Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form

Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: Results of caregiver-study of osteoporotic fractures

Fredman, L and Cauley, JA and Hochberg, M and Ensrud, KE and Doros, G (2010) Mortality associated with caregiving, general stress, and caregiving-related stress in elderly women: Results of caregiver-study of osteoporotic fractures. Journal of the American Geriatrics Society, 58 (5). 937 - 943. ISSN 0002-8614

[img] Plain Text (licence)
Available under License : See the attached license file.

Download (1kB)


OBJECTIVES: To investigate the separate and combined effects of caregiver status and high stress on mortality risk over 8 years in elderly women. DESIGN: Prospective cohort study conducted in four U.S. communities followed from 1999/01 (baseline) to December 31, 2007. SETTING: Home-based interviews. PARTICIPANTS: Three hundred seventy-five caregiver and 694 noncaregiver participants from the Caregiver-Study of Osteoporotic Fractures (Caregiver-SOF) who participated in the baseline Caregiver-SOF interview. MEASUREMENTS: Caregiver status was based on SOF respondents' self-report of performing one or more instrumental or basic activities of daily living for a relative or friend with impairments. Two measures of stress were used: Perceived Stress Scale and stress related to caregiving tasks. All-cause mortality was the outcome. RESULTS: Caregivers were more stressed than noncaregivers; 19.7% of caregivers and 27.4% of noncaregivers died. Mortality was lower in caregivers than noncaregivers (adjusted hazard ratio, (AHR)=0.74, 95% confidence interval (CI)=0.56-0.89). High-stress respondents had greater mortality risk than low-stress respondents over the first 3 years of follow-up (AHR=1.81, 95% CI=1.16-2.82) but not in later years. Likewise, high-stress caregivers and noncaregivers had higher mortality risk than low-stress noncaregivers, although low-stress caregivers had significantly lower mortality than did noncaregivers, whether perceived stress or caregiving-related stress was measured (AHR=0.67 and 0.57). Similar results were observed in analyses comparing spouse caregivers with married noncaregivers. CONCLUSION: Short-term effects of stress, not caregiving per se, may increase the risk of health decline in older caregivers. © 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.


Social Networking:
Share |


Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Fredman, L
Cauley, JAJCauley@edc.pitt.eduJCAULEY
Hochberg, M
Ensrud, KE
Doros, G
Date: 1 January 2010
Date Type: Publication
Journal or Publication Title: Journal of the American Geriatrics Society
Volume: 58
Number: 5
Page Range: 937 - 943
DOI or Unique Handle: 10.1111/j.1532-5415.2010.02808.x
Schools and Programs: Graduate School of Public Health > Epidemiology
Refereed: Yes
ISSN: 0002-8614
Date Deposited: 01 Dec 2015 15:01
Last Modified: 02 Feb 2019 15:55


Monthly Views for the past 3 years

Plum Analytics

Actions (login required)

View Item View Item