{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T21:20:21Z","timestamp":1787952021274,"version":"build-2784847793"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Hong Kong Jockey Club Charities Trust"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Urban Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Family caregivers in East Asian societies such as Hong Kong bear a significant share of care responsibilities for individuals with disabilities due to rising disability prevalence, limited formal services, and cultural norms rooted in filial piety. This study examines factors associated with caregiving provision, weekly caregiving hours, and mental stress among family caregivers in Hong Kong households. We used data from the 2019\u20132020 Hong Kong General Household Survey (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200940,600) and applied logistic regression (caregiving provision) and ordinal logistic regression (caregiving hours, mental stress). Analyses were adjusted for care recipient needs, caregiver characteristics, and contextual factors. Disability types were classified using the International Classification of Functioning, Disability and Health (ICF) framework. Among weighted respondents from households including individuals with disabilities in Hong Kong, 14.5% were identified as family caregivers. Caregiving was significantly associated with being female (adjusted odds ratio [aOR] =\u20091.64, 95% CI = 1.49\u20131.82) and unmarried (aOR =\u20091.17, 95% CI = 1.02\u20131.34). Female (aOR = 1.33, 95% CI = 1.12\u20131.59) and assisting with activities of daily living (ADLs) were associated with longer weekly caregiving hours (aOR = 2.54, 95% CI = 2.12\u20133.04). Severe self-reported mental stress was associated with female (aOR = 1.39, 95% CI = 1.15\u20131.69), assisting with ADLs (aOR = 1.99, 95% CI = 1.62\u20132.44), and caring for family members with mental health disability (aOR = 2.00, 95% CI = 1.64\u20132.43). While other ICF-based disability types were not significant in multivariate models, some showed associations in univariate analysis. These findings highlight the need for targeted caregiver support policies that address gendered expectations and disability-specific burdens.\n                  <\/jats:p>","DOI":"10.1007\/s11524-026-01111-0","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:27:54Z","timestamp":1785162474000},"page":"858-871","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated with Caregiving and Mental Stress among Family Caregivers for People with Disabilities: A Cross-sectional Survey of 40,600 Chinese Households"],"prefix":"10.1007","volume":"103","author":[{"given":"Xingnan","family":"Yi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaohua","family":"Huo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuechen","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen Ann","family":"Gr\u00e9pin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarani","family":"Chandola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai Sze","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera Mun Yu","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian Weiqun","family":"Lou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianchao","family":"Quan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"1111_CR1","volume-title":"Global Report on Health Equity for Persons with Disabilities","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. 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The authors did not participate in data collection. Access to the dataset was granted by the C&SD for research purposes and was conducted on-site in accordance with their data access protocols. As the data were de-identified and no direct contact with human participants occurred, ethical approval was not required under local institutional guidelines.","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}