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Family Caregiving during the COVID-19 Pandemic in Canada: A Mediation Analysis

Author

Listed:
  • Sharon Anderson

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada)

  • Jasneet Parmar

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada
    Medically At-Risk Driver Centre, University of Alberta, Edmonton, AB T5G 2T4, Canada)

  • Tanya L’Heureux

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada)

  • Bonnie Dobbs

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada
    Alberta Health Services, Edmonton, AB T5G 0B7, Canada)

  • Lesley Charles

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada
    Medically At-Risk Driver Centre, University of Alberta, Edmonton, AB T5G 2T4, Canada
    Alberta Health Services, Edmonton, AB T5G 0B7, Canada)

  • Peter George J. Tian

    (Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB T5G 2T4, Canada)

Abstract

Family caregiving is a public health issue because of caregivers’ significant contribution to the health and social care systems, as well as the substantial impact that giving and receiving care has on the health and quality of life of care receivers and caregivers. While there have been many studies that associate caregivers’ care work, financial difficulty, navigation, and other caregiving factors with family caregivers’ psychological distress, we were interested not only in the factors related to family caregiver anxiety but also in hypothesizing how those effects occur. In this study, we used Andrew Hayes’ PROCESS moderation analysis to explore the link between caregiver frailty, weekly care hours, and perceptions of financial difficulty, social support, and anxiety. In this analysis, we included 474 caregivers with relatively complete data on all of the variables. In regression analysis after controlling for gender and age, social loneliness (β = 0.245), frailty (β = 0.199), financial difficulty (β = 0.196), care time (β = 0.143), and navigation confidence (β = 0.131) were all significant. We then used PROCESS Model 6 to determine the significance of the direct, indirect, and total effects through the serial mediation model. The model pathway from frailty to care time to financial difficulty to social loneliness to anxiety was significant. The proportions of family caregivers who were moderately frail, anxious, and experiencing social loneliness after eighteen months of the COVID-19 pandemic found in this survey should be of concern to policymakers and healthcare providers.

Suggested Citation

  • Sharon Anderson & Jasneet Parmar & Tanya L’Heureux & Bonnie Dobbs & Lesley Charles & Peter George J. Tian, 2022. "Family Caregiving during the COVID-19 Pandemic in Canada: A Mediation Analysis," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8636-:d:863878
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    References listed on IDEAS

    as
    1. Talley, R.C. & Crews, J.E., 2007. "Framing the public health of caregiving," American Journal of Public Health, American Public Health Association, vol. 97(2), pages 224-228.
    2. Elliane Irani & Atsadaporn Niyomyart & Ronald L. Hickman Jr., 2021. "Family Caregivers’ Experiences and Changes in Caregiving Tasks During the COVID-19 Pandemic," Clinical Nursing Research, , vol. 30(7), pages 1088-1097, September.
    3. Rafael del-Pino-Casado & Emilia Priego-Cubero & Catalina López-Martínez & Vasiliki Orgeta, 2021. "Subjective caregiver burden and anxiety in informal caregivers: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-20, March.
    4. Bauer, Jan Michael & Sousa-Poza, Alfonso, 2015. "Impacts of Informal Caregiving on Caregiver Employment, Health, and Family," IZA Discussion Papers 8851, Institute of Labor Economics (IZA).
    5. Narimasa Kumagai, 2017. "Distinct impacts of high intensity caregiving on caregivers’ mental health and continuation of caregiving," Health Economics Review, Springer, vol. 7(1), pages 1-14, December.
    6. Sung S Park & Deborah S Carr, 2021. "Caregivers’ Mental Health and Somatic Symptoms During COVID-19," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(4), pages 235-240.
    7. Lauren A Taylor & Annabel Xulin Tan & Caitlin E Coyle & Chima Ndumele & Erika Rogan & Maureen Canavan & Leslie A Curry & Elizabeth H Bradley, 2016. "Leveraging the Social Determinants of Health: What Works?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.
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