title: Full-time employed and a family caregiver: a profile of women's workload, effort, and health.
abstract: BACKGROUND
  Women provide care for elderly family members while managing their other responsibilities, including full-time employment.
  
  
  METHODS
  This descriptive study used an inductively derived workload-effort-health theoretical model to examine workload, effort, and health among 46 full-time employed family caregivers [CG] of community-dwelling older adults from a larger, nonprobability, cross-sectional sample of 110 CGs.
  
  
  RESULTS
  The women's caregiving workload (time, difficulty, care recipient's [CR] function), effort (perceived exertion of energy experienced in doing a workload), self-assessed health [SAH], depressive symptoms, and sources of help were richly described, and several associations were found, including higher physical and mental effort, were significantly correlated with higher workload time and difficulty and lower CR function, but not SAH. Higher mental effort and workload, and poorer SAH were significantly correlated with high depressive symptoms. Worse effort, workload, and health experiences were reported by daughters and by women who lived with their CR; those who did not have family or formal caregiving help had higher mental effort and were more depressed, suggesting an area for further study.
  
  
  CONCLUSIONS
  Suggestions are offered for richer measurement of employment status, caregiving workload, and effort. Findings provide a unique profile of full-time employed women CGs' workload, effort (that is, how they do the work), and health, toward a stronger understanding of how women manage multiple workloads. Workplace policies are needed to address workload, effort and health in this informal caregiving workforce.
authors.affiliation: Case Western Reserve University, Cleveland, Ohio. Electronic address: evanne.juratovac@case.edu.
authors.forename: Evanne
authors.initials: E
authors.lastname: Juratovac
authors.affiliation: Case Western Reserve University, Cleveland, Ohio.
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004651:Employment; D005190:Family / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D008962:Models, Theoretical; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000523:psychology; D014931:Women, Working / Q000523:psychology / Q000706:statistics & numerical data*; D016526:Workload