Comparison of healthcare utilization between informal caregivers and non-caregivers: An analysis of the Health Information National Trends Survey Journal Article


Authors: Shaffer, K. M.; Nightingale, C. L.
Article Title: Comparison of healthcare utilization between informal caregivers and non-caregivers: An analysis of the Health Information National Trends Survey
Abstract: Objective: The demands of providing unpaid care for someone with a disabling health condition (i.e., informal caregiving) can limit attention to one’s own health needs. Using a nationally representative survey, this study examines whether caregivers report different healthcare utilization relative to non-caregivers. Method: Participants in the Health Information National Trends Survey 5, Cycle 1 reported whether they provided unpaid care and healthcare utilization outcomes. Logistic regressions and chi-square tests with jackknife variance estimation were used. Results: Caregivers (N = 391) did not differ from non-caregivers (N = 2,894) in time since routine checkup or number of healthcare appointments in the past year (p values >.25). Among caregivers, number of healthcare appointments differed according to caregivers’ relationship to the care recipient (p =.04). Discussion: Findings suggest that informal caregivers access routine healthcare at a frequency similar to non-caregivers. Further research should determine whether this utilization is optimal, or whether increased utilization during caregiving might help attenuate caregivers’ longer term morbidity. © The Author(s) 2019.
Keywords: adult; controlled study; major clinical study; morbidity; health care utilization; medical information; statistical significance; caregiver; chi square test; health care delivery; caregivers; recipient; health services accessibility; human; male; female; article; care behavior; caregiving burden
Journal Title: Journal of Aging and Health
Volume: 32
Issue: 5-6
ISSN: 0898-2643
Publisher: Sage Publications, Inc.  
Date Published: 2020-06-01
Start Page: 453
End Page: 461
Language: English
DOI: 10.1177/0898264319830262
PUBMED: 30793639
PROVIDER: scopus
PMCID: PMC7034877
DOI/URL:
Notes: Article -- Export Date: 1 June 2020 -- Source: Scopus
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  1. Kelly M Shaffer
    23 Shaffer