Socioeconomic Predictors of the Employment of Migrant Care Workers by Italian Families Assisting Older Alzheimer's Disease Patients: Evidence from the Up-Tech Study

Journals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume 71, Issue 3, 2016, Pages 514-525

Socioeconomic Predictors of the Employment of Migrant Care Workers by Italian Families Assisting Older Alzheimer's Disease Patients: Evidence from the Up-Tech Study (Article) (Open Access)

Barbabella F. , Chiatti C. , Rimland J.M.* , Melchiorre M.G. , Lamura G. , Lattanzio F. , Baldassarri D. , Bitti L. , Carosi A. , Sabbatini M. , Paolasini E. , Fiori T. , Fronzi C. , Giacchetta S. , Giacomini V. , Giovagnoli L. , Lattanzi G. , Manca A.M. , Pigini V. , Pignotti M. , Proietti M.C. , Quarticelli A. , Rovedi M. , Tasso L. , Valeri V. , Antonioli A. , Barabucci M. , Bassani M. , Bollettini P. , Bruttapasta M.C. , Buccolini C. , Carangella R. , Carboni F. , Ceccolini D. , D'Incecco P. , Di Felice M. , Dini L. , Gioia G. , Di Prima G. , Giusepponi G. , Lanciotti C. , Loffreda A. , Luciani O. , Mariani L. , Mastrorilli F. , Moroni R. , Piatkowska I. , Rucoli R. , Scoccia G. , Teodori N. , Tonelli T. , Angeloni R. , Bratti R.A. , Bonafede G. , Lorenzetti S. , Paci C. , Picciotti G. , Pezzola D. , Rea V. , Scialè V. , Signorino M. , Sorvillo F. , Tomassini P.F. , Ciccola A. , Cionfrini L. , Alessandrini D. , De Santis A. , Formica B. , Tacchi G. , Tortorelli S. , Regional M. , Marchegiani G. , Pozzari G. , Santarelli G. , Bartolucci D. , Caraffa G. , Cavallo F. , Di Furia L. , Lacetera A. , Maffei C.M. , Manzoli L. , Postacchini D. , Bonfigli A.R. , Bonfranceschi F. , Bustacchini S. , Capasso M. , Cassetta L. , Civerchia P. , Demma F. , Di Rosa M. , Furneri G. , Giuli C. , Marcellini M. , Marinelli P. , Melchiorre G. , Moraca M.E. , Principi A. , Rocchetti C. , Spazzafumo L. , Vincitorio D. , Bartulewicz K. , Olivetti P. , Rossi L. , on behalf of the Up-Tech Research Group

^a Centre for Socio-Economic Research on Ageing, United Kingdom
^b Department of Gerontological Research, Italian National Institute of Health and Science on Ageing (INRCA), Via S. Margherita 5, Ancona, 60124, Italy
^c Department of Gerontological Research, Italian National Institute of Health and Science on Ageing (INRCA), Via S. Margherita 5, Ancona, 60124, Italy
^d Centre for Socio-Economic Research on Ageing, United Kingdom, Department of Gerontological Research, Italian National Institute of Health and Science on Ageing (INRCA), Via S. Margherita 5, Ancona, 60124, Italy
^e Centre for Socio-Economic Research on Ageing, United Kingdom
^f Department of Gerontological Research, Italian National Institute of Health and Science on Ageing (INRCA), Via S. Margherita 5, Ancona, 60124, Italy
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Abstract

Background: The availability of family caregivers of older people is decreasing in Italy as the number of migrant care workers (MCWs) hired by families increases. There is little evidence on the influence of socioeconomic factors in the employment of MCWs. Method: We analyzed baseline data from 438 older people with moderate Alzheimer's disease (AD), and their family caregivers enrolled in the Up-Tech trial. We used bivariate analysis and multilevel regressions to investigate the association between independent variables - education, social class, and the availability of a care allowance - and three outcomes - employment of a MCW, hours of care provided by the primary family caregiver, and by the family network (primary and other family caregivers). Results: The availability of a care allowance and the educational level were independently associated with employing MCWs. A significant interaction between education and care allowance was found, suggesting that more educated families are more likely to spend the care allowance to hire a MCW. Discussion: Socioeconomic inequalities negatively influenced access both to private care and to care allowance, leading disadvantaged families to directly provide more assistance to AD patients. Care allowance entitlement needs to be reformed in Italy and in countries with similar long-term care and migration systems. © 2015 The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.

Author Keywords

Alzheimer's disease Family caregiver Care allowance Up-Tech Migrant care worker Socioeconomic factors

Index Keywords

educational status Caregivers Home Care Services Long-Term Care economics home care long term care human middle aged statistics and numerical data Aged Financing, Personal financial management Humans male female Aged, 80 and over Socioeconomic Factors very elderly socioeconomics supply and distribution standards Financing, Government migration Italy Transients and Migrants employment caregiver Alzheimer Disease

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84965161025&doi=10.1093%2fgeronb%2fgbv045&partnerID=40&md5=2695b4f8b610fcbb98421bd1bf1b6a32

DOI: 10.1093/geronb/gbv045

ISSN: 10795014

Cited by: 4

Original Language: English