Social Determinants of Health are Associated with Coping of Informal Caregivers of Adults with Heart Failure.
Austin Matus, Ryan Quinn, Michael A Stawnychy and 5 others
PMID 38288601WHAT IT FOUND
Informal caregivers of adults with heart failure: social disadvantage was not linked to their stress, but higher social disadvantage was linked to more avoidant and minimizing coping.
Caregiver burden was linked to stress and avoidance.
Key findings
01Total social disadvantage risk was not significantly linked to stress, but each one-unit increase in caregiver burden was estimated to increase stress by 0.2 units.
02As social disadvantage risk increased, avoidant coping was estimated to rise by 0.57 units and minimization coping by 0.68 units; neither social disadvantage risk nor burden predicted active coping.
03Non-White race was estimated to raise avoidant coping by 3.3 units and minimization coping by 4.4 units; each additional person supported was estimated to raise avoidant coping by 1.4 units.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured social disadvantage, stress, and coping at one time, so it cannot show that social disadvantage caused avoidant or minimizing coping. It was done in one geographical area in the northeastern United States, and the sample was not as representative of Black and Latino participants as the local city population. The caregivers all had poor self-care and were excluded if they had cognitive impairment, untreated major psychiatric illness, inability to use technology, or were caring for someone in hospice or end-of-life care, so results may not apply to all caregivers. The regression analyses reported different participant counts, and the paper does not explain how missing data were handled.
Declared interests
The authors declared no potential conflicts of interest. The work was funded by the National Institute of Nursing Research under award numbers R01 NR-018196, F31 NR-020137, and R01 NR-016014.
The easy way to misread this
Do not read this as proof that social disadvantage causes avoidant coping or that reducing social disadvantage will reduce stress. The study was cross-sectional, and total social disadvantage was not significantly linked to stress.