title: Family Caregiver Factors Associated with Unmet Needs for Care of Older Adults.
abstract: OBJECTIVE
  To examine caregiver factors associated with unmet needs for care of older adults.
  
  
  METHODS
  Population-based surveys of caregivers and older adult care recipients in the United States in 2011.
  
  
  METHODS
  2011 National Health and Aging Trends Study and National Study of Caregiving.
  
  
  METHODS
  Family caregivers (n = 1,996) of community-dwelling older adults with disabilities (n = 1,366).
  
  
  METHODS
  Disabled care recipient reports of unmet needs for care in the past month with activities of daily living (ADLs; e.g., wet or soiled clothing), mobility (e.g., have to stay inside), or instrumental activities of daily living (IADLs; e.g., medication errors). Caregiver reported sociodemographic characteristics, caregiving intensity and tasks performed, health, and psychosocial effects.
  
  
  RESULTS
  Of the care recipients, 44.3% reported at least one unmet need for care in the past month (38.2% ADL related, 14.6% IADL related). Younger caregivers, caregiving sons, caregivers not living with care recipients, and having supplemental paid caregivers were associated with more unmet needs. Caregivers with recipients reporting two or more unmet needs were more likely to spend more than 100 hours per month caregiving, help with skin care and wounds, report caregiving as emotionally and physically difficult, and report restricted participation in valued activities (all P < .001).
  
  
  CONCLUSIONS
  Unmet ADL needs are prevalent among older adults with family caregivers. Caregivers experiencing high levels of burden, stress, and negative physical and psychosocial impacts may provide substandard or poor care to older adults, which may be a risk factor for neglect. Clinicians caring for disabled older adults should assess their unmet needs and the capacity of caregivers to address them.
authors.affiliation: University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Beach
authors.affiliation: University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Richard
authors.initials: R
authors.lastname: Schulz
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D006233:Persons with Disabilities; D004417:Dyspnea / Q000453:epidemiology; D005190:Family; D005221:Fatigue / Q000453:epidemiology; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008508:Medication Errors; D015999:Multivariate Analysis; D010146:Pain / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology; D014481:United States / Q000453:epidemiology
keywords: caregiver burden; caregiving; disability; unmet need