrics and Gynecology (CK), and Institute for Social Research (KML), University of Michigan; Patient Safety Enhancement Program (MUK, KML), University of Michigan Health System, Ann Arbor, Mich; College of Public Health (RBW), University of Iowa, Iowa City, Iowa; Department of Veterans Affairs Center for Practice Management and Outcomes Research (KML); and Society for General Internal Medicine Collaborative Center for Research and Education in the Care of Older Adults (KML), Ann Arbor, Mich.

Address correspondence and requests for reprints to Dr. Kim: 300 NIB, Room 7C13, Ann Arbor, MI 48109 (e-mail: cathkim@umich.edu).


We examined the association between caregiving for a spouse and preventive clinical services (self-reported influenza vaccination, cholesterol screening, mammography, Pap smear, and prostate cancer screening over 2 years and monthly self-breast exam) for the caregiver in a cross-sectional analysis of the Health and Retirement Study, a nationally representative sample of U.S. adults aged ≥50 years (N= 11,394). Spouses engaged in 0, 1–14, or ≥14 hours per week of caregiving. Each service was examined in logistic regression models adjusting for caregiver characteristics. After adjustment for covariates, there were no significant associations between spousal caregiving and likelihood of caregiver receipt of preventive services.