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Parental caregiving trajectories and Metabolic Syndrome: A longitudinal study among Chinese women

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  • Lu, Xiaoxiao
  • Dallal, Cher M.
  • He, Xin
  • Juon, Hee-Soon
  • Wang, Ming Qi
  • Lee, Sunmin

Abstract

Caregiving stress may play a role in the pathogenesis of Metabolic Syndrome (MetS). However, few studies have investigated the consequences of caregiving on this objectively measured health outcome. This study used population based longitudinal data to examine the causal relationship between caregiving trajectory and MetS among Chinese women. This is a retrospective analysis of 741 women using three waves of data from the Ever-Married Women Survey component of the China Health and Nutrition Survey (2004, 2006, and 2009). Group-based trajectory analysis was used to examine the caregiving trajectories among women in China. Three caregiving trajectories were identified. In multivariate analyses adjusting for potential covariates, ‘rising to high-intense’ caregivers (Odds Ratio (OR) = 3.78; 95% Confidence Interval (CI): 1.10, 12.93) and ‘stable low-intense’ caregivers (OR = 2.07; 95% CI: 1.09, 3.92) were associated with higher risk of MetS compared with non-caregivers. Moreover, caregivers who provided ‘stable low-intense’ parental care were found to be associated with hypertension, high glucose and high triglycerides than those awho did not provide caregiving for their parents. Our results demonstrate that the caregiving trajectories were significantly associated with the risk of MetS. Findings from the study can be used to develop future stress management interventions to decrease MetS risk among women who provide care to their parents.

Suggested Citation

  • Lu, Xiaoxiao & Dallal, Cher M. & He, Xin & Juon, Hee-Soon & Wang, Ming Qi & Lee, Sunmin, 2019. "Parental caregiving trajectories and Metabolic Syndrome: A longitudinal study among Chinese women," Social Science & Medicine, Elsevier, vol. 240(C).
    • Handle: RePEc:eee:socmed:v:240:y:2019:i:c:s0277953619305532
    DOI: 10.1016/j.socscimed.2019.112559
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    References listed on IDEAS

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    1. Cannuscio, C.C. & Jones, C. & Kawachi, I. & Colditz, G.A. & Berkman, L. & Rimm, E., 2002. "Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the nurses' health study," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1305-1311.
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