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Understanding the effects of informal caregiving on health and well-being: Heterogeneity and mechanisms

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  • Le, Duc Dung
  • Ibuka, Yoko

Abstract

This study examines the heterogenous effects of informal caregiving on caregivers' health and well-being and the mechanisms of the effects, which remain largely undiscussed in previous literature. We used a combined estimation of fixed effects and the instrumental variables to address unobserved time-invariant individual characteristics and the endogeneity problem between caregivers' health and caregiving status. Using data from the four waves of the Japanese Study of Aging and Retirement collected in 2007, 2009, 2011, and 2013, and covering individuals aged 50 to 75 at the baselines, we found robust evidence of the negative effects of informal caregiving on caregivers' mental health and life satisfaction, but not on their physical health. Regarding heterogenous effects, we found that informal caregiving adversely affected female but not male caregivers' mental health and life satisfaction. Our results also showed that informal caregiving had greater effects on individuals providing care for their mothers-in-law, with a higher socioeconomic status, living with their in-laws, and belonging to younger groups. Our results indicated that the loss of social networks and leisure and social activities were channels through which informal caregiving might negatively affect caregivers’ health and well-being. This study provides suggestions that policy makers may use to mitigate the negative effects of caregiving with targeted interventions, while formulating policies to support informal caregivers.

