Informal Caregiver Disability and Access to Preventive Care in Care Recipients.

Journal Article (Journal Article)

INTRODUCTION: Many informal caregivers of dependent midlife and older adults suffer from their own functional limitations. The impact of caregiver functional limitations on care recipient receipt of preventive services is unknown. The purpose of this study is to examine the association between caregiver functional limitations and decreased access to recommended preventive services in dependent care recipients. METHODS: Dependent adults (those receiving assistance with activities of daily living or instrumental activities of daily living) and their primary informal caregiver were identified from pooled alternate years (2000-2008) of the nationally representative Medical Expenditure Panel Survey (data analyzed February-October 2014). The impact of caregiver limitations (cognitive, mobility, sensory, emotional health) on care recipient's receipt of up to seven different preventive services was assessed via survey-weighted linear and logistic regression. RESULTS: Of the 5-year weighted estimate of 14.2 million caregiver-care recipient dyads, 38.0% of caregivers reported at least one functional limitation. The percentage of recommended preventive services received by care recipients was significantly lower if the caregiver had cognitive, mobility, or emotional health limitations. Each type of caregiver functional limitation was negatively associated with at least four different preventive services. CONCLUSIONS: Informal caregivers burdened by their own functional impairments may face challenges in facilitating access to preventive care in dependent midlife and older adults. Policies and interventions designed to prevent or mitigate the impact of caregiver functional impairments are critical to the success of community-based models of care for dependent adults.

Full Text

Duke Authors

Cited Authors

  • Thorpe, JM; Thorpe, CT; Schulz, R; Van Houtven, CH; Schleiden, L

Published Date

  • September 2015

Published In

Volume / Issue

  • 49 / 3

Start / End Page

  • 370 - 379

PubMed ID

  • 26091932

Electronic International Standard Serial Number (EISSN)

  • 1873-2607

Digital Object Identifier (DOI)

  • 10.1016/j.amepre.2015.02.003


  • eng

Conference Location

  • Netherlands