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Family caregiving and all-cause mortality: findings from a population-based propensity-matched analysis.

TitleFamily caregiving and all-cause mortality: findings from a population-based propensity-matched analysis.
Publication TypeJournal Article
Year of Publication2013
AuthorsRoth, DL, Haley, WE, Hovater, M, Perkins, M, Wadley, VG, Judd, S
JournalAm J Epidemiol
Volume178
Issue10
Pagination1571-8
Date Published2013 Nov 15
ISSN1476-6256
KeywordsAge Factors, Aged, Caregivers, Family, Humans, Middle Aged, Mortality, Sex Factors, Socioeconomic Factors
Abstract

Previous studies have provided conflicting evidence on whether being a family caregiver is associated with increased or decreased risk for all-cause mortality. This study examined whether 3,503 family caregivers enrolled in the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study showed differences in all-cause mortality from 2003 to 2012 compared with a propensity-matched sample of noncaregivers. Caregivers were individually matched with 3,503 noncaregivers by using a propensity score matching procedure based on 15 demographic, health history, and health behavior covariates. During an average 6-year follow-up period, 264 (7.5%) of the caregivers died, which was significantly fewer than the 315 (9.0%) matched noncaregivers who died during the same period. A proportional hazards model indicated that caregivers had an 18% reduced rate of death compared with noncaregivers (hazard ratio = 0.823, 95% confidence interval: 0.699, 0.969). Subgroup analyses by race, sex, caregiving relationship, and caregiving strain failed to identify any subgroups with increased rates of death compared with matched noncaregivers. Public policy and discourse should recognize that providing care to a family member with a chronic illness or disability is not associated with increased risk of death in most cases, but may instead be associated with modest survival benefits for the caregivers.

DOI10.1093/aje/kwt225
Alternate JournalAm. J. Epidemiol.
PubMed ID24091890
PubMed Central IDPMC3888278
Grant ListR01 NS041588 / NS / NINDS NIH HHS / United States
R01 NS045789 / NS / NINDS NIH HHS / United States
R01 NS075047 / NS / NINDS NIH HHS / United States
U01 NS041588 / NS / NINDS NIH HHS / United States