This research was supported by funding associated with the Resources for Enhancing Alzheimer's Caregiver Health project, which is sponsored by the National Institute on Aging (Grant U01-AG13289), and Grant AG 18784 from the National Institute on Aging, within the program project grant headed by David Spiegel, MD, entitled, “Stress, the HPA, and Aging.”
Ethnicity and Time to Institutionalization of Dementia Patients: A Comparison of Latina and Caucasian Female Family Caregivers
Version of Record online: 15 JUN 2004
Journal of the American Geriatrics Society
Volume 52, Issue 7, pages 1077–1084, July 2004
How to Cite
Mausbach, B. T., Coon, D. W., Depp, C., Rabinowitz, Y. G., Wilson-Arias, E., Kraemer, H. C., Thompson, L. W., Lane, G. and Gallagher-Thompson, D. (2004), Ethnicity and Time to Institutionalization of Dementia Patients: A Comparison of Latina and Caucasian Female Family Caregivers. Journal of the American Geriatrics Society, 52: 1077–1084. doi: 10.1111/j.1532-5415.2004.52306.x
- Issue online: 15 JUN 2004
- Version of Record online: 15 JUN 2004
- Alzheimer's caregiving;
- nursing home;
- Latino issues;
- caregiving appraisal;
- cultural values
Objectives: To compare rates of institutionalization of dementia patients cared for by Latina and Caucasian female caregivers and to explore which caregiver and care-recipient characteristics predicted institutionalization.
Setting: San Francisco Bay area, California.
Participants: Two hundred sixty-four female caregivers of dementia patients (154 Caucasian women, 110 Latinas) who participated in an intervention project designed to reduce caregiver stress and may represent a sample that is more stressed and motivated than a general sample of caregivers.
Measurements: Number of days between baseline interview and institutionalization was recorded over an 18-month period. Kaplan-Meier survival analysis with the log rank statistic was used to test for ethnic differences in time to institutionalization. Cox regression analyses were conducted to determine whether care-recipient or caregiver characteristics (e.g., care-recipient age and memory and behavior problems; caregiver depression, years of education, income, and views of the caregiving role) significantly interacted with ethnicity to explain time to institutionalization.
Results: Latinas delayed institutionalization significantly longer than their Caucasian counterparts; care-recipient characteristics or caregiver demographics did not explain these results, although Latinas who identified greater benefits or more-positive aspects of the caregiving process at baseline were less likely to institutionalize their loved one than those who reported fewer benefits of caregiving. Less-acculturated Latinas were significantly more likely to identify positive aspects of caregiving than more-acculturated Latinas.
Conclusion: Latina dementia caregivers delay institutionalization significantly longer than female Caucasian caregivers. In addition, Latino cultural values and positive views of the caregiving role are important factors that may significantly influence their decision to institutionalize loved ones with dementia.