Unpaid Caregiving Roles and Sleep Among Women Working in Nursing Homes: A Longitudinal Study

Details

• Personal Author:
  Almeida DM ; Buxton OM ; DePasquale N ; Sliwinski MJ ; Zarit SH
• Description:
  Background and Objectives: Although sleep is a critical health outcome providing insight into overall health, well-being, and role functioning, little is known about the sleep consequences of simultaneously occupying paid and unpaid caregiving roles. This study investigated the frequency with which women employed in U.S.-based nursing homes entered and exited unpaid caregiving roles for children (double-duty-child caregivers), adults (double-duty-elder caregivers), or both (triple-duty caregivers), as well as examined how combinations of and changes in these caregiving roles related to cross-sectional and longitudinal sleep patterns. Research Design and Methods: The sample comprised 1,135 women long-term care employees who participated in the baseline wave of the Work, Family, and Health Study and were assessed at three follow-up time points (6-, 12-, and 18-months). Sleep was assessed with items primarily adapted from the Pittsburgh Sleep Quality Index and wrist actigraphic recordings. Multilevel models with data nested within persons were applied. Results: Women long-term care employees entered and exited the unpaid elder caregiving role most frequently. At baseline, double-duty-child and triple-duty caregivers reported shorter sleep quantity and poorer sleep quality than their counterparts without unpaid caregiving roles, or workplace-only caregivers. Double-duty-elder caregivers also reported shorter sleep duration compared to workplace-only caregivers. Over time, double-duty-elder caregiving role entry was associated with negative changes in subjective sleep quantity and quality. Discussion and Implications: Simultaneously occupying paid and unpaid caregiving roles has negative implications for subjective sleep characteristics. These results call for further research to advance understanding of double-and-triple-duty caregivers' sleep health and facilitate targeted intervention development. [Description provided by NIOSH]
• Subjects:
  Family Health Personnel Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders Women
• Keywords:
  Actigraphy Author Keywords: Double-duty Caregivers Families Health Care Workers Sleep Deprivation Sleep Health Subjective And Objective Sleep Measures Triple-duty Caregivers Work-life Balance
• ISSN:
  0016-9013
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; Oregon ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  474-485
• Volume:
  59
• Issue:
  3
• NIOSHTIC Number:
  nn:20056673
• Citation:
  Gerontologist 2019 Jun; 59(3):474-485
• Contact Point Address:
  Nicole DePasquale, PhD, Division of General Internal Medicine, Duke University School of Medicine, NC Mutual Building, Suite 500, 411 West Chapel Hill Street, Durham, NC 27701
• Email:
  nicole.depasquale@duke.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  Portland State University
• Peer Reviewed:
  True
• Start Date:
  20050901
• Source Full Name:
  The Gerontologist
• End Date:
  20081130
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6b789a1f3dc02b33168d61fc94712f2da166e8beff5c0ba382d2107b008f918713d3e8cd99a868eee01d60dca57cb9e3de7fb8e4302db4145338427891a1b998
• Download URL:
  https://stacks.cdc.gov/view/cdc/214228/cdc_214228_DS1.pdf
• File Type:
  [PDF - 219.94 KB ]