wow-inequalities/02-data/intermediate/wos_sample/410d307740b781728e192493c5ac0386-saito-tami-and-kond/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Aim
Long-term care systems may alleviate caregiver burdens, particularly for
those with fewer resources. However, it remains unclear whether
socioeconomic disparity in caregiver burdens exists under a public,
universal long-term care insurance (LTCI) system. This study examined
income-based inequalities in caregiving time and depressive symptoms in
Japanese older family caregivers. We further compared inequality in
depressive symptoms with that of non-caregivers to evaluate whether
family caregiving exacerbates this disparity.
Methods
Data were obtained from a cross-sectional, nationwide survey conducted
by the Japan Gerontological Evaluation Study in 2013. Participants were
functionally independent older adults aged >= 65 years (N=21,584).
Depressive symptoms were assessed using the Geriatrics Depression Scale
(GDS); caregiving hours per week, household income, and other covariates
were also assessed.
Results
Family caregivers occupied 8.3\% of the total. A Poisson regression
model revealed that caregivers in lower income groups (compared to those
in the highest) were 1.32 to 1.95 and 1.63 to 2.68 times more likely to
engage in >= 36 and >= 72 hours/week of caregiving, respectively. As for
the GDS (>= 5), an excess risk was found in the caregivers in lower
(compared to higher) income groups (adjusted prevalence ratio:
1.57-3.10). However, an interaction effect of income by caregiving role
indicated no significant difference in inequality between caregivers and
non-caregivers (p = .603). The excess risk for GDS (>= 5) in the
caregivers compared to non-caregivers was observed across income groups.
Conclusions
Our findings revealed a possible disparity in family caregivers under
the public LTCI system. Further studies should examine factors
associated with longer caregiving hours in lower income households. Our
findings also suggest the necessity for more efforts to alleviate
depressive symptoms in family caregivers under the LTCI system
regardless of income level, rather than exclusively supporting those
with a low income.'
affiliation: 'Saito, T (Corresponding Author), Natl Ctr Geriatr \& Gerontol, Dept
Social Sci, Obu, Japan.
Saito, Tami; Murata, Chiyoe, Natl Ctr Geriatr \& Gerontol, Dept Social Sci, Obu,
Japan.
Kondo, Naoki; Shiba, Koichiro, Univ Tokyo, Dept Hlth \& Social Behav, Sch Publ Hlth,
Tokyo, Japan.
Shiba, Koichiro, Harvard TH Chan Sch Publ Hlth, Dept Social \& Behav Sci, Boston,
MA USA.
Kondo, Katsunori, Chiba Univ, Ctr Prevent Med Sci, Chiba, Japan.
Kondo, Katsunori, Natl Ctr Geriatr \& Gerontol, Dept Gerontol Evaluat, Obu, Japan.'
article-number: e0194919
author: Saito, Tami and Kondo, Naoki and Shiba, Koichiro and Murata, Chiyoe and Kondo,
Katsunori
author-email: t-saito@ncgg.go.jp
author_list:
- family: Saito
given: Tami
- family: Kondo
given: Naoki
- family: Shiba
given: Koichiro
- family: Murata
given: Chiyoe
- family: Kondo
given: Katsunori
da: '2023-09-28'
doi: 10.1371/journal.pone.0194919
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: 'INFORMAL CARE; BURDEN; HEALTH; DEMENTIA; SCALE; INTERVENTIONS;
PREDICTORS; DISABILITY; PEOPLE; WORK'
language: English
month: MAR 28
number: '3'
number-of-cited-references: '45'
orcid-numbers: 'Kondo, Naoki/0000-0002-6425-6844
Kondo, Naoki/0000-0002-6425-6844
Shiba, Koichiro/0000-0001-7956-6485'
papis_id: 631f4a98828aee4e9fa30cb35e67c35d
ref: Saito2018incomebasedinequalit
researcherid-numbers: 'Kondo, Naoki/ABC-5865-2020
Kondo, Naoki/K-3898-2012
Kondo, Katsunori/AAI-6373-2020
'
times-cited: '22'
title: 'Income-based inequalities in caregiving time and depressive symptoms among
older family caregivers under the Japanese long-term care insurance system: A cross-sectional
analysis'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000428603100089
usage-count-last-180-days: '1'
usage-count-since-2013: '14'
volume: '13'
web-of-science-categories: Multidisciplinary Sciences
year: '2018'