INS NYC 2024 Program

Poster	Poster Session 02 Program Schedule 02/15/2024 08:00 am - 09:15 am Room: Shubert Complex (Posters 1-60) Poster Session 02: Aging \| MCI \| Neurodegenerative Disease - PART 1 Final Abstract #2 An Examination of Differences in Caregiver Experiences by Race/Ethnicity Sana Arastu, Baylor College of Medicine, Houston, United States Samantha Henry, Baylor College of Medicine, Houston, United States Jennfier Stinson, Baylor College of Medicine, Houston, United States Category: Cross Cultural Neuropsychology/ Clinical Cultural Neuroscience Keyword 1: caregiver burden Keyword 2: dementia - Alzheimer's disease Keyword 3: cross-cultural issues Objective: The rising prevalence of dementia and the growing population of racial and ethnic minorities in the U.S. (Jones et al., 2021; Matthews et al., 2019) warrants research on the differences in caregiver (CG) experiences among these populations. The present study examined differences in CG experiences and level of cognitive impairment by race/ethnicity. Participants and Methods: Participants consisted of 3661 patients (56.4% women, M_age =65.21). Majority were White (67.9%), followed by Latino (14.4%), Black (12.4%), and Asian (4.8%). Due to sample distribution differences, the Kruskal Wallis H (KWH) was used to analyze for significant differences in Physical Self Maintenance Scale (PSMS), Positive Aspects of Caregiving (PAC), PAC Self Appraisal (SA), PAC Positive Outlook (PO), Zarit Burden Inventory (ZBI), and Mini Mental Status Exam (MMSE) scores between White, Black, Asian, and Latino participants. Results: KWH analyses yielded significant differences in mean ranks across racial/ethnic groups in PSMS (χ2(3)=21.4, p <.001), MMSE scores (χ2(3)=52.5, p <.001), PAC total scores (χ2(3)=22.9, p <.001), SA ratings (χ2(3)=8.4, p <.05) and PO ratings (χ2(3)=54.9, p <.001). There were no significant differences in ZBI ratings across racial/ethnic groups. Dunn-Bonferroni pairwise comparisons showed that CGs of White participants had lower mean PAC total scores than those of Black and Asian participants. CGs of White participants had lower mean PO ratings than those of Black, Latino, and Asian participants. CGs of Black participants had higher mean PSMS ratings than those of White, Latino, and Asian participants. White and Asian participants had significantly higher mean MMSE scores than Black and Latino participants. Conclusions: These findings indicate that Black and Latino caregivers receive more meaning and hope from CG than their White counterparts despite having lower mean MMSE scores and higher PSMS ratings. Differences in cultural values (e.g., familism) and level of community support for caregiving between White and Black, Asian, and Latino participants may explain these findings (Liu et al., 2021).

Poster

02/15/2024
08:00 am - 09:15 am
Room: Shubert Complex (Posters 1-60)

Poster Session 02: Aging | MCI | Neurodegenerative Disease - PART 1

Final Abstract #2

An Examination of Differences in Caregiver Experiences by Race/Ethnicity

Sana Arastu, Baylor College of Medicine, Houston, United States
Samantha Henry, Baylor College of Medicine, Houston, United States
Jennfier Stinson, Baylor College of Medicine, Houston, United States

Category: Cross Cultural Neuropsychology/ Clinical Cultural Neuroscience

Keyword 1: caregiver burden
Keyword 2: dementia - Alzheimer's disease
Keyword 3: cross-cultural issues

Objective:

The rising prevalence of dementia and the growing population of racial and ethnic minorities in the U.S. (Jones et al., 2021; Matthews et al., 2019) warrants research on the differences in caregiver (CG) experiences among these populations. The present study examined differences in CG experiences and level of cognitive impairment by race/ethnicity.

Participants and Methods:

Participants consisted of 3661 patients (56.4% women, M_age =65.21). Majority were White (67.9%), followed by Latino (14.4%), Black (12.4%), and Asian (4.8%). Due to sample distribution differences, the Kruskal Wallis H (KWH) was used to analyze for significant differences in Physical Self Maintenance Scale (PSMS), Positive Aspects of Caregiving (PAC), PAC Self Appraisal (SA), PAC Positive Outlook (PO), Zarit Burden Inventory (ZBI), and Mini Mental Status Exam (MMSE) scores between White, Black, Asian, and Latino participants.

Results:

KWH analyses yielded significant differences in mean ranks across racial/ethnic groups in PSMS (χ2(3)=21.4, p <.001), MMSE scores (χ2(3)=52.5, p <.001), PAC total scores (χ2(3)=22.9, p <.001), SA ratings (χ2(3)=8.4, p <.05) and PO ratings (χ2(3)=54.9, p <.001). There were no significant differences in ZBI ratings across racial/ethnic groups. Dunn-Bonferroni pairwise comparisons showed that CGs of White participants had lower mean PAC total scores than those of Black and Asian participants. CGs of White participants had lower mean PO ratings than those of Black, Latino, and Asian participants. CGs of Black participants had higher mean PSMS ratings than those of White, Latino, and Asian participants. White and Asian participants had significantly higher mean MMSE scores than Black and Latino participants.

Conclusions:

These findings indicate that Black and Latino caregivers receive more meaning and hope from CG than their White counterparts despite having lower mean MMSE scores and higher PSMS ratings. Differences in cultural values (e.g., familism) and level of community support for caregiving between White and Black, Asian, and Latino participants may explain these findings (Liu et al., 2021).