At the intersection of culture: Ethnically diverse dementia caregivers’ service use

Virginia E. Richardson, Noelle Fields, Seojin Won, Evie Bradley, Allison Gibson, Gretchen Rivera, Sarah D. Holmes

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


This study used an ethnocultural approach to explore how cultural factors influenced ethnically diverse dementia caregivers’ experiences and use of services. A modified thematic analysis of in-depth interviews with 15 caregivers, ranging in age from 50 to 75 years, including spouses, daughters, sons, cousins, and a friend, from three minority groups—African American, Hispanic, and South Korean caregivers—was conducted by a team of multi-lingual researchers. Caregiver stress was pervasive across all subgroups. Several themes emerged that were qualitatively different across groups, including knowledge about dementia, language barriers, religion and spirituality, and cultural differences in attitudes about caring and formal services. A two-pronged intervention model that includes a generic intervention to reduce caregiver stress along with a culturally targeted intervention tailored to a family’s language, food preferences, religious practices, gender norms, and other values was recommended to more successfully reach and support these caregivers.

Original languageEnglish
Pages (from-to)1790-1809
Number of pages20
Issue number5
StatePublished - Jul 1 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2017.


  • caregiving
  • cultural factors
  • dementia
  • qualitative methods
  • race/ethnicity

ASJC Scopus subject areas

  • Sociology and Political Science
  • General Social Sciences


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