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Vol. 25, No. 3, 2008
Issue release date: March 2008
Section title: Original Paper
Cerebrovasc Dis 2008;25:234–240
(DOI:10.1159/000113861)

Caregiver Burden for Impaired Elderly Japanese with Prevalent Stroke and Dementia under Long-Term Care Insurance System

Muraki I.a, b · Yamagishi K.a · Ito Y.c · Fujieda T.d · Ishikawa Y.e, f · Miyagawa Y.g · Okada K.h · Sato S.f · Kitamura A.f · Shimamoto T.f · Tanigawa T.a · Iso H.a, b
aDepartment of Public Health Medicine, Graduate School of Comprehensive Human Sciences and Institute of Community Medicine, University of Tsukuba, Tsukuba, bPublic Health, Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita, cAkita-Chuo Public Health Center, Katagami, dMito Public Health Center, Mito, eChuo-Higashi Public Health and Welfare Center, Kami, fOsaka Medical Center for Health Science and Promotion, Osaka, gSaku Public Health Center, Saku, and hDepartment of Public Health, Ehime University School of Medicine, Toon, Japan

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/4/2007
Accepted: 9/21/2007
Published online: 1/24/2008
Issue release date: March 2008

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 5

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: http://www.karger.com/CED

Abstract

Background: Limited data are available on caregiver burden for stroke and dementia patients. We examined the associations of prevalent stroke and dementia with family caregiver burden in Japanese general populations. Methods: A total of 916 Japanese home caregivers, whose family members were covered by long-term care insurance, responded to the caregiver burden questionnaire. The questionnaire included the caregiver’s age, sex and employment status, the patient-caregiver relationship, the patient‘s history of stroke, symptoms of dementia, care levels under long-term care insurance and the Zarit Caregiver Burden Interview. Results: The mean total score from the Zarit Caregiver Burden Interview was 12% higher in patients with stroke than in those without (p = 0.02) and 40% higher in those with dementia than in those without (p < 0.001). Compared with nonstroke patients without dementia, the mean total score was 21% higher in stroke patients without dementia (p = 0.01), 49% higher in nonstroke patients with dementia (p < 0.001) and 55% higher in stroke patients with dementia (p < 0.001). After adjustment for the caregiver’s age, sex and employment status, the patient-caregiver relationship, and the patient’s care level and community, the higher scores remained statistically significant for nonstroke patients with dementia and for stroke patients with dementia but not for stroke patients without dementia. Conclusions: Prevalent stroke and, more strongly, dementia were associated with increased family caregiver burden. Among patients with dementia, the presence of stroke did not enhance caregiver burden further.

© 2008 S. Karger AG, Basel


  

Author Contacts

Prof. Hiroyasu Iso, MD, MPH, PhD
Public Health, Department of Social and Environmental Medicine
Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita
Osaka 565-0871 (Japan)
Tel. +81 6 6879 3911, Fax +81 6 6879 3919, E-Mail iso@pbhel.med.osaka-u.ac.jp

  

Article Information

Received: April 4, 2007
Accepted: September 21, 2007
Published online: January 24, 2008
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 5, Number of References : 29

  

Publication Details

Cerebrovascular Diseases

Vol. 25, No. 3, Year 2008 (Cover Date: March 2008)

Journal Editor: Hennerici, M.G. (Mannheim)
ISSN: 1015–9770 (Print), eISSN: 1421–9786 (Online)

For additional information: http://www.karger.com/CED


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/4/2007
Accepted: 9/21/2007
Published online: 1/24/2008
Issue release date: March 2008

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 5

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: http://www.karger.com/CED


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