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Culture, Caregiving, and Health: Exploring the Influence of Culture on Family Caregiver Experiences

DOI: 10.1155/2014/689826

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Abstract:

Ethnic minorities are expected to experience a greater demand for family caregiving than non-Latino Whites due to their projected population growth. Although the consensus of researchers on caregiving and culture finds that the caregiving experience differs significantly among cultural/ethnic groups, the question remains as to how cultural values and norms influence the caregiver experiences. We conducted an interpretative, phenomenological qualitative analysis of focus group transcripts from four groups (African American, Asian American, Hispanic American, and European American) for cultural influences on caregiving. Data were collected in Nevada between December 7, 2009, and August 20, 2010. Thirty-five caregivers participated in this study. We found commonalities among all of the cultural/ethnic groups in their experiences of the difficulties of caregiving. However, there were some significant differences in the cultural values and norms that shaped the caregiving experience. We categorized these differences as: (a) cultural embeddedness of caregiving, (b) cultural determinants of caregiving responsibilities or taxonomy of caregiving, and (c) cultural values and norms underlying the decision to provide care. The significance of this study is that it highlights the culturally perceived mandate to provide care in the African, Asian, and Hispanic American cultures. 1. Introduction Research has shown a link between the stress of caregiving and poor physical/mental health outcomes [1–8]. These links are concerning due to the current prevalence of family caregivers in the USA and the escalating demand for long-term care. The increasing demand can be attributed to several key factors: growth of the older population, increased longevity, the growing burden of chronic diseases, rising health care costs, and an overburdened formal healthcare system [9, 10]. In the coming decades, older ethnic minority populations are expected to experience an even greater demand for family caregiving than non-Latino Whites due to projected population growth in these groups [11]. According to the US Census Bureau, data from the 2010 census indicate that the USA population is becoming more diverse by race, with Asian and Hispanic populations having the fasted rates of growth. Conversely, the non-Hispanic White population is growing the slowest and is projected to contribute less to population growth in the coming decades [12, 13]. Minority caregivers are less likely than White caregivers to utilize formal support services [11]. The lower use of support services is consistent

