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January 15, 2010StrokeOpen Access

Caregiving Strain and Estimated Risk for Stroke and Coronary Heart Disease Among Spouse Caregivers

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Key result

High caregiving strain was associated with a 23% higher estimated 10-year stroke risk compared to no strain (13.62% vs 11.06%), with the strongest association observed in African American men.

Why the study?

Does high caregiving strain increase the estimated 10-year risk of stroke and coronary heart disease in spouse caregivers?

Population

Participants in the REGARDS study providing in-home caregiving to a disabled spouse

Comparison

High caregiving strain vs No caregiving strain

Design

Cohort

Authors

WHWilliam E. HaleyDRDavid L. RothGHGeorge Howard

Discussion

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Member takes

Overview

High caregiving strain should not yet change practice in spouse caregivers; leaves open causal effects and targeted interventions in observational data.

Study Design

Type

Observational (n=716)

Multicenter

Yes

Structured PICO

Does high caregiving strain increase the estimated 10-year risk of stroke and coronary heart disease in spouse caregivers?

P
Population
716 participants providing in-home caregiving to a disabled spouse, assessed for estimated 10-year stroke and coronary heart disease risk.
E
Exposure
High caregiving strain
C
Comparator
No caregiving strain
O
Outcome
Framingham Stroke Risk Score and Framingham CHD Risk Score (projected 10-year risk of incident stroke and ischemic heart disease)surrogate

Main Result

Effect estimate: 23% higher risk

Absolute Event Rate: 13.62% vs 11.06%

High caregiving strain is associated with a significantly higher estimated 10-year stroke risk, particularly among African American male spouse caregivers.

Cite This Study

Haley et al. (2010) conducted an observational in Caregiving for a disabled spouse (n=716). High caregiving strain vs. No caregiving strain was evaluated on Framingham Stroke Risk Score (estimated 10-year risk of incident stroke) (23% higher risk). High caregiving strain was associated with a 23% higher estimated 10-year stroke risk compared to no strain (13.62% vs 11.06%), with the strongest association observed in African American men.

synapsesocial.com/papers/6a8428d474ee596ff2c51fe9https://doi.org/10.1161/strokeaha.109.568279
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