title: Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres.
abstract: We examined which variables are associated with day care centres utilization among caregivers of dementia patients. A cross-sectional analysis of socio-demographic variables, relationship with caring and psychological aspects was conducted in 58 informal caregivers with intense burden. 58.6 % used day care assistance and 41.4 % did not. The results showed the importance of the commitment between the caregiver and their family and friends. The use of day care services is independent of the age, gender, educational level, marital status, occupation and relationship with the patient. However, in the multivariate analysis the provision of help by families and friends predicted the use of day care assistance. The bivariate analysis showed a significant relationship between depressive symptoms and self-rated health with day care attendance. Screening the help provision from families and friends in caregivers of dementia patients with intense burden would be relevant to design interventions which delay their institutionalization and reduce costs.
authors.affiliation: Gerontology Research Group, Faculty of Health Sciences, Universidade da Coruña, Campus de Oza, 15071, A Coruña, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Maseda
authors.forename: Isabel
authors.initials: I
authors.lastname: González-Abraldes
authors.forename: Carmen
authors.initials: C
authors.lastname: de Labra
authors.forename: José
authors.initials: J
authors.lastname: Marey-López
authors.forename: Alba
authors.initials: A
authors.lastname: Sánchez
authors.forename: José C
authors.initials: JC
authors.lastname: Millán-Calenti
mesh_terms: D000328:Adult; D000069537:Adult Day Care Centers / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003704:Dementia / Q000628:therapy*; D003863:Depression / Q000209:etiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012944:Social Support; D013030:Spain; D013315:Stress, Psychological / Q000209:etiology