References

[1]  S. C. Ho, A. Chan, J. Woo, P. Chong, and A. Sham, “Impact of caregiving on health and quality of life: a comparative population-based study of caregivers for elderly persons and noncaregivers,” Journals of Gerontology A, vol. 64, no. 8, pp. 873–879, 2009.
[2]  A. C. King, R. K. Oka, and D. R. Young, “Ambulatory blood pressure and heart rate responses to the stress of work and caregiving in older women,” Journals of Gerontology, vol. 49, no. 6, pp. M239–M245, 1994.
[3]  S. Lee, G. A. Colditz, L. F. Berkman, and I. Kawachi, “Caregiving and risk of coronary heart disease in U.S. women: a prospective study,” American Journal of Preventive Medicine, vol. 24, no. 2, pp. 113–119, 2003.
[4]  M. Pinquart and S. S?rensen, “Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis,” Psychology and Aging, vol. 18, no. 2, pp. 250–267, 2003.
[5]  J. Robison, R. Fortinsky, A. Kleppinger, N. Shugrue, and M. Porter, “A broader view of family caregiving: effects of caregiving and caregiver conditions on depressive symptoms, health, work, and social isolation,” Journals of Gerontology B, vol. 64, no. 6, pp. 788–798, 2009.
[6]  R. Schulz, J. Newsom, M. Mittelmark, L. Burton, C. Hirsch, and S. Jackson, “Health effects of caregiving: the caregiver health effects study: an ancillary study of the cardiovascular health study,” Annals of Behavioral Medicine, vol. 19, no. 2, pp. 110–116, 1997.
[7]  R. Schulz and S. R. Beach, “Caregiving as a risk factor for mortality: the caregiver health effects study,” Journal of the American Medical Association, vol. 282, no. 23, pp. 2215–2219, 1999.
[8]  W. S. Shaw, T. L. Patterson, M. G. Ziegler, J. E. Dimsdale, S. J. Semple, and I. Grant, “Accelerated risk of hypertensive blood pressure recordings among Alzheimer caregivers,” Journal of Psychosomatic Research, vol. 46, no. 3, pp. 215–227, 1999.
[9]  R. W. Johnson and J. M. Wiener, “A profile of frail older Americans and their caregivers,” The Urban Institute, Washington, DC, USA, February 2006, http://www.urban.org/uploadedpdf/311284_older_americans.pdf.
[10]  T. E. Seeman, S. S. Merkin, E. M. Crimmins, and A. S. Karlamangla, “Disability trends among older Americans: National Health and Nutrition Examination surveys, 1988–1994 and 1999–2004,” American Journal of Public Health, vol. 100, no. 1, pp. 100–107, 2010.
[11]  A. M. Napoles, L. Chadiha, R. Eversley, and G. Moreno-John, “Reviews: developing culturally sensitive dementia caregiver interventions: are we there yet?” American Journal of Alzheimer's Disease and other Dementias, vol. 25, no. 5, pp. 389–406, 2010.
[12]  U.S. Census Bureau, “Census Briefs: Overview of Race and Hispanic Origin: 2010,” Issued March 2011, http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf.
[13]  U.S. Census Bureau, National Population Projections, http://www.census.gov/population/projections/data/national/.
[14]  J. J. McCann, L. E. Hebert, L. A. Beckett, M. C. Morris, P. A. Scherr, and D. A. Evans, “Comparison of informal caregiving by black and white older adults in a community population,” Journal of the American Geriatrics Society, vol. 48, no. 12, pp. 1612–1617, 2000.
[15]  J. P. Gouin, “Chronic stress, immune dysregulation, and health,” American Journal of Lifestyle Medicine, 2011, http://ajl.sagepub.com/content/early/2011/01/19/1559827610395467.
[16]  A. F. Elliott, L. D. Burgio, and J. Decoster, “Enhancing caregiver health: findings from the resources for enhancing Alzheimer's Caregiver Health II intervention,” Journal of the American Geriatrics Society, vol. 58, no. 1, pp. 30–37, 2010.
[17]  M. P. Aranda, “The influence of ethnicity and culture on the caregiver stress and coping process: a sociocultural review and analysis,” Gerontologist, vol. 37, no. 3, pp. 342–354, 1997.
[18]  B. G. Knight and P. Sayegh, “Cultural values and caregiving: the updated sociocultural stress and coping model,” Journals of Gerontology B, vol. 65, no. 1, pp. 5–13, 2010.
[19]  J. W. Creswell, Qualitative Inquiry & Research Design: Choosing Among Five Approaches, Sage, Thousand Oaks, Calif, USA, 2nd edition, 2007.
[20]  J. Green and N. Thorogood, Qualitative Methods For Health Research, Sage, London, UK, 2004.
