Caregiver Physical Health Assessment - University ?· Caregiver Physical Health Assessment . LONGSCAN…

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  • Caregiver Physical Health Assessment LONGSCAN

    1991

    Description of Measure

    Purpose

    To obtain a brief global self-report of a caregivers recent health status.

    Conceptual Organization

    The assessment consists of three questions: one global question about current health

    status (Excellent, Good, Fair, or Poor), one about major illnesses in the past year, and one about

    the extent to which poor health affected the caregivers ability to care for the child. The CAGE

    Questionnaire, an alcoholism screening tool, is included in the health assessment at the Pre-age 4

    and Age 4 interviews. (See CAGE for a description of that measure.)

    Item Origin/Selection Process

    The global health rating was selected as one of the most reliable and widely used

    indicators of physical health (Krause & Jay 1994). The other items were chosen as indicators of

    the caregiver's experience of morbidity, which has implications for the ability to provide

    adequate care to the study child.

    Materials

    Non-copyrighted form is included in this manual.

    Time Required

    Less than 5 minutes

    Administration Method

    Interviewer-administered

    Training

    Minimal

    Rev 4/03 78

  • Scoring

    Score Types

    Individual items.

    LONGSCAN Use

    Data Points

    Pre-Age 4: MW & NW sites only

    Age 4, 6, 8, 12: all sites. At Age 8, the caregiver health assessment questions were

    incorporated into the services utilization form (SUA).

    Respondent

    Primary maternal caregiver

    Mnemonic and Version

    Pre-Age 4 and Age 4: MHLA.

    Age 6: MH6A. Does not include the CAGE Questionnaire; no other modifications.

    Age 8: SUA questions 24-25. The question, "Has illness affected your ability to care for

    your child", is omitted.

    Age 12: MHLB, MHLC. B is the paper version and C is the audio-CASI version.

    Age 14: MHLC.

    Rationale

    A caregivers health may affect her ability to care for her child. The global health rating

    has been shown to be one the most reliable indicators of physical health (Krause & Jay, 1994).

    Results

    Table 1 presents Pre-Age 4 data collected at the MW and NW sites. Approximately one-

    quarter (27.3%) of the MW caregivers reported their health status as fair or poor, and slightly

    less than onequarter (23.2%) had experienced a major illness in the past year. At the NW site,

    approximately one-third (31.8%) of the participants reported fair or poor health, and almost one-

    Rev 4/03 79

  • half (47.9%) reported a major illness in the past year. Of those reporting major illness at the NW

    site, 61.5% said the illness affected their ability to care for their child(ren). Analysis by racial

    group showed that White, Multiracial, and Other racial groups reported worse health than Blacks

    and Hispanics.

    Table 1 about here

    At Age 4 (Table 2) Hispanic caregivers reported poorer health status than the other racial

    groups, although White caregivers were more likely to report a major illness. When analyzed by

    site, the poorest health status on all three indicators was observed at the NW site.

    Table 2 about here

    At Age 6 (Table 3), 25.1% of the entire sample reported having fair or poor health, and

    32.5% of the caregivers reported a major illness in the past year. Interestingly, there was little

    relationship between having had a major illness in the past year and a report of ones health as

    fair or poor. While Hispanic caregivers reported poorer health than caregivers of other racial

    groups, they were less likely to report a major illness. Caregivers from the MW site reported the

    worst overall health status in terms of global health ratings and the incidence of a major illness or

    injury affecting their ability to care for their child.

    Table 3 about here

    At Age 8 (Table 4), 31.7% of the total sample reported having experienced fair or poor

    health. White caregivers reported poorer health than caregivers of other racial groups. Caregivers

    from the NW (38.4%) and MW sites (38.3%) reported the poorest overall health.

