{
  "abstract": "Objective This study aims to explore how age and gender are associated with health deterioration related to caregiving among caregivers aged 75 and older in Spain.Design Observational, descriptive, cross-sectional study.Setting Nationwide survey in Spain: 2020 Survey on Disability, Personal Autonomy and Situations of Dependency.Participants All non-professional caregivers identified by the survey (3746): 3166 caregivers younger than 75 (CG75−) and 580 caregivers 75 years old or older (CG75+).Primary outcome measure Self-reported caregivers’ health deterioration, as a categorical variable (present or absent).Results The majority of caregivers in both groups were women (63.2% of CG75− and 57.0% of CG75+, p=0.011). CG75+ provided care 16 hours/day (vs 14.1 hours/day of CG75−, p=0.032). Over half of CG75+ reported health deterioration (53.0%), compared with 43.5% of CG75− (p<0.001). Being 75 or older was significantly associated with caregivers’ health deterioration only for women (OR 1.70, 95% CI 1.12 to 2.57). For men, age was not associated with caregivers’ health deterioration (OR 0.83, 95% CI 0.48 to 1.43).Conclusions In Spain, older caregivers have a specific socio-demographic profile, provide high-intensity care and report a higher caregiving-related health deterioration. However, the association between older age and health deterioration was found only in women. Public health interventions must prioritise older female caregivers.",
  "authors": [
    {
      "affiliations": [
        "National School of Health, Carlos III Health Institute, Madrid, Community of Madrid, Spain",
        "Programa de Doctorado en Ciencias Biomédicas y Salud Pública, Instituto Mixto de Investigación Escuela Nacional de Sanidad, Madrid, Spain"
      ],
      "name": "Amaya Bernal-Alonso"
    },
    {
      "affiliations": [
        "National Center of Epidemiology, Carlos III Health Institute, Madrid, Community of Madrid, Spain",
        "Red de Investigación en Cronicidad Atención Primaria y Prevención y Promoción de la Salud, Madrid, España, Spain"
      ],
      "name": "Alba Ayala"
    },
    {
      "affiliations": [
        "Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Stockholm County, Sweden"
      ],
      "name": "Mariam Kirvalidze"
    },
    {
      "affiliations": [
        "Red de Investigación en Cronicidad Atención Primaria y Prevención y Promoción de la Salud, Madrid, España, Spain",
        "Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Stockholm County, Sweden",
        "Stockholm Gerontology Research Center, Stockholm, Stockholm County, Sweden"
      ],
      "name": "Amaia Calderón-Larrañaga"
    },
    {
      "affiliations": [
        "National Center of Epidemiology, Carlos III Health Institute, Madrid, Community of Madrid, Spain",
        "Red de Investigación en Cronicidad Atención Primaria y Prevención y Promoción de la Salud, Madrid, España, Spain"
      ],
      "name": "Maria João Forjaz"
    },
    {
      "affiliations": [
        "National Center of Epidemiology, Carlos III Health Institute, Madrid, Community of Madrid, Spain",
        "CIBERNED, Madrid, Community of Madrid, Spain"
      ],
      "name": "Carmen Rodriguez-Blazquez"
    }
  ],
  "title": "Associations between age, gender and health deterioration in caregivers aged 75 and older in Spain: an observational study",
  "uid": "99f878d2-2148-5459-adbc-95c989084bd1"
}