Abstract
Purpose: To evaluate rates of depression and frequent poor mental health days (FPMHDs) among American Indian/Alaskan Native (AI/AN) caregivers and compare them to other races/ethnicities. To determine factors associated with higher rates of depression among AI/AN caregivers.
Design Methods: Utilizing the Behavioral Risk Factor Surveillance Survey (BRFSS) 2019-2022, we ran a cross-sectional analysis to determine rates of depression and FPMHDs among individuals who provide long-term care for people with chronic health conditions. We compared the presence of depression and 14+ FPMHDs across self-reported races and ethnicities. We further analyzed how the rates of depression among AI/AN caregivers different by type of insurance and by education. These results are preliminary, and in the final manuscript we intend to additionally compare rates of AI/AN caregiver depression by type of care provided (personal care, household care), income, and the condition of the care-recipient.
Results: AI/AN caregivers had the highest reported rates of depression (34.58%) and 14+ FPMHDs (30.27%). These were significantly higher than that of non-Hispanic white caregivers, in both depression (28.29%, p = .044) and 14+ FPMHDs (19.55%, p < .0001). Educational attainment among AI/AN caregivers showed no significant association with rates of depression (p = .47). The type of insurance was significant for varying rates of depression among AI/AN caregivers (p = .007), with highest rates among caregivers with no coverage or military insurance (53.74% each) or Medicaid (45.32%), and lowest with employer (20.06%) or other private insurance (29.62%).
Discussion/Conclusion: Analysis into the factors which contribute to depression among AI/AN caregivers can inform policy and social support networks to best address key facets of caregiver strain.
Design Methods: Utilizing the Behavioral Risk Factor Surveillance Survey (BRFSS) 2019-2022, we ran a cross-sectional analysis to determine rates of depression and FPMHDs among individuals who provide long-term care for people with chronic health conditions. We compared the presence of depression and 14+ FPMHDs across self-reported races and ethnicities. We further analyzed how the rates of depression among AI/AN caregivers different by type of insurance and by education. These results are preliminary, and in the final manuscript we intend to additionally compare rates of AI/AN caregiver depression by type of care provided (personal care, household care), income, and the condition of the care-recipient.
Results: AI/AN caregivers had the highest reported rates of depression (34.58%) and 14+ FPMHDs (30.27%). These were significantly higher than that of non-Hispanic white caregivers, in both depression (28.29%, p = .044) and 14+ FPMHDs (19.55%, p < .0001). Educational attainment among AI/AN caregivers showed no significant association with rates of depression (p = .47). The type of insurance was significant for varying rates of depression among AI/AN caregivers (p = .007), with highest rates among caregivers with no coverage or military insurance (53.74% each) or Medicaid (45.32%), and lowest with employer (20.06%) or other private insurance (29.62%).
Discussion/Conclusion: Analysis into the factors which contribute to depression among AI/AN caregivers can inform policy and social support networks to best address key facets of caregiver strain.
| Original language | American English |
|---|---|
| Pages | 41 |
| State | Published - 13 Sep 2024 |
| Event | Symposium on Tribal and Rural Innovation in Disparities and Equity for Health - Tahlequah, United States Duration: 13 Sep 2024 → 13 Sep 2024 |
Conference
| Conference | Symposium on Tribal and Rural Innovation in Disparities and Equity for Health |
|---|---|
| Country/Territory | United States |
| City | Tahlequah |
| Period | 13/09/24 → 13/09/24 |