    Table 4 about here

    Validity

    Numerous studies have documented a relationship between physical health and mental

    health, particularly depression (Brown, Ahmed, Gary, & Milburn, 1995; Flaskerud & Tabora,

    1998; Hays, Krishnan, George, Pieper, Flint, & Blazer, 1997; Heidrich, 1998). We examined

    Rev 4/03 80

  • concurrent validity of the Caregiver Physical Health Assessment by comparing scores on the

    four categories of the global health rating to the caregivers mean scores on the Center for

    Epidemiologic Studies Depression Scale (CES-D) at the Age 4 interview. Primary caregivers

    who reported poor health were significantly more likely to report higher depression scores

    compared to those who report fair, good, or excellent health (F(3,709) = 13.8, p

  • Table 1. Caregiver Health Status by Caregiver Race and Study Site. Pre-Age 4 Interview (MW and NW sites)

    N

    Health Reported as Fair or Poor

    %

    Major Illness/Injury in Past Year

    %

    Major Illness/Injury Affected Childcare

    % Total 536 29.1 33.2 52.8 Race

    White 215 31.6 40.9 55.7 Black 208 26.9 28.4 52.5 Hispanic 52 19.2 17.3 33.3 Multiracial 42 35.7 42.9 55.6 Other 19 78.9 21.1 25.0

    Site MW 319 27.3 23.2 40.5 NW 217 31.8 47.9 61.5

    Source. Based on data received at the LONGSCAN Coordinating Center through 7/8/97. Note. SW, SO, and EA did not collect data at the Pre-Age 4 interview.

    Rev 4/03 82

  • Table 2. Caregiver Health Status by Caregiver Race and Study Site. Age 4 Interview

    N

    Health Reported as Fair or Poor

    %

    Major Illness/Injury in Past Year

    %

    Major Illness/Injury Affected Childcare

    % Total 1148 24.7 30.1 47.0 Race

    White 397 23.9 36.3 53.5 Black 584 24.4 25.9 43.0 Hispanic 82 29.3 29.3 37.5 Multiracial 37 21.6 37.8 28.6 Other 44 27.9 27.3 58.3

    Site EA 237 25.4 23.6 44.6 MW 123 30.9 24.4 50.0 SO 221 21.8 21.8 50.0 SW 317 18.4 28.2 33.7 NW 250 31.6 43.2 56.5

    Source. Based on data received at the LONGSCAN Coordinating Center through 7/8/97.

    Rev 4/03 83

  • Table 3. Caregiver Health Status by Caregiver Race and Study Site. Age 6 Interview

    N

    Health Reported as Fair or Poor

    %

    Major Illness/Injury in Past Year

    %

    Major Illness/Injury Affected Childcare

    % Total 1217 25.1 32.5 48.7 Race

    White 394 24.6 37.6 52.7 Black 663 24.3 29.9 45.7 Hispanic 91 35.2 27.5 60.0 Multiracial 34 26.5 44.1 40.0 Other 30 13.3 26.7 25.0

    Site EA 250 23.2 27.6 42.7 MW 216 32.9 30.6 59.1 SO 220 20.9 28.6 41.3 SW 297 22.9 30.6 46.2 NW 234 26.5 45.3 52.8

    Source. Based on data received at the LONGSCAN Coordinating Center through 8/24/01.

    Rev 4/03 84

  • Rev 4/03 85

    Table 4. Caregiver Health Status by Caregiver Race and Study Site. Age 8 Interview

    N

    Health Reported as Fair or Poor

    % Total 1036 31.7 Race

    White 283 36.4 Black 418 33.7 Hispanic 46 21.7 Multiracial 23 34.8 Other 17 35.3

    Site EA 235 31.1 MW 128 38.3 SO 184 28.8 SW 270 25.6 NW 219 38.4

    Source. Based on data received at the LONGSCAN Coordinating Center through 8/24/01. Note. At Age 8 Interview data were not gathered on major illnesses and injuries.

    Description of MeasurePurpose

    Conceptual OrganizationItem Origin/Selection ProcessMaterialsTime RequiredAdministration MethodTrainingScoringScore Types

    LONGSCAN UseData PointsRespondentMnemonic and Version RationaleResultsTable 1 about hereTable 2 about hereTable 4 about here

    ValidityReferences and BibliographyTotalRaceSiteTotalRaceSiteTotalSiteTotalSite

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