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Caregiver Burden and Associated Factors for the Respite Care Needs among the Family Caregivers of Community Dwelling Senior Citizens in Chiang Mai, Northern Thailand

Author

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  • Thin Nyein Nyein Aung

    (Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan)

  • Myo Nyein Aung

    (Advanced Research Institute for Health Sciences, Juntendo University, Bunkyo City, Hongo, 2 Chome-1-1, Tokyo 113-8421, Japan
    Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan)

  • Saiyud Moolphate

    (Department of Public Health, Faculty of Science and Technology, Chiang Mai Rajabhat University, Chiang Mai 50300, Thailand)

  • Yuka Koyanagi

    (Tokyo Ariake University of Medical and Health Sciences, Tokyo 135-0063, Japan)

  • Siripen Supakankunti

    (Centre of Excellence for Health Economics, Faculty of Economics, Chulalongkorn University, Bangkok 10330, Thailand)

  • Motoyuki Yuasa

    (Department of Public Health, Graduate School of Medicine, Juntendo University, Tokyo 113-8421, Japan
    Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan)

Abstract

Background: Families are the backbone of caregiving for older adults living in communities. This is a tradition common to Thailand and many low- and middle-income countries where formal long-term care services are not so available or accessible. Therefore, population aging demands more and more young people engaging as family caregivers. Informal caregiving can become an unexpected duty for anyone anytime. However, studies measuring the burden of informal caregivers are limited. We aimed to determine the caregiver burden, both from the perspective of the caregivers as well as that of their care recipients. Method: We used the baseline survey data from a cluster randomized controlled trial providing a community integrated intermediary care (CIIC) service for seniors in Chiang Mai, Thailand, TCTR20190412004. Study participants were 867 pairs of older adults and their primary family caregivers. Descriptive analysis explored the characteristics of the caregivers and binary logistic regression identified factors influencing the caregivers’ burden. Results: The mean age of family caregivers was 55.27 ± 13.7 years and 5.5% indicated the need for respite care with Caregiver Burden Inventory (CBI) scores ≥24. The highest burden was noted in the time-dependence burden domain (25.7%). The significant associated factors affecting CBI ≥24 were as follows: caregivers older than 60 years, being female, current smokers, having diabetes, and caring for seniors with probable depression and moderate to severe dependency. Conclusions: A quarter of caregivers can have their careers disturbed because of the time consumed with caregiving. Policies to assist families and interventions, such as respite service, care capacity building, official leave for caregiving, etc., may reduce the burden of families struggling with informal care chores. Furthermore, caregiver burden measurements can be applied as a screening tool to assess long-term care needs, complementing the dependency assessment. Finally, implementation research is required to determine the effectiveness of respite care services for older people in Thailand.

Suggested Citation

  • Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Caregiver Burden and Associated Factors for the Respite Care Needs among the Family Caregivers of Community Dwelling Senior Citizens in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5873-:d:565525
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    References listed on IDEAS

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    1. Martin Pinquart & Silvia Sörensen, 2007. "Correlates of Physical Health of Informal Caregivers: A Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(2), pages 126-137.
    2. Ruttana Phetsitong & Patama Vapattanawong & Malee Sunpuwan & Marc Völker, 2019. "State of household need for caregivers and determinants of psychological burden among caregivers of older people in Thailand: An analysis from national surveys on older persons," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-18, December.
    3. Teerawichitchainan, Bussarawan & Pothisiri, Wiraporn & Long, Giang Thanh, 2015. "How do living arrangements and intergenerational support matter for psychological health of elderly parents? Evidence from Myanmar, Vietnam, and Thailand," Social Science & Medicine, Elsevier, vol. 136, pages 106-116.
    4. Elisabeth J. Croll, 2006. "The Intergenerational Contract in the Changing Asian Family," Oxford Development Studies, Taylor & Francis Journals, vol. 34(4), pages 473-491.
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    Cited by:

    1. Mo Hu & Zhiyuan Hao & Yinrui Yin, 2022. "Promoting the Integration of Elderly Healthcare and Elderly Nursing: Evidence from the Chinese Government," IJERPH, MDPI, vol. 19(24), pages 1-18, December.
    2. Thin Nyein Nyein Aung & Myo Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Mariko Ichikawa & Siripen Supakankunti & Motoyuki Yuasa, 2021. "Estimating Service Demand for Intermediary Care at a Community Integrated Intermediary Care Center among Family Caregivers of Older Adults Residing in Chiang Mai, Northern Thailand," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    3. Thin Nyein Nyein Aung & Saiyud Moolphate & Yuka Koyanagi & Chaisiri Angkurawaranon & Siripen Supakankunti & Motoyuki Yuasa & Myo Nyein Aung, 2022. "Depression and Associated Factors among Community-Dwelling Thai Older Adults in Northern Thailand: The Relationship between History of Fall and Geriatric Depression," IJERPH, MDPI, vol. 19(17), pages 1-10, August.

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