Double Disadvantage of Carers with a Disability: A Cross-Sectional Study of Care Duration and Perceived Importance for Service Improvement in Hong Kong, China
Abstract
:1. Introduction
1.1. Caregiving Load and Service Improvement Needs
1.2. Double Disadvantage of Carers with a Disability
2. The Current Study
3. Methods
3.1. Participants
3.2. Measures
3.2.1. Disability Status of the Carer (1 Item)
3.2.2. Care Duration (1 Item)
3.2.3. Perceived Importance of Service Improvement (5 Dimensions)
3.2.4. Covariates
3.3. Statistical Analyses
4. Results
5. Discussion
6. Limitations and Future Directions
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Center-Based | Home-Based | Respite Services | Caregiver Assistances | Financial Subsidy | |
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Variables | Caregivers without Disability (n = 625) | Caregivers with a Disability (n = 77) | ||||||
---|---|---|---|---|---|---|---|---|
n | % | M | SD | n | % | M | SD | |
Demographic characteristics | ||||||||
Age a | 4.78 | 1.25 | 4.58 | 1.51 | ||||
Sex | ||||||||
Female | 492 | 78.7 | 56 | 72.7 | ||||
Male | 133 | 21.3 | 21 | 27.3 | ||||
Having a full/part-time job | ||||||||
No | 432 | 69.1 | 54 | 70.1 | ||||
Yes | 193 | 30.9 | 23 | 29.9 | ||||
Having a voluntary caregiver | ||||||||
No | 384 | 61.4 | 35 | 45.5 | ||||
Yes | 241 | 38.6 | 42 | 54.5 | ||||
Care duration b | 3.88 | 1.34 | 3.92 | 1.23 | ||||
Perceived importance for improvement c | ||||||||
Center-based services | 4.39 | 0.62 | 4.11 | .81 | ||||
Home-based services | 4.32 | 0.78 | 4.21 | 1.00 | ||||
Respite services | 4.43 | 0.67 | 4.07 | 0.87 | ||||
Caregiver assistances | 4.40 | 0.64 | 4.15 | 0.82 | ||||
Financial subsidy | 4.55 | 0.63 | 4.48 | 0.75 | ||||
Types of disability | -- | -- | ||||||
ADHD | 4 | 5.2 | ||||||
ASD | 12 | 15.6 | ||||||
Hearing impairment | 8 | 10.4 | ||||||
Intellectual disability | 10 | 13.0 | ||||||
Mental illness | 26 | 33.8 | ||||||
Physical disability | 21 | 27.3 | ||||||
Special learning difficulties | 5 | 6.5 | ||||||
Speech impairment | 6 | 7.8 | ||||||
Vision impairment | 8 | 10.4 | ||||||
Visceral disability | 7 | 9.1 | ||||||
Others | 9 | 11.7 |
Variables | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
1. Care duration (centered) | - | 0.23 * | 0.06 | −0.03 | 0.32 ** | 0.27 * |
2. Center-based services | 0.03 | - | 0.67 *** | 0.71 *** | 0.76 *** | 0.64 *** |
3. Home-based services | 0.04 | 0.57 *** | - | 0.68 *** | 0.53 *** | 0.49 *** |
4. Respite services | 0.16 *** | 0.66 *** | 0.65 ** | - | 0.50 *** | 0.48 *** |
5. Caregiver assistances | −0.04 | 0.73 *** | 0.43 *** | 0.49 *** | - | 0.74 *** |
6. Financial subsidy | −0.01 | 0.46 *** | 0.48 *** | 0.51 *** | 0.51 *** | - |
Center-Based | Home-Based | Respite Services | Caregiver Assistances | Financial Subsidy | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variables | B | SE | β | B | SE | β | B | SE | β | B | SE | β | B | SE | β |
Step 1 | |||||||||||||||
Sociodemographic | |||||||||||||||
Age (centered) | −0.11 | 0.02 | −0.22 *** | −0.08 | 0.03 | −0.13 ** | −0.06 | 0.02 | −0.10 * | −0.13 | 0.02 | −0.25 *** | −0.10 | 0.02 | −0.19 *** |
Male | −0.09 | 0.06 | −0.06 | 0.00 | 0.08 | 0.00 | 0.01 | 0.07 | 0.01 | −0.11 | 0.06 | −0.07 † | 0.01 | 0.06 | 0.00 |
