Neighborhood Context, Dementia Severity, and Mexican American Caregiver Well-Being

J Aging Health. 2017 Sep;29(6):1039-1055. doi: 10.1177/0898264317707141. Epub 2017 May 15.

Abstract

Objective: The current study extends research on Latino caregiving to describe the role of neighborhood-level factors and dementia severity for caregiver well-being.

Method: Data are drawn from the Hispanic Established Population for the Epidemiologic Study of the Elderly (HEPESE 2010/2011, N = 343). We present regression analyses that describe the relationship between dementia severity in the older care recipient and neighborhood-level structural factors for caregiver mental health.

Results: Mexican Americans providing care in neighborhoods characterized by a higher percent Latino report fewer depressive symptoms and greater life satisfaction. Percent Latino and percent Spanish speaking residing in the neighborhood are especially protective of caregiver depressive symptoms when care recipients display more severe dementia-related neuropsychiatric symptoms.

Discussion: Neighborhood characteristics play an important role in the Latino caregiver well-being processes. Targeting neighborhoods, especially in regard to culturally competent dementia care education and services, should be the focus of intervention strategies for Mexican-origin caregivers.

Keywords: Latinos; caregiving; mental health; neighborhoods.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Dementia / physiopathology*
  • Female
  • Humans
  • Male
  • Mental Health
  • Mexican Americans / psychology*
  • Middle Aged
  • Personal Satisfaction*
  • Regression Analysis
  • Severity of Illness Index*
  • Young Adult