Influence of Gender and Care Strategy in Family Caregivers´ Strain: A Cross-Sectional Study

J Nurs Scholarsh. 2016 Nov;48(6):587-597. doi: 10.1111/jnu.12256. Epub 2016 Oct 13.

Abstract

Purpose: To analyze the factors that influence the strain on family caregivers of elderly dependent people, relating it to the strategy of care, with a gender perspective.

Design: Cross-sectional study.

Methods: We interviewed 328 Spanish family caregivers in 2012. Main variable: Caregiver Strain Index (CSI).

Independent variables: relationship, sex, age, marital status, education level, employment status, socioeconomic status, family and/or institutional supports, time they devote to care, and how long they have been giving care. Data were analyzed using bivariate procedures and multiple linear regression.

Findings: Caregiver profile: women around 60 years old, housewives, with primary education. CSI average: 6.63 ± 3.36. Female sex, kinship being a son or daughter, housewife employment status, service of home care, and the care recipient being female were significantly associated with the subjective strain.

Conclusions: Caregivers´ strain has a strong gender component: women are more tired, primarily those that practice a partial care strategy.

Clinical relevance: Knowing the factors that predict burden, nurses may help caregivers to provide better care. A risk profile for strain and burden: women who practice a partial care strategy; they are adult women and daughters who do not want to give up their professional role and combine it with their duty of caregiving.

Keywords: Family caregivers; burden; gender.

MeSH terms

  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • Home Nursing / methods*
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Risk Factors
  • Sex Distribution
  • Socioeconomic Factors
  • Stress, Psychological / epidemiology*