Domestic helpers as moderators of spousal caregiver distress
Author(s)
Author(s)
Kwan, C. W.
Chi, I.
Lou, V. W. Q.
Leung, A. Y. M.
Date Issued
2014
Publisher
Oxford University Press
Journal
The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences
Volume
69
Issue
6
Start page
966
End page
972
Abstract
Objectives
Although domestic helpers increasingly play a role in elder care in many societies, there is a lack of research on their influence on caregiver distress. This study aimed to examine the influence of domestic helpers on the relationship between stressors (the care needs of frail elders and spousal provision of care) and spousal caregivers’ psychological distress.
Method
This study was a secondary analysis of cross-sectional data collected between 2007 and 2009 from 6,442 Hong Kong adults aged 60 or older who were applying for government-subsidized long-term care services and whose spouses were their primary caregivers. Among the spousal caregivers, 73.04% were women, 44.16% felt distressed, and 5.73% were assisted by domestic helpers.
Results
According to logistic regression analysis, spousal caregivers who provided personal care related to activities of daily living were more likely to be distressed if they were not assisted by domestic helpers.
Discussion
The findings suggest that domestic help may moderate the effect of stressors on spousal caregivers. Domestic helpers provide support not just to frail older adults but also to spousal caregivers. Further studies are recommended to explore the precise effect of domestic help on family caregivers, care receivers, and the caregiving process.
SFU Affiliated Publication
No
Availability at SFU Library
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