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  • Le, Duc Dung & Ibuka, Yoko, 2023. "Understanding the effects of informal caregiving on health and well-being: Heterogeneity and mechanisms," Social Science & Medicine, Elsevier, vol. 317(C).
    • Handle: RePEc:eee:socmed:v:317:y:2023:i:c:s0277953622009364
    DOI: 10.1016/j.socscimed.2022.115630
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    1. Schmitz, Hendrik & Stroka, Magdalena A., 2013. "Health and the double burden of full-time work and informal care provision — Evidence from administrative data," Labour Economics, Elsevier, vol. 24(C), pages 305-322.
    2. Bauer, Jan Michael & Sousa-Poza, Alfonso, 2015. "Impacts of Informal Caregiving on Caregiver Employment, Health, and Family," IZA Discussion Papers 8851, Institute of Labor Economics (IZA).
    3. Heitmueller, Axel, 2007. "The chicken or the egg?: Endogeneity in labour market participation of informal carers in England," Journal of Health Economics, Elsevier, vol. 26(3), pages 536-559, May.
    4. Ismael Mourifié & Yuanyuan Wan, 2017. "Testing Local Average Treatment Effect Assumptions," The Review of Economics and Statistics, MIT Press, vol. 99(2), pages 305-313, May.
    5. Elenka Brenna & Cinzia Novi, 2016. "Is caring for older parents detrimental to women’s mental health? The role of the European North–South gradient," Review of Economics of the Household, Springer, vol. 14(4), pages 745-778, December.
    6. Dörte Heger, 2017. "The Mental Health of Children Providing Care to their Elderly Parent," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1617-1629, December.
    7. Chen, Lu & Fan, Hongli & Chu, Lanlan, 2019. "The hidden cost of informal care: An empirical study on female caregivers' subjective well-being," Social Science & Medicine, Elsevier, vol. 224(C), pages 85-93.
    8. Narimasa Kumagai, 2017. "Distinct impacts of high intensity caregiving on caregivers’ mental health and continuation of caregiving," Health Economics Review, Springer, vol. 7(1), pages 1-14, December.
    9. Bom, Judith & Bakx, Pieter & Schut, Frederik & van Doorslaer, Eddy, 2019. "Health effects of caring for and about parents and spouses," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    10. Young Kyung Do & Edward C. Norton & Sally C. Stearns & Courtney Harold Van Houtven, 2015. "Informal Care and Caregiver's Health," Health Economics, John Wiley & Sons, Ltd., vol. 24(2), pages 224-237, February.
    11. Van Houtven, Courtney Harold & Coe, Norma B. & Skira, Meghan M., 2013. "The effect of informal care on work and wages," Journal of Health Economics, Elsevier, vol. 32(1), pages 240-252.
    12. P.L. de Zwart & P. Bakx & E.K.A. van Doorslaer, 2017. "Will you still need me, will you still feed me when I'm 64? The health impact of caregiving to one's spouse," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 127-138, September.
    13. Norma B. Coe & Courtney Harold Van Houtven, 2009. "Caring for mom and neglecting yourself? The health effects of caring for an elderly parent," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 991-1010, September.
    14. repec:wly:hlthec:v:26:y:2017:i::p:127-138 is not listed on IDEAS
    15. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
    16. Benjamin Cornwell, 2011. "Independence Through Social Networks: Bridging Potential Among Older Women and Men," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(6), pages 782-794.
    17. ICHIMURA Hidehiko & SHIMIZUTANI Satoshi & HASHIMOTO Hideki, 2009. "JSTAR First Results 2009 Report," Discussion papers 09047, Research Institute of Economy, Trade and Industry (RIETI).
    18. Davidson, Russell & MacKinnon, James G., 1993. "Estimation and Inference in Econometrics," OUP Catalogue, Oxford University Press, number 9780195060119.
    19. Crooks, V.C. & Lubben, J. & Petitti, D.B. & Little, D. & Chiu, V., 2008. "Social network, cognitive function, and dementia incidence among elderly women," American Journal of Public Health, American Public Health Association, vol. 98(7), pages 1221-1227.
    20. Ryotaro Fukahori & Tadashi Sakai & Kazuma Sato, 2015. "The Effects of Incidence of Care Needs in Households on Employment, Subjective Health, and Life Satisfaction among Middle-aged Family Members," Scottish Journal of Political Economy, Scottish Economic Society, vol. 62(5), pages 518-545, November.
    21. Midori Wakabayashi & Wataru Kureishi, 2018. "Differences in the effects of informal family caregiving on health and life satisfaction between wives and husbands as caregivers," Review of Development Economics, Wiley Blackwell, vol. 22(3), pages 1063-1080, August.
    22. Yoko Niimi, 2016. "The “Costs” of informal care: an analysis of the impact of elderly care on caregivers’ subjective well-being in Japan," Review of Economics of the Household, Springer, vol. 14(4), pages 779-810, December.
    23. Hansen, Lars Peter & Heaton, John & Yaron, Amir, 1996. "Finite-Sample Properties of Some Alternative GMM Estimators," Journal of Business & Economic Statistics, American Statistical Association, vol. 14(3), pages 262-280, July.
    24. Julie Robison & Richard Fortinsky & Alison Kleppinger & Noreen Shugrue & Martha Porter, 2009. "A Broader View of Family Caregiving: Effects of Caregiving and Caregiver Conditions on Depressive Symptoms, Health, Work, and Social Isolation," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(6), pages 788-798.
    25. Schmitz, Hendrik & Westphal, Matthias, 2015. "Short- and medium-term effects of informal care provision on female caregivers’ health," Journal of Health Economics, Elsevier, vol. 42(C), pages 174-185.
    26. Martin Pinquart & Silvia Sörensen, 2007. "Correlates of Physical Health of Informal Caregivers: A Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(2), pages 126-137.
    27. Oshio, Takashi & Usui, Emiko, 2018. "How does informal caregiving affect daughters’ employment and mental health in Japan?," Journal of the Japanese and International Economies, Elsevier, vol. 49(C), pages 1-7.
    28. Fu, Rong & Noguchi, Haruko & Kawamura, Akira & Takahashi, Hideto & Tamiya, Nanako, 2017. "Spillover effect of Japanese long-term care insurance as an employment promotion policy for family caregivers," Journal of Health Economics, Elsevier, vol. 56(C), pages 103-112.
    29. Bobinac, Ana & van Exel, N. Job A. & Rutten, Frans F.H. & Brouwer, Werner B.F., 2010. "Caring for and caring about: Disentangling the caregiver effect and the family effect," Journal of Health Economics, Elsevier, vol. 29(4), pages 549-556, July.
    30. Stroka, Magdalena A., 2014. "The Mental and Physical Burden of Caregiving - Evidence from Administrative Data," Ruhr Economic Papers 474, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    31. Martin Pinquart & Silvia Sörensen, 2006. "Gender Differences in Caregiver Stressors, Social Resources, and Health: An Updated Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(1), pages 33-45.
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    Cited by:

    1. Marie Blaise & Sandrine Juin & Hélène Le Forner & Quitterie Roquebert, 2024. "I care, you clean? Gendered effects of informal care on couple housework and leisure time," LISER Working Paper Series 2024-05, Luxembourg Institute of Socio-Economic Research (LISER).
    2. Rong Fu & Dung Le & Yoko Ibuka, 2023. "The impact of contracting formal care benefits on caregivers�fwell-being: evidence from Japan," Keio-IES Discussion Paper Series 2023-005, Institute for Economics Studies, Keio University.

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