ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2023
COVID-19-Related Changes in Assistance Networks for U.S. Older Adults With and Without Dementia.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 8 citations in OpenAlex.
- Factors Associated With Shifts in Caregiving During COVID-19.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Adult Children's Responsiveness to Parental Needs During the Pandemic.Journal of marriage and the family · 2025Article
- Changes in Long-term Services and Supports Among Adults With and Without Dementia During the First Year of the COVID-19 Pandemic.Innovation in aging · 2025Article
- Increased Care Provision and Caregiver Wellbeing: Moderation by Changes in Social Network Care Provision.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Perceived loss of support to community caregivers during the COVID-19 pandemic in the United States.Journal of community psychology · 2024Article
- Predictors of Psychological Distress Among Rural Family/Friend Caregivers of People Living With Dementia in the United States: Consequences of the COVID-19 Pandemic.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Change in Caregiving to Older Adults During the COVID-19 Pandemic: Differences by Dementia Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Changes in late-life assistance networks for Black and White older adults during the COVID-19 pandemic.Journal of the American Geriatrics Society · 2023Article
- Introduction to ADRD Care in Context.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
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Authors and funding
7 authors at 7 institutions in 2 countries.
Funding
Abstract
objectivesPrepandemic research suggests assistance networks for older adults grow over time and are larger for those living with dementia. We examined how assistance networks of older adults changed in response to the onset of the coronavirus disease 2019 (COVID-19) pandemic and whether these changes differed for those with and without dementia.
methodsWe used 3 rounds of the National Health and Aging Trends Study. We estimated multinomial logistic regression models to test whether changes in assistance networks during COVID-19 (2019-2020)-defined as expansion, contraction, and adaptation-differed from changes prior to COVID-19 (2018-2019). We also estimated ordinary least squares regression models to test differences in the numbers of helpers assisting with one (specialist) versus multiple (generalist) domains before and during COVID-19. For both sets of outcomes, we investigated whether pandemic-related changes differed for those with and without dementia.
resultsOver all activity domains, a greater proportion of assistance networks adapted during COVID-19 compared to the pre-COVID-19 period (relative risk ratio = 1.19, p < .05). Contractions in networks occurred for those without dementia. Transportation assistance contracted for those with and without dementia, and mobility/self-care assistance contracted for those with dementia. The average number of generalist helpers decreased during COVID-19 (β = -0.09, p < .001). DISCUSSION: Early in the pandemic, assistance networks of older adults adapted by substituting helpers, by contracting to reduce exposures with more intimate tasks for recipients with dementia, and by reducing transportation assistance. Future research should explore the impact of such changes on the well-being of older adults and their assistance networks.
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