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Current and long-term spousal caregiving and onset of cardiovascular disease
- 1Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, Massachusetts, USA
- 2Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA
- 3Harvard Center for Population and Development Studies, Harvard University, Cambridge, Massachusetts, USA
- Correspondence to Benjamin D Capistrant, Harvard School of Public Health, 401 Park Drive, 4th Floor West, Room 403-03, Boston, MA 02215, USA; bcapistr{at}hsph.harvard.edu
Contributors Study concept and design: BDC, LFB and MMG. Analysis and interpretation of data: BDC, JRM, LFB, MMG. Preparation of manuscript: BDC, JRM, LFB, MMG.
- Accepted 13 September 2011
- Published Online First 11 November 2011
Background Prior evidence suggests that caregiving may increase risk of cardiovascular disease (CVD) onset. This association has never been examined in a nationally (USA) representative sample, and prior studies could not fully control for socioeconomic confounders. This paper seeks to estimate the association between spousal caregiving and incident CVD in older Americans.
Methods Married, CVD-free Health and Retirement Study respondents aged 50+ years (n=8472) were followed up to 8 years (1669 new stroke or heart disease diagnoses). Current caregiving exposure was defined as assisting a spouse with basic or instrumental activities of daily living ≥14 h/week according to the care recipients' report in the most recent prior biennial survey; we define providing ≥14 h/week of care at two consecutive biennial surveys as 'long-term caregiving'. Inverse probability weighted discrete-time hazard models with time-updated exposure and covariate information (including socioeconomic and cardiovascular risk factors) were used to estimate the effect of caregiving on incident CVD.
Results Caregiving significantly predicted CVD incidence (HR=1.35, 95% CI 1.06 to 1.68) in the population overall. Long-term caregiving was associated with double the risk of CVD onset (HR=1.95, 95% CI 1.19 to 3.18). This association for long-term care givers varied significantly by race (p<0.01): caregiving predicted CVD onset for white (HR=2.37, 95% CI 1.43 to 3.92) but not for non-white (HR=0.28, 95% CI 0.06 to 1.28).
Conclusions Spousal caregiving independently predicted risk of CVD in a large sample of US adults. There was significant evidence that the effect for long-term care givers differs for non-whites and white.
Funding The authors gratefully acknowledge financial support from the American Heart Association grants 09PRE2080078 (BDC) and 10SDG2640243 (MMG), the National Institute on Aging (AG034385-01) (MMG) and National Heart, Lung and Blood Institute (T32-HL098048-01) (JRM). The HRS (Health and Retirement Study) is sponsored by the National Institute on Ageing (grant number NIA U01AG009740) and is conducted by the University of Michigan. We presented parts of this work at the American Public Health Association Annual Meeting on 10 November 2010.
Competing interests None.
Ethics approval Ethics approval was provided by University of Michigan (original study) and Harvard School of Public Health (this analysis).
Provenance and peer review Not commissioned; externally peer reviewed.

subset: commoncrawl


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Perfect for a leisurely breakfast seated at Paula's Kitchen Island, this Counter Chair highlights easy country living. The slatted back epitomizes simple style, giving the tall chair a welcoming look that demonstrates the livable charm seen throughout the River House collection. A removable seat cushion offers simple comfort atop the saddle seat, while the accompanying scalloped slip makes for a sweet, feminine accent. Utterly charming in any of the three River House finishes, this counter chair exemplifies the easy grace and livable appeal of low country style.
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Commercial Loan Officer
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4 posts tagged with GrandOleOpry.
Displaying 1 through 4 of 4. Subscribe:
Little Jimmy Dickens, Oldest Opry Member, Dies at 94
May the Bird of Paradise Fly Up Your Nose Little Jimmy Dickens songs on YouTube. [more inside]
DeFord Bailey, American musician
Within that small and very specific sub-genre of musical Americana identifiable as the train imitation, there is one amazing performance, from 1926, that set the standard: Pan-American Blues. The man who recorded it did a fine and fanciful job of evoking the sounds of a fox chase as well, and his rhythmically compelling solo rendition of John Henry stands as testament to the potential for musical greatness achievable by one man and a humble harmonica. He was an African-American who was a founding member of the Grand Ole Opry, a musical institution that we rarely (as in, never) today associate with black people, and his touching and tragic story, documented here, is one that will be of interest to those concerned with the racial, economic and socio-cultural history of American popular music. He stands at one of its more unexpected intersections: his name is DeFord Bailey. [more inside]
The Opry Has Sinned
"The Reinstate Hank campaign calls for the remittal of Opry star, and country music legend, Hank Williams." [more inside]
We listened to the birds and tried to sing along.
The DeZurik Sisters committed only six songs to record during their recording career, but were the first women stars of the Grand Ole Opry and the National Barn Dance. Now WFMU has 32 tracks of theirs from their early appearance as The Cackle Sisters on the Purina Checkerboard Squares Radio Show. Download away and hear the yodeling that swept the nation in the early 40s.
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Letter(s) from Eugenia Nelson to Mike (UK)
Letter 1
Greetings Sir,
This is an email for the Ghana Immigration Service, The Kotoka Internation Airport Division. The content of this email has been attached as a file and you are required to download in order to read it's content.
Thank You
Officer K. Francis
K. Francis Kotoka Customs
Letter 2
Hello Mike, I am Lensumah and i work at the Labadi beach hotel. You used to send money to Madam Elvira through me. I had information earlier on that she has a problem at the airport so i went there this morning and she asked me to contact you and to let you know what is going on and also to ask you to assist her so when she comes she will give the money back to you. She was stopped from flying because on of the documents covering the sculptures she was flying with was absent. The customs have seized her passport and the sculptures and have asked her to pay a fine of 10000 pounds sterling and then provide the missing document before she can be left to continue her journey. According to her, the customs officers say she just has a week to do that.
If you can send it , i think it will be better to send it through my bank account so all can be sent and it will arrive in three working days. She asked me to plead with you to assist her. Madam Elvira is such a good woman and she needs your urgent help.


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Live dance, laser light and magic show
starring All That! Clogging group
and featuring illusionists The Wagsters
All That have become a phenomenon amongst visitors in Gilmore's award-winning production, TCO, over the past 10 years, where they will continue to appear nightly. Known nationally for their recent success on NBC's America's Got Talent, All That has gathered a fanatical following. Gilmore commented, "The popularity of All That has just been through the roof, this show will fulfill a great demand. These guys have worked tirelessly on new material and we have put together an incredible show. The footwork of All That combined with the choreographed laser show is really amazing."
More Information about Calvin Gilmore and Gilmore Entertainment:
Gilmore Entertainment has long been the leader of musical variety show entertainment in the Southeast, with the classic TCO show and their new hit, Time Warp. Gilmore and his Carolina Opry have been featured by USA Today, ABC Nightly News, Southern Living Magazine, Variety, and a host of other newspapers and television shows. It is the only Myrtle Beach show to receive the coveted South Carolina Governor's Cup, as well as being voted South Carolina's Most Outstanding Attraction. In recent years, Gilmore has performed regularly on the Grand Ole Opry in Nashville, and he is designated as South Carolina's Official Country Music Ambassador.
Book Online or call 800-843-6779
Group pricing available for groups of 22 or more