Caregiving burden, acculturation, familism, and Mexican American elders' use of home care services

Janice D. Crist, Marylyn Morris McEwen, Angelica P. Herrera, Suk Sun Kim, Alice Pasvogel, Joseph T. Hepworth

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Caregiving burden has been shown to predict use of home care services among Anglo Americans. In a previous study, only one of two dimensions of caregiving burden predicted such use among Mexican American caregivers. Because acculturation and familism may affect burden, we conducted analyses to test three hypotheses: increased acculturation decreases familism; decreased familism increases burden; and increased burden increases use of home care services. Among 140 Mexican American family caregivers, acculturation was positively correlated with familism; familism was not significantly correlated with burden; objective burden was positively correlated with use of home care services, and objective and subjective burden significantly interacted in their effect on the use of home care services. Targeted interventions may be needed to increase use of home care services and preserve the well-being of Mexican American elders and caregivers.

Original languageEnglish
Pages (from-to)165-180
Number of pages16
JournalResearch and Theory for Nursing Practice
Volume23
Issue number3
DOIs
StatePublished - 2009

Keywords

  • Acculturation
  • Caregiving burden
  • Familism
  • Home care services
  • Mexican American

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