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People who
care for elderly relatives rather than putting them in a nursing
facility frequently miss work or leave their jobs entirely, according
to researchers from San Francisco VA Medical Center.
Many of these
caregivers are responsible for the care of elderly relatives suffering
from Alzheimer's disease. Hispanic, African American and female
caregivers are especially likely to make these kinds of sacrifices,
according to the study published in Journals of Gerontology.
"These caregivers
are the backbone of our system of caring for the elderly. We found
that a lot of them are making significant sacrifices, including
missing time at work or quitting their jobs altogether," said
Dr. Kenneth Covinsky, University of California, San Francisco
assistant professor and lead author of the study.
Two thirds
of the elderly people who are eligible to living in nursing homes
get their care at home instead, most often from members of their
extended family, the researchers said.
Researchers
surveyed more than 2,800 elderly people who were eligible for,
but not living, in a nursing home and the people who were helping
to care for them.
Fifty-four
percent of the elderly in the study had some form of dementia.
Twenty-two percent of the elderly surveyed had a caregiver who
had cut back on their hours at work or quit their job to provide
care, according to the study.
Hispanics,
African Americans and women were more likely to limit their time
at work and Hispanics were twice as likely to make this kind of
sacrifice. The ethnic disparity may be related to cultural differences
or access to care, said Covinsky.
"There's
some evidence that, in general, African Americans and Hispanics
believe more strongly that family members are responsible for
taking care of younger and older generations. Another possibility
is simply that there is less access to nursing home services in
these communities," said Covinsky.
"These caregivers
are saving the public health system a lot of money because, for
almost all the patients in our sample, if they didn't get care
at home they would be drawing on the Medicaid system," Covinsky
said.
"We need
to find ways to minimize the sacrifice of these caregivers, perhaps
through tax breaks for caregiving, or other ways of assisting
caregivers so that they don't need to take time off from work,"
he said.
Other
sources: University of California, San Francisco, Journals of
Gerontology
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