title: [Overload in the informal caregivers of patients with multiple comorbidities in an urban area].
abstract: OBJECTIVE
  The aim of the study was, to determine the profile of the family caregiver of patients with multiple pathologies, identify factors associated with overload, and construct predictive models using items from the Caregiver Strain Index (CSI).
  
  
  METHODS
  A cross-sectional study of caregivers of patients with multiple comorbidities who attended an urban health centre. Data were collected from health records and questionnaires (Barthel index, Pfeiffer index, and CSI). Statistical analysis was performed using measures of central tendency and dispersion, and by building multivariate models with binary logistic regression with the CSI items as predictors (program R version 2.14.0).
  
  
  RESULTS
  The sample included 67 caregivers, with a mean age of 64.69 years (standard deviation=12.71, median 62 years), of whom 74.6% were women, 35.8% were wives, and 32.8% were daughters. The level of dependence of the patients cared for was total/severe in 77.6%, and moderate in 12% (Barthel), and 47.8% had some level of cognitive impairment (Pfeiffer). A CSI equal or greater than 7 was seen in 47.8% of caregivers, identifying life problems in more than 40% of them such as, restriction of social life, physical exertion, discomfort with change, bad behaviour, personal and family emotional changes, and sleep disturbances. Item 4 of the CSI, analysing the social restriction, was the one that showed a greater significance in the predictive multivariate model. Item 12 (economic burden) was the most significant with age in patients with cognitive impairment.
  
  
  CONCLUSIONS
  Women tend to take the role of caregiver at an earlier age than men in the urban environment studied, and items from CSI showed that items 4 (social restrictions) and 12 (economic burden) have more significance in the predictive models constructed with Binary Logistic Regression.
authors.affiliation: Centro de Salud Inmaculada Vieira Fuentes «Las Letanías», Distrito Sanitario Sevilla, Servicio Andaluz de Salud, Sevilla, España. margatello@gmail.com
authors.forename: Margarita
authors.initials: M
authors.lastname: Álvarez-Tello
authors.forename: Rosa
authors.initials: R
authors.lastname: Casado-Mejía
authors.forename: Manuel
authors.initials: M
authors.lastname: Ortega-Calvo
authors.forename: Esperanza
authors.initials: E
authors.lastname: Ruiz-Arias
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014505:Urban Population; D016526:Workload