title: Caregivers had neighbourhood support but perceived it unsatisfactory and worsened: England Community Life Survey, 2012-2014.
abstract: There has been limited research studying neighbourhood support for caregivers. Therefore, the aim of the present study was to investigate the support from neighbourhoods between both caregivers and non-caregivers in a country-wide and population-based setting. Data were retrieved from England Community Life Survey, 2012-2014, a new annual household survey conducted by face-to-face interview since 2012, with a representative sample size of 5-6000 adult (aged 16 years and over) resident per year in England. Chi-square test and logistic regression modelling were performed to examine the variance in support from and perception toward neighbourhoods between caregivers and non-caregivers. Of 15,320 study participants, 2315 (16.0%) had a caring responsibility. There was not much variance in feeling belonging, comfortably asking neighbours to keep keys, comfortably asking neighbours to mind children, believing neighbours pulling together and trusting people in the neighbourhood between caregivers and non-caregivers. However, caregivers seemed to be more likely to chat to neighbours (OR 0.77, 95% CI 0.69-0.87, P < 0.001) and comfortably ask neighbours to help collect grocery (OR 0.89, 95% CI 0.81-0.98, P = 0.023). In addition, caregivers tended to perceive their neighbourhoods unsatisfactory (OR 1.17, 95% CI 1.05-1.32, P = 0.007) and worsened in the last 2 years (OR 1.36, 95% CI 1.22-1.51, P < 0.001). For future research, a longitudinal neighbourhood monitoring surveillance for all people would be suggested. For practice and policy, environmental health and nursing programs might need to extend education trainings and interventions to cover all neighbourhoods at different time points that can lessen both disease and caregiving burden and therefore optimize health and quality of life.
authors.affiliation: Department of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, England, NE7 7XA, UK. ivy.shiue@northumbria.ac.uk.|Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK. ivy.shiue@northumbria.ac.uk.
authors.forename: Ivy
authors.initials: I
authors.lastname: Shiue
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers; D004739:England; D004782:Environmental Health; D006801:Humans; D011788:Quality of Life; D012111:Residence Characteristics; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: Built environment; Caregiver; Community support; Mental health; Neighbourhood epidemiology; Satisfaction; Social support