Having a full/part-time job | −0.10 | 0.05 | −0.07 † | 0.03 | 0.07 | 0.02 | −0.09 | 0.06 | −0.06 | −0.03 | 0.06 | −0.02 | −0.07 | 0.06 | −0.05 |
Having a voluntary caregiver | −0.04 | 0.05 | −0.03 | −0.04 | 0.06 | −0.03 | −0.07 | 0.05 | −0.05 | −0.00 | 0.05 | −0.00 | −0.02 | 0.05 | −0.02 |
Caregivers with a disability | −0.30 | 0.08 | −0.14 *** | −0.13 | 0.10 | −0.05 | −0.37 | 0.08 | −0.16 *** | −0.27 | 0.08 | −0.13 ** | −0.09 | 0.08 | −0.04 |
Care duration (centered) | 0.06 | 0.02 | 0.13 ** | .05 | 0.03 | 0.09 * | 0.09 | 0.02 | 0.17 *** | 0.05 | 0.02 | 0.09 * | 0.05 | 0.02 | 0.09 * |
R2 | - | - | 0.07 | - | - | 0.02 | - | - | 0.06 | - | - | 0.07 | - | - | 0.03 |
Adjusted R2 | - | - | 0.06 | - | - | 0.01 | - | - | 0.05 | - | - | 0.07 | - | - | 0.02 |
Step 2 | |||||||||||||||
Sociodemographic | |||||||||||||||
Age (centered) | −0.11 | 0.02 | −0.22 | −0.08 | 0.03 | −0.13 ** | −0.06 | 0.02 | −0.11 * | −0.12 | 0.02 | −0.24 *** | −0.09 | 0.02 | −0.19 *** |
Male | −0.09 | 0.06 | −0.06 | 0.00 | 0.08 | 0.00 | 0.01 | 0.07 | 0.01 | −0.10 | 0.06 | −0.06 † | 0.01 | 0.06 | 0.01 |
Having a full/part-time job | −0.10 | 0.05 | −0.07 † | 0.03 | 0.07 | 0.02 | −0.09 | 0.06 | −0.06 | −0.03 | 0.06 | −0.02 | −0.07 | 0.06 | −0.05 |
Having a voluntary caregiver | −0.04 | 0.05 | −0.03 | −0.04 | 0.06 | −0.03 | −0.07 | 0.05 | −0.05 | −0.01 | 0.05 | −0.01 | −0.03 | 0.05 | −0.02 |
Caregivers with a disability | −0.30 | 0.08 | −0.14 *** | −0.13 | 0.10 | −0.05 | −0.36 | 0.08 | −0.16 *** | −0.27 | 0.08 | −0.13 *** | −0.09 | 0.08 | −0.04 |
Care duration (centered) | 0.05 | 0.02 | 0.10 * | 0.05 | 0.03 | 0.09 * | 0.10 | 0.02 | 0.19 *** | 0.03 | 0.02 | 0.05 | 0.03 | 0.02 | 0.06 |
Caregivers with a disability × care duration | 0.11 | 0.06 | 0.07 † | 0.00 | 0.08 | 0.00 | −0.10 | 0.07 | −0.06 | 0.19 | 0.06 | 0.12 ** | 0.15 | 0.06 | 0.09 * |
R2 | - | - | 0.08 | - | - | 0.02 | - | - | 0.06 | - | - | 0.09 | - | - | 0.04 |
Adjusted R2 | - | - | 0.07 | - | - | 0.01 | - | - | 0.05 | - | - | 0.08 | - | - | 0.03 |
ΔR2 | - | - | 0.00 † | - | - | 0.00 | - | - | 0.00 | - | - | 0.01 ** | - | - | 0.01 * |
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Chan, W.; Xin, M.; Lu, E.Y.; Cheung, W.M.; Tsang, H.W.H. Double Disadvantage of Carers with a Disability: A Cross-Sectional Study of Care Duration and Perceived Importance for Service Improvement in Hong Kong, China. Int. J. Environ. Res. Public Health 2023, 20, 20. https://doi.org/10.3390/ijerph20010020
Chan W, Xin M, Lu EY, Cheung WM, Tsang HWH. Double Disadvantage of Carers with a Disability: A Cross-Sectional Study of Care Duration and Perceived Importance for Service Improvement in Hong Kong, China. International Journal of Environmental Research and Public Health. 2023; 20(1):20. https://doi.org/10.3390/ijerph20010020
Chicago/Turabian StyleChan, Wai, Meiqi Xin, Erin Yiqing Lu, Wai Ming Cheung, and Hector Wing Hong Tsang. 2023. "Double Disadvantage of Carers with a Disability: A Cross-Sectional Study of Care Duration and Perceived Importance for Service Improvement in Hong Kong, China" International Journal of Environmental Research and Public Health 20, no. 1: 20. https://doi.org/10.3390/ijerph20010020