Details:

Alternative Title:
Am J Prev Med
Personal Author:
Joo, Heesoo ; Wang, Guijing ; Yee, Sue Lin ; Zhang, Ping ; Sleet, David
Joo, Heesoo ; Wang, Guijing ; Yee, Sue Lin ; Zhang, Ping ; Sleet, David Less -
Description:
Introduction

Older adults are at high risk for stroke and falls, both of which require a large amount of informal caregiving. However, the economic burden of informal caregiving associated with stroke and fall history is not well known.

Methods

Using the 2010 Health and Retirement Study, data on non-institutionalized adults aged ≥65 years (N=10,129) in 2015–2017 were analyzed. Two-part models were used to estimate informal caregiving hours. Based on estimates from the models using a replacement cost approach, the authors derived informal caregiving hours and costs associated with falls in the past 2 years for stroke and non-stroke persons.

Results

Both the prevalence of falls overall and of falls with injuries were higher among people with stroke than those without (49.5% vs 35.1% for falls and 16.0% vs 10.3% for injurious falls, p<0.01). Stroke survivors needed more informal caregiving hours than their non-stroke counterparts, and the number of informal caregiving hours was positively associated with non-injurious falls and even more so with injurious falls. The national burden of informal caregiving (2015 U.S. dollars) associated with injurious falls amounted to $2.9 billion (95% CI=$1.1 billion, $4.7 billion) for stroke survivors (about 0.5 million people), and $6.5 billion (95% CI=$4.3 billion, $8.7 billion) for those who never had a stroke (about 3.6 million people).

Conclusions

In U.S. older adults, informal caregiving hours and costs associated with falls are substantial, especially for stroke survivors. Preventing falls and fall-related injuries, especially among stroke survivors, therefore has potential for reducing the burden of informal caregiving.


Subjects:
[+]
Accidental Falls Aged Aged, 80 And Over Age Factors Caregivers Cost Of Illness Female Humans Informal Sector Longitudinal Studies Male Patient Care Prevalence Stroke Survivors
Source:
Am J Prev Med. 53(6 Suppl 2):S197-S204.
Pubmed ID:
29153121
Pubmed Central ID:
PMC5819006
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:d9d452038b2af392a5c0d93eca385031dd0d8035204dc3320290e77d5a69d845
Download URL:
https://stacks.cdc.gov/view/cdc/52031/cdc_52031_DS1.pdf
File Type:

Supporting Files

• 	NIHMS939653-supplement-1.pdf	pdf
  	nihms939653.nxml	xml
  	nihms939653f1.gif	gif
  	nihms939653f1.jpg	jpeg

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