[21]  M. H. Segall, W. J. Lonner, and J. W. Berry, “Cross cultural psychology as a scholarly discipline: on the flowering of culture in behavioral research,” American Psychologist, vol. 53, no. 10, pp. 1101–1110, 1998.
[22]  Y. Takano, “Coping with domestic violence by Japanese Canadian women,” in Handbook of Multicultural Perspectives on Stress and Coping, P. T. P. Wong and L. C. J. Wong, Eds., pp. 319–360, Springer, New York, NY, USA, 2006.
[23]  J. W. Osborne, “Some basic existential-phenomenological research methodology for counsellors,” Canadian Journal of Counselling, vol. 24, no. 2, pp. 79–91, 1990.
[24]  P. T. P. Wong, L. C. J. Wong, and C. Scott, “Beyond stress and coping: the positive psychology of transformation,” in Handbook of Multicultural Perspectives on Stress and Coping, P. T. P. Wong and L. C. J. Wong, Eds., pp. 1–26, Springer+Business Media, New York, NY, USA, 2006.
[25]  M. O. Asai and V. A. Kameoka, “The influence of sekentei on family caregiving and underutilization of social services among Japanese caregivers,” Social Work, vol. 50, no. 2, pp. 111–118, 2005.
[26]  K.-H. Hsueh, J. Hu, and S. Clarke-Ekong, “Acculturation in filial practices among U.S. Chinese caregivers,” Qualitative Health Research, vol. 18, no. 6, pp. 775–785, 2008.
[27]  K. S. Lee, “Gender, care work, and the complexity of family membership in Japan,” Gender and Society, vol. 24, no. 5, pp. 647–671, 2010.
[28]  M. I. Wallhagen and N. Yamamoto-Mitani, “The meaning of family caregiving in Japan and the United States: a qualitative comparative study,” Journal of Transcultural Nursing, vol. 17, no. 1, pp. 65–73, 2006.
[29]  H. R. Markus and S. Kitayama, “Culture and the self: implications for cognition, emotion, and motivation,” Psychological Review, vol. 98, no. 2, pp. 224–253, 1991.
[30]  Y. T. Dai and M. F. Dimond, “Filial piety. A cross-cultural comparison and its implications for the well-being of older parents,” Journal of Gerontological Nursing, vol. 24, no. 3, pp. 13–18, 1998.
[31]  M. I. Wallhagen and W. J. Strawbridge, “My parent—not myself: contrasting themes in family care,” Journal of Aging and Health, vol. 7, no. 4, pp. 552–572, 1995.
[32]  N. Yamamoto and M. I. Wallhagen, “The continuation of family caregiving in Japan,” Journal of Health and Social Behavior, vol. 38, no. 2, pp. 164–176, 1997.
[33]  R. Ngan and W. Wong, “Injustice in family care of the Chinese elderly in Hong Kong,” Journal of Aging & Social Policy, vol. 7, no. 2, pp. 77–94, 1995.
[34]  M. L. Ibarra, “The tender trap: Mexican immigrant women and the ethics of elder care work,” Aztlan, vol. 28, no. 2, pp. 87–113, 2003.
[35]  A. Daly, J. Jennings, J. O. Beckett, and B. R. Leashore, “Effective coping strategies of African Americans,” Social Work, vol. 40, no. 2, pp. 240–248, 1995.
[36]  N. Ak’bar, “Afrocentric social services for human liberation,” Journal of Black Studies, vol. 14, pp. 395–413, 1984.
[37]  L. N. Houston, Psychological Principles and the Black Experience, University Press of America, New York, NY, USA, 1990.
[38]  A. Ben-Ari and Y. Lavee, “Cultural orientation, ethic affiliation, and negative daily occurrences: a multidimensional cross-cultural analysis,” American Journal of Orthopsychiatry, vol. 74, no. 2, pp. 102–111, 2004.
[39]  C. A. McCarty, J. R. Weisz, K. Wanitromanee et al., “Culture, coping, and context: primary and secondary control among Thai and American youth,” Journal of Child Psychology and Psychiatry and Allied Disciplines, vol. 40, no. 5, pp. 809–818, 1999.
[40]  S. Arzu Wasti and L. M. Cortina, “Coping in context: sociocultural determinants of responses to sexual harassment,” Journal of Personality and Social Psychology, vol. 83, no. 2, pp. 394–405, 2002.
[41]  C. Yeh, A. Kwong Arora, and A. Wu, “A new theoretical model of collectivistic coping,” in Handbook of Multicultural Perspectives on Stress and Coping, P. T. P. Wong and L. C. J. Wong, Eds., pp. 56–72, Springer+Business Media, New York, NY, USA, 2006.
[42]  Y. G. Flores, L. Hinton, J. C. Barker, C. E. Franz, and A. Velasquez, “Beyond familism: a case study of the ethics of care of a latina caregiver of an elderly parent with dementia,” Health Care for Women International, vol. 30, no. 12, pp. 1055–1072, 2009.

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