Title: Prevalence and Risk Factors of Caregiver Dependence among Older Adults in a Southeast Asian Population
year: 2016
Journal: Ann Acad Med Singapore
Volume: 45
Issue: 11
Pages: 486-494
Epubdate: 07/12/2016
date: Nov
Alternate Journal: Annals of the Academy of Medicine, Singapore
ISSN: 0304-4602 (Print) 0304-4602
Article Number: 27922142
Keywords: *Activities of Daily Living Age Factors Aged Aged, 80 and over Asthma/*epidemiology *Caregivers Cough/epidemiology Cross-Sectional Studies Dementia/*epidemiology Depression/*epidemiology Educational Status Ethnic Groups Female Humans India Logistic Models Malaysia Male Marital Status Middle Aged Multivariate Analysis Neoplasms/epidemiology Occupations/statistics & numerical data Paralysis/*epidemiology Prevalence Retirement/statistics & numerical data Risk Factors Singapore/epidemiology Stroke/*epidemiology Vision Disorders/*epidemiology
Abstract: INTRODUCTION: Currently very little is known about the prevalence or magnitude of caregiver dependence in Singapore and thus, there is a need to fill this gap in this multiethnic ageing population. This study aims to determine the prevalence and risk factors of caregiver dependence among older adults in Singapore. MATERIALS AND METHODS: Data were used from the Well-being of the Singapore Elderly (WiSE) study, a nationally representative, cross-sectional survey among Singapore residents aged 60 years and above. Caregiver dependence was ascertained by asking the informant (the person who knows the older person best) a series of open-ended questions about the older person's care needs. RESULTS: The older adult sample comprised 57.1% females and the majority were aged 60 to 74 years (74.8%), while 19.5% were 75 to 84 years, and 5.7% were 85 years and above. The prevalence of caregiver dependence was 17.2% among older adults. Significant sociodemographic risk factors of caregiver dependence included older age (75 to 84 years, and 85 years and above, P <0.001), Malay and Indian ethnicity (P <0.001), those who have never been married (P = 0.048) or have no education (P = 0.035), as well as being homemakers or retired (P <0.001). After adjusting for sociodemographic variables and all health conditions in multiple logistic regression analyses, dementia (P <0.001), depression (P = 0.011), stroke (P = 0.002), eyesight problems (P = 0.003), persistent cough (P = 0.016), paralysis (P <0.001), asthma (P = 0.016) and cancer (P = 0.026) were significantly associated with caregiver dependence. CONCLUSION: Various sociodemographic and health-related conditions were significantly associated with caregiver dependence. Dependent older adults will put greater demands on health and social services, resulting in greater healthcare expenditures. Hence, effective planning, services and support are crucial to meet the needs of dependent older adults and their caregivers.
Notes: Picco, Louisa Abdin, Edimansyah Vaingankar, Janhavi A Pang, Shirlene Shafie, Saleha Sambasivam, Rajeswari Chong, Siow Ann Subramaniam, Mythily Journal Article Singapore Ann Acad Med Singapore. 2016 Nov;45(11):486-494.
URI: https://open-access.imh.com.sg/handle/123456789/5068
Authors Address: Research Division, Institute of Mental Health, Singapore.
Database Provider: NLM
language: eng
Appears in Collections:2016

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