title: Preventive health practices: comparison of family caregivers 50 and older.
abstract: The purpose of this study was to describe adherence to recommended preventive health practices among middle-aged and older male and female family caregivers of individuals receiving home health services. Perceptions of the burden and benefit of caregiving, wellness orientation, social participation, and community resource use by the caregiving dyad (caregiver and carereceiver) were also explored using the t test and the chi2 test to detect gender differences. A sample of 319 participants 50 and older was recruited from a home health agency in southwestern Pennsylvania to participate in a telephone survey. Results revealed that caregivers had performed 86% of age- and gender-appropriate preventive health practices, but they currently adhered to guidelines for 63% of such behaviors, regardless of gender. Men experienced less burden than women, and were more likely to acknowledge that caregiving made them feel useful and appreciated and gave more meaning to their lives. The study suggests that family caregivers may be as vigilant in their preventive health behavior as the general population, despite their responsibilities. Nurses in contact with middle-aged and older family caregivers are well positioned to encourage health promotion and disease prevention behaviors in this accessible population.
authors.affiliation: University of Pittsburgh, School of Nursing, PA 15261, USA.
authors.forename: Judith Tabolt
authors.initials: JT
authors.lastname: Matthews
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Dunbar-Jacob
authors.forename: Susan
authors.initials: S
authors.lastname: Sereika
authors.forename: Richard
authors.initials: R
authors.lastname: Schulz
authors.forename: B Joan
authors.initials: BJ
authors.lastname: McDowell
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D017028:Caregivers / Q000193:education / Q000523:psychology*; D017281:Cost of Illness; D005190:Family / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006699:Home Care Services; D006701:Home Nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015404:Nursing Methodology Research; D010414:Pennsylvania; D011322:Primary Prevention / Q000379:methods*; D012648:Self Care / Q000379:methods*; D012737:Sex Factors; D011795:Surveys and Questionnaires