A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers

Background. Multiple sclerosis (MS) rates in Latin America are increasing, and caregivers there experience reduced mental and physical health. Based on rigid gender roles in Latin America, women more often assume caregiving duties, yet the differential impact on women of these duties is unknown. Met...

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Main Authors: Paul B. Perrin, Ivan Panyavin, Alejandra Morlett Paredes, Adriana Aguayo, Miguel Angel Macias, Brenda Rabago, Sandra J. Fulton Picot, Juan Carlos Arango-Lasprilla
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/283958
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author Paul B. Perrin
Ivan Panyavin
Alejandra Morlett Paredes
Adriana Aguayo
Miguel Angel Macias
Brenda Rabago
Sandra J. Fulton Picot
Juan Carlos Arango-Lasprilla
author_facet Paul B. Perrin
Ivan Panyavin
Alejandra Morlett Paredes
Adriana Aguayo
Miguel Angel Macias
Brenda Rabago
Sandra J. Fulton Picot
Juan Carlos Arango-Lasprilla
author_sort Paul B. Perrin
collection DOAJ
description Background. Multiple sclerosis (MS) rates in Latin America are increasing, and caregivers there experience reduced mental and physical health. Based on rigid gender roles in Latin America, women more often assume caregiving duties, yet the differential impact on women of these duties is unknown. Methods. This study examined gender differences in mental health (Patient Health Questionnaire-9, Satisfaction with Life Scale, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Zarit Burden Inventory), health-related quality of life (HRQOL; Short Form-36), and social support (Interpersonal Support Evaluation List-12) in 81 (66.7% women) Mexican MS caregivers. Results. As compared to men caregivers, women had lower mental health (p=0.006), HRQOL (p<0.001), and social support (p<0.001). This was partially explained by women caregivers providing care for nearly twice as many hours/week as men (79.28 versus 48.48, p=0.018) and for nearly three times as many months (66.31 versus 24.30, p=0.002). Conclusions. Because gender roles in Latin America influence women to assume more substantial caregiving duties, MS caregiver interventions in Latin America—particularly for women caregivers—should address the influence of gender-role conformity on care and psychosocial functioning.
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spelling doaj-art-082bdd779b2a449faacb4be82155509f2025-02-03T05:52:39ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/283958283958A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis CaregiversPaul B. Perrin0Ivan Panyavin1Alejandra Morlett Paredes2Adriana Aguayo3Miguel Angel Macias4Brenda Rabago5Sandra J. Fulton Picot6Juan Carlos Arango-Lasprilla7Virginia Commonwealth University, Richmond, VA 23284, USAUniversity of Deusto, 48007 Bilbao, SpainVirginia Commonwealth University, Richmond, VA 23284, USAUniversity of Guadalajara, 44100 Guadalajara, JAL, MexicoUniversity of Guadalajara, 44100 Guadalajara, JAL, MexicoUniversity of Guadalajara, 44100 Guadalajara, JAL, MexicoUniversity of Maryland-Baltimore, Baltimore, MD 21201, USAUniversity of Deusto, 48007 Bilbao, SpainBackground. Multiple sclerosis (MS) rates in Latin America are increasing, and caregivers there experience reduced mental and physical health. Based on rigid gender roles in Latin America, women more often assume caregiving duties, yet the differential impact on women of these duties is unknown. Methods. This study examined gender differences in mental health (Patient Health Questionnaire-9, Satisfaction with Life Scale, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Zarit Burden Inventory), health-related quality of life (HRQOL; Short Form-36), and social support (Interpersonal Support Evaluation List-12) in 81 (66.7% women) Mexican MS caregivers. Results. As compared to men caregivers, women had lower mental health (p=0.006), HRQOL (p<0.001), and social support (p<0.001). This was partially explained by women caregivers providing care for nearly twice as many hours/week as men (79.28 versus 48.48, p=0.018) and for nearly three times as many months (66.31 versus 24.30, p=0.002). Conclusions. Because gender roles in Latin America influence women to assume more substantial caregiving duties, MS caregiver interventions in Latin America—particularly for women caregivers—should address the influence of gender-role conformity on care and psychosocial functioning.http://dx.doi.org/10.1155/2015/283958
spellingShingle Paul B. Perrin
Ivan Panyavin
Alejandra Morlett Paredes
Adriana Aguayo
Miguel Angel Macias
Brenda Rabago
Sandra J. Fulton Picot
Juan Carlos Arango-Lasprilla
A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
Behavioural Neurology
title A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
title_full A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
title_fullStr A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
title_full_unstemmed A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
title_short A Disproportionate Burden of Care: Gender Differences in Mental Health, Health-Related Quality of Life, and Social Support in Mexican Multiple Sclerosis Caregivers
title_sort disproportionate burden of care gender differences in mental health health related quality of life and social support in mexican multiple sclerosis caregivers
url http://dx.doi.org/10.1155/2015/283958
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