Utilization of home- and community-based services among rural family caregivers of persons with dementia: the role of the area deprivation index
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View abstract on PubMed
Summary
This summary is machine-generated.Rural caregivers facing dementia challenges have reduced access to support services. Those in deprived areas are significantly less likely to utilize essential home and community-based services.
Area Of Science
- Gerontology
- Rural Health
- Health Services Research
Background
- Dementia disproportionately affects rural communities, creating unique burdens for family caregivers.
- Limited access to support services exacerbates challenges for rural caregivers.
- Area-level factors significantly influence the utilization of home- and community-based services.
Purpose Of The Study
- To examine the impact of area-level factors on the use of home- and community-based services by rural dementia caregivers.
- To identify disparities in service utilization based on geographic and socioeconomic characteristics.
Main Methods
- Analysis of baseline data from 361 family caregivers in a national randomized trial.
- Utilized Andersen's extended behavioral model of health services utilization.
- Employed multivariable logistic regression, linking caregiver data to Area Deprivation Index and U.S. Census region.
Main Results
- 65% of caregivers used at least one support service; 52% used home-based, 52% used community-based services.
- Caregivers in the most deprived rural areas were less likely to use any support services (OR=0.45) and community-based services (OR=0.26).
- No significant association found between U.S. Census region and service utilization.
Conclusions
- Area-specific interventions are crucial to improve support service accessibility for caregivers in deprived rural areas.
- Addressing area-level disparities can enhance caregiving outcomes.
- Further research is needed on area-level variations and their interaction with individual factors.
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