在健康与退休研究中照顾者提供的临床预防服务质量外文翻译.docVIP

本科毕业设计（论文） 外 文 翻 译 原文: Quality of Preventive Clinical Services Among Caregivers in the Health and Retirement Study Abstract：We examined the association between caregiving for a spouse and preventive clinical services (self-reported influenza vaccination, cholesterol screening, mammography, Pap smear, and prostate cancer screening over 2 years and monthly self-breast exam) for the caregiver in a cross-sectional analysis of the Health and Retirement Study, a nationally representative sample of U.S. adults aged ≥50 years (N = 11,394). Spouses engaged in 0, 1–14, or ≥14 hours per week of caregiving. Each service was examined in logistic regression models adjusting for caregiver characteristics. After adjustment for covariates, there were no significant associations between spousal caregiving and likelihood of caregiver receipt of preventive services. KEY WORDS: caregiving; prevention; mammography; influenza; cholesterol . Over 6 million adults in the United States provide long-term, unpaid care to disabled elderly persons in their families, particularly elderly spouses. These caregivers are at increased risk of mortality. Possible explanations include higher rates of negative health behaviors and health outcomes among caregivers, such as not having enough time to exercise, forgetting to take prescription medications, fatigue, depression, and worse blood pressure and lipid control. It is unclear whether the association between caregiving and mortality is also mediated through poorer quality health care to the caregivers, including decreased delivery of preventive clinical services. Caregiving consumes time and financial resources that may interfere with proper preventive care. In the Caregiver Health Effects Study, there was no association between caregiving and caregiver receipt of immunizations; another study of care giving found no association between caregiving and mammography, colon cancer screening, or Pap smear performance.In contrast, another study noted tha