When Do Couples Expand Their ADL Caregiver Network Beyond the Marital Dyad?

Abstract

Composition of caregiver networks (spouse only vs. others) for assistance with personal care limitations (ADLs) was examined in the AHEAD nationally representative sample of 215 elderly couples, using logistic regression. Findings showed network expansion beyond the spouse was influenced by a poor fit between solo spousal caregivers and caregiving tasks: Expanded networks were more likely when help recipients had numerous health problems (p< .01) and ADL limitations (p= .063), and when spouses had any ADL limitations (p< .01). Expanded networks were also likely when couples included the wife as help recipient (p< .05), were Black (p= .075), and were in lengthy marriages (p< .05). Implications for theory, research, and family policy and practice are discussed.

Key Words:

• Spousal caregivers
• ADL limitations
• older couples
• gender
• marital duration