title: Association between cultural factors and the caregiving burden for Chinese spousal caregivers of frail elderly in Hong Kong.
abstract: OBJECTIVE
  The aim of this study was to explore the relationship between cultural factors and the caregiving burden of Chinese spousal caregivers who provided care to their frail partners.
  
  
  METHODS
  A sample consisting of 102 Chinese caregivers for frail elderly spouses was recruited from home care services across various districts in Hong Kong. Structured interviews were conducted with the participants in their homes, measuring demographics, the functional status of the spouse, the degree of assistance required in daily care, perceived health, the caregiver's orientation to traditional Chinese family values, social support, coping, and caregiver burden.
  
  
  RESULTS
  Findings of regression analysis indicated that gender, activities of daily living (ADL) status, orientation to traditional Chinese family values, passive coping, and marital satisfaction associated with caregiver burden. Being female, having lower functioning in ADL or a strong orientation toward traditional Chinese family values, employing the strategies of passive coping more frequent, or experiencing a low degree of marital satisfaction were associated with high levels of caregiver burden.
  
  
  CONCLUSIONS
  These findings provided a basis for developing appropriate interventions to minimize the caregiver burden of spousal family caregivers.
authors.affiliation: Richmond Fellowship of Hong Kong, Chai Wan, Hong Kong. chrischan@richmond.org.hk
authors.forename: Christopher L F
authors.initials: CL
authors.lastname: Chan
authors.forename: Ernest W T
authors.initials: EW
authors.lastname: Chui
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005260:Female; D016330:Frail Elderly; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D011594:Psychometrics; D012044:Regression Analysis; D012944:Social Support; D018454:Spouses / Q000208:ethnology*; D013315:Stress, Psychological; D011795:Surveys and Questionnaires