ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2023
Dementia Caregiving Experiences and Health Across Geographic Contexts by Race and Ethnicity.
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 10 papers.
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Who cites it
10 citing papers in PubMed.
- Community health workers supporting diverse family caregivers of persons with dementia: Preliminary qualitative results from a randomized home-based study.Dementia (London, England) · 2025Trial
- Caregiving across distances: residential proximity, care activities, and mental health.The Gerontologist · 2026Article
- "We can do this. That I learned.": A nonrandomized open pilot of Resilient Together for Dementia, a post-diagnosis dyadic intervention.BMC geriatrics · 2026Article
- Article
- Kinlessness and end-of-life care quality: does race and ethnicity matter?The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Older people care increases the gender gap in academia.Scientific reports · 2025Article
- Ethnic disparities in care needs among individuals with cognitive impairment.Journal of Alzheimer's disease : JAD · 2025Article
- Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.Journal of aging and health · 2025Article
- 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
6 authors.
Funding
Abstract
objectivesFew studies have examined how the intersectionality of geographic context and race/ethnicity influences dementia caregiving. Our objectives were to determine whether caregiver experiences and health (a) differed across metro and nonmetro areas and (b) differed by caregiver race/ethnicity and geography.
methodsWe used data from the 2017 National Health and Aging Trends Study and National Study of Caregiving. The sample included caregivers (n = 808) of care recipients ages 65 and older with "probable" dementia (n = 482). The geographic context was defined as the care recipient's residence in metro or nonmetro counties. Outcomes included caregiving experiences (care situation, burden, and gains) and health (self-rated anxiety, depression symptoms, and chronic health conditions).
resultsBivariate analyses indicated that nonmetro dementia caregivers were less racially/ethnically diverse (82.7% White, non-Hispanic) and more were spouses/partners (20.2%) than their metro counterparts (66.6% White, non-Hispanic; 13.3% spouses/partners). Among racial/ethnic minority dementia caregivers, nonmetro context was associated with more chronic conditions (p < .01), providing less care (p < .01), and not coresiding with care recipients (p < .001). Multivariate analyses demonstrated that nonmetro minority dementia caregivers had 3.11 times higher odds (95% confidence interval [CI] = 1.11-9.00) of reporting anxiety in comparison to metro minority dementia caregivers. DISCUSSION: Geographic context shapes dementia caregiving experiences and caregiver health differently across racial/ethnic groups. Findings are consistent with previous studies that have shown that feelings of uncertainty, helplessness, guilt, and distress are more prevalent among people providing caregiving from a distance. Despite higher rates of dementia and dementia-related mortality in nonmetro areas, findings suggest both positive and negative aspects of caregiving among White and racial/ethnic minority caregivers.
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