Project Summary
Kinship care families (e.g., grandparent raising grandchildren) are rapidly increasing. Approximately
2.5 million grandparents are the primary caregivers for their grandchildren, and African Americans (AA) are
more likely to be kinship caregivers than persons from other groups, making them one of the nation’s most
vulnerable populations. Kinship caregivers face unique challenges, such as parenting for uncertain periods of
time, often with scarce financial resources, while balancing potential conflicts with the child’s biological parents,
placing them at significant risk for high stress levels. Given recent findings of links between chronic stress and
Alzheimer’s disease (AD), there is a need for research to identify possible stressors and mitigate risks for
outcomes such as AD among kinship caregivers. Over the long term, caregivers incur a host of negative
stress-related outcomes, including poor physical and mental health. Additionally, since AAs are two to three
times more likely to develop AD than their Caucasian counterparts and are disproportionately affected by
cardiovascular disease, a risk factor for AD, there is an urgent need for research to identify modifiable
risk factors for both stress and cardiovascular disease, to potentially mitigate the onset of AD in kinship
caregivers.
The aim of this two-phase mixed methods study is to identify: a) risk factors for stress and
cardiovascular disease in a sample of AA kinship caregivers, b) positive lifestyle behaviors that AA kinship
caregivers rely on to reduce their stress and promote physical health, and c) negative coping strategies that
might amplify poor physical and mental health outcomes. Our long-term goal is to develop knowledge to
develop culturally informed interventions for AA kinship caregivers that address modifiable risks for both
chronic stress and cardiovascular disease, with the long term goal of reducing risks for AD. As
an Administrative Supplement, this project will build on the parent R15 grant, which examines kinship care
families’ impact on children’s outcomes, to now examine kinship caregiver outcomes. If kinship caregivers do
not remain healthy, their lives – and those of the children they care for – will be significantly compromised. The
proposed supplemental study is a natural extension of the parent R15 grant, and it will use a subsample from
the R15 cohort to implement the study.