Caring for those who care and promoting oral health to caregivers of patients with disabilities: a narrative review

Authors

DOI:

https://doi.org/10.5327/2525-5711.283

Keywords:

Person with disabilities, Autism, Caregivers, Oral health

Abstract

This narrative review describes the profound impact faced by caregivers of individuals with disabilities, on their physical, mental, and oral health. Caregivers, particularly women, assist with both basic and complex daily tasks, often under high levels of stress, and in many cases, face challenges related to limited personal, social, or financial support. The continuous demands lead them to neglect their own care causing consequently high rates of chronic health issues, including hypertension, mental health disorders such as depression and anxiety, and oral health problems. Research shows that these health challenges are exacerbated by limited access to healthcare services and financial constraints, with caregivers frequently isolated from social and professional support networks. To address these gaps, our review emphasizes the need for targeted interventions that provide comprehensive support for caregivers. Programs that offer emotional, logistical, and financial assistance, as well as dedicated healthcare services—including oral health—can significantly improve caregivers' well-being. Our “Caring for those who care” initiative seeks to address these needs, and initial results underscore the importance of accessible, ongoing care for caregivers. This review advocates for systemic support structures that enhance caregivers' quality of life, ultimately benefiting the individuals under their care.

References

World Health Organization. World Bank . World report on disability 2011. Geneva: World Health Organization; 2011.

United Nations. Convention on the rights of persons with disabilities and optional protocol [Internet]. [accessed in Oct 16, 2024]. Available from: https://www.un.org/disabilities/documents/convention/convoptprot-e.pdf .

Mott J, Schmidt B, MacWilliams B. Male caregivers: shifting roles among family caregivers. Clin J Oncol Nurs. 2019;23(1):E17-24. https://doi.org/10.1188/19.CJON.E17-E24

Minayo MCS. Caring for those who care for dependent older adults: For a necessary and urgent policy. Cien Saude Colet. 2021;26(1):7-15. https://doi.org/10.1590/1413-81232020261.30872020

Couto GR, Fonseca EP, Amaral RC. Level of satisfaction and quality of life of caregivers of people with disabilities in secondary dental care. Pesqui Bras Odontopediatria Clin Integr. 2022;22:e210088. https://doi.org/10.1590/pboci.2022.036

Ho A, Collins SR, Davis K, Doty MM. A look at working-age caregivers’ roles, health concerns, and need for support. Issue Brief (Commonw Fund). 2005;(854):1-12. PMID: 16118908.

Cardoso AL, Silva-Junior GO, Bastos LF, Cesar ALM, Serrano LG, Dziedzic A, et al. Preliminary assessment of the quality of life and daily burden of caregivers of persons with special needs: a questionnaire-based, cross-sectional survey. In J Environ Res Public Health. 2023;20(3):2012. https://doi.org/10.3390/ijerph20032012

Pinho RCM, Barbosa ACS, Caldas-Júnior AF, Vasconcelos MMVB, Cimões R, Santos MTBR. State, trait, and dental anxiety in caregivers of individuals with disabilities. Special Care in Dentist. 2017;37(4):168-75. https://doi.org/10.1111/scd.12230

McAllum K, Simpson ML, Unson C, Fox S, Kilpatrick K. The socialization of unpaid family caregivers: a scoping review. Res Aging. 2021;43(7-8):263-73. https://doi.org/10.1177/01640275211005092

Hutagalung ER, Soegyanto AI, Ahmad MS, Mandasari M. Analysis of oral health literacy in caregivers of special needs individuals in special schools and social institutions in Jakarta. Dent J (Basel). 2023;11(9):221. https://doi.org/10.3390/dj11090221

Rodríguez-Rodríguez P. Informal support to older people in Spain and social protection for dependent elderly people. From familyism to citizen’s rights. Rev Esp Geriatr Gerontol. 2005;40(Suppl. 3):5-15. https://doi.org/10.1016/S0211-139X(05)75068-X

Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Am J Nurs. 2008;108(9 Suppl.):23-7; quiz 27. https://doi.org/10.1097/01.NAJ.0000336406.45248.4c

Magalhães IA, Dantas TS, Paulo JPM, Marçal FF, Viana TSA, Sousa FB, et al. Sociodemographic factors affect the quality of life and burden of caregivers in special care in dentistry. Spec Care Dentist. 2022;42(5):464-75. https://doi.org/10.1111/scd.12710

Dias C, Schwertner C, Grando D, Bidinotto AB, Hilgert JB, Schuch JB, et al. Caregiving of children with Down syndrome: impact on quality of life, stress, mental and oral health. Spec Care Dentist. 2022;42(4):398-403. https://doi.org/10.1111/scd.12694

Kelly K, Wolfe N, Gibson MJ, Feinberg L. Listening to family caregivers: the need to include family caregiver assessment in medicaid home-and community-based service waiver programs [Internet]. Washington: AARP Public Policy Institute; 2013 [accessed in Oct. 16, 2024]. Available from: https://www.thescanfoundation.org/sites/default/files/the-need-to-include-family-caregiver-assessment-medicaid-hcbs-waiver-programs-report-aarp-ppi-ltc.pdf

Baskaradoss JK, AlSumait A, Behbehani E, Qudeimat MA. Association between the caregivers’ oral health literacy and the oral health of children and youth with special health care needs. PLoS One. 2022;17(1):e0263153. https://doi.org/10.1371/journal.pone.0263153

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Published

2025-03-25

How to Cite

1.
Santos BC, Ferraz DLF, Rodrigues CRD, Ribeiro MTL, Bueno TC, Silva MMD da, et al. Caring for those who care and promoting oral health to caregivers of patients with disabilities: a narrative review. J Oral Diagn [Internet]. 2025 Mar. 25 [cited 2025 May 12];10. Available from: https://joraldiagnosis.com/revista/article/view/283

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Section

Review Article