Does Caregiver Well‐Being Differ by Rurality and State Policy Environment? Identifying a Well‐Being Typology for Rural, Suburban, and Urban Caregivers

Отличается ли благополучие опекунов в зависимости от уровня урбанизации и государственной политики? Выявление типологии благополучия для сельских, пригородных и городских опекунов
Elena Maria Pojman, Florence Becot, Zuzana Bednarik, Carrie Henning‐Smith
2025-08-18

STAT Caregiving surveyscare infrastructurecaregiver well-being typologylatent class analysismultinomial logistic regressionrural–suburban–urban differencesstate-level family policy
ABSTRACT Despite caregiving making up a considerable portion of how individuals and governments spend their time and money, its impacts on caregivers' well‐being are not well understood. In this article, we identify the various manifestations of caregiver well‐being, test rural–suburban–urban differences, and explore the role of state‐level family policy. Drawing on responses from 4620 caregivers of adults and children to the STAT Caregiving surveys from the North Central and Northeast Regions of the United States, we use latent‐class analysis to develop a caregiver well‐being typology. We identify three latent classes of caregiver well‐being: high, medium, and low, and describe the composition of each class. Next, we use multinomial logistic regression to test differences between rural, suburban, and urban caregivers in their probability of being in each well‐being class, while accounting for individual‐level characteristics and the state‐level context of care infrastructure. We find that rural and suburban caregivers are overrepresented among the low and medium well‐being classes and underrepresented among the high well‐being class relative to their urban counterparts. Additionally, caregivers' own characteristics vary more across well‐being than does the state‐level family policy context. Our findings speak to the importance of robust family care policies that are attuned to differences in social and built infrastructure across rural, suburban, and urban residence.
1
Caregivers' individual characteristics vary more across well-being classes than does state-level family policy context.
2
Findings indicate the need for robust family care policies tailored to social and built infrastructure differences across rural, suburban, and urban areas.
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Latent-class analysis of 4,620 caregivers identified three caregiver well-being classes: high, medium, and low.
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Rural and suburban caregivers are overrepresented in the low and medium well-being classes compared to urban caregivers.
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Rural and suburban caregivers are underrepresented in the high well-being class relative to urban caregivers.

Caregivers of adults and children in rural, suburban, and urban areas (4620 respondents to the STAT Caregiving surveys in the North Central and Northeast US)

Caregiver well-being typology (high/medium/low) and its variation by rurality (rural–suburban–urban) and state-level family policy/context, controlling for individual characteristics

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2025-08-18
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Elena Maria Pojman
Florence Becot
Zuzana Bednarik
Carrie Henning‐Smith
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