A National Examination of Caregiver Use of and Preferences for Support Services: Does Rurality Matter?

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Abstract

Objective: The objective of this study was to assess rural–urban differences in caregiver use of and preferences for support services. Method: Using the 2015 Caregiving in the U.S. survey data (n = 1,389), we analyzed rural–urban differences by caregiver residence in use of and preferences for support services. We analyzed bivariate differences in service use and preferences, as well as in sociodemographic and caregiving relationship characteristics. We also assessed the correlates of service use using stratified ordered logistic regression models. Results: Approximately one third of all caregivers had used no supportive services, with few differences in service use and preference by location. For caregivers in both locations, having more financial strain was associated with greater use of services. Discussion: This article identifies broad needs for caregiver support across all geographic locations. Targeted efforts should be made to ensure access to supportive services accounting for unique barriers by geography.

Original languageEnglish (US)
Pages (from-to)1652-1670
Number of pages19
JournalJournal of aging and health
Volume31
Issue number9
DOIs
StatePublished - Oct 1 2019

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under Grant 5U1CRH03717. The information, conclusions and opinions expressed in this manuscript are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred.

Publisher Copyright:
© The Author(s) 2018.

Keywords

  • caregiving
  • health services
  • policy
  • rural aging
  